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Eastern Illinois University Athletics Compliance Office Medical Disqualification (DQ) Form Commitment: A student athlete who is medically disqualified from participation in intercollegiate athletics

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How to fill out medical disqualification dq form

01

Obtain the medical disqualification form from the appropriate source (such as a healthcare provider or the organization requiring the form)

02

Fill out your personal information at the top of the form, such as name, date of birth, and contact information

03

Provide a detailed medical history, including any relevant conditions or medications you are currently taking

04

Clearly explain the reason for needing a medical disqualification and provide any supporting documentation if required

05

Sign and date the form, acknowledging that the information provided is accurate to the best of your knowledge

Who needs medical disqualification dq form?

01

Individuals who are seeking an exemption or disqualification from a specific medical requirement or restriction may need to fill out a medical disqualification form.

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What is medical disqualification dq form?

The medical disqualification dq form is a document used to report any medical conditions that may disqualify an individual from certain activities or positions.

Who is required to file medical disqualification dq form?

Individuals who have a medical condition that may disqualify them from certain activities or positions are required to file the medical disqualification dq form.

How to fill out medical disqualification dq form?

The medical disqualification dq form can be filled out by providing detailed information about the medical condition, any relevant medical history, and any other required documentation.

What is the purpose of medical disqualification dq form?

The purpose of the medical disqualification dq form is to ensure that individuals are medically fit to participate in certain activities or hold certain positions.

What information must be reported on medical disqualification dq form?

The medical disqualification dq form must include information about the medical condition, relevant medical history, and any other documentation required by the form.

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