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Anti-Doping Unit Irish Sports Council July 2005 Application no. ISC SUE STANDARD THERAPEUTIC USE EXEMPTION FORM Please PRINT clearly using BLOCK CAPITALS 1. Athlete Information Surname: First Name:
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How to fill out a standard form for therapeutic use exemption:

01
Start by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and the requirements for submitting a therapeutic use exemption request.
02
Begin filling out the personal information section of the form. This typically includes your name, date of birth, contact information, and any relevant identification numbers.
03
Provide details about your sport or activity. Specify the organization or governing body you are affiliated with, as well as any relevant team or club information.
04
Describe the medical condition or reason for which you are requesting a therapeutic use exemption. Be detailed and provide any necessary supporting documentation such as medical records or statements from healthcare professionals.
05
Specify the prohibited substances or methods that are involved in your treatment plan. Indicate the necessary dosage, frequency, and route of administration.
06
Include information about any alternative treatments that you have explored or currently using. Explain why these alternatives are not as effective or suitable for your condition.
07
If applicable, provide information about any previous therapeutic use exemptions you have received and the duration for which they were granted.
08
Remember to sign and date the form. Some forms may require additional signatures from a medical practitioner or other authorized individuals.
09
Keep a copy of the completed form for your records before submitting it according to the instructions provided.

Who needs a standard form for therapeutic use exemption?

01
Athletes who require medical treatment involving banned substances or methods for a legitimate medical condition may need a standard form for therapeutic use exemption (TUE).
02
Individuals participating in sport organizations or events that enforce anti-doping regulations may be required to submit a TUE application to obtain permission for necessary medical treatments.
03
Athletes who are subject to drug testing may be required to provide a TUE if their medication or treatment falls under the prohibited substances list of the organization or governing body they compete under.
04
It is important to check the specific regulations and guidelines of the organization or sport to determine if a TUE is required for a particular medical treatment.
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Standard Therapeutic Use Exemptions (TUEs) are special permissions granted to athletes allowing them to take medications or use methods that are otherwise prohibited.
Athletes who need to use prohibited substances or methods for medical reasons are required to file for a standard TUE.
Athletes can fill out the standard TUE application form provided by the relevant sports organization or anti-doping agency. They must also provide supporting medical evidence.
The purpose of standard TUEs is to ensure fair competition while allowing athletes with legitimate medical conditions to receive necessary treatment.
Athletes must report details of their medical condition, the medication or method they need to use, and the reasons why the standard TUE is necessary.
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