Diagnostic form physical 2026

1. Click ‘Get Form’ to open the diagnostic form physical in the editor.
2. Begin by filling in the Athlete Information section. Enter the family name, given names, gender, date of birth, National Federation (NF), and UCI ID. Ensure all details are accurate for proper identification.
3. In the Medical Information section, a registered Medical Doctor must complete the athlete’s medical diagnosis. Include a description of affected body parts and any limitations.
4. Select the primary impairments from the provided options that arise from the medical diagnosis. Indicate whether the medical condition is stable, progressive, fluctuating, or congenital.
5. Attach any necessary diagnostic evidence as specified in the form. This may include medical reports or examination results that support your diagnosis.
6. Complete the Treatment History and Regular Medication sections by listing any ongoing treatments and additional medical conditions if applicable.
7. Finally, ensure both the healthcare professional and athlete sign and date the form at the bottom before submission.

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