CERTIFICATE OF DIAGNOSIS - US Equestrian 2026

1. Click ‘Get Form’ to open the CERTIFICATE OF DIAGNOSIS in our editor.
2. Begin by filling in the Athlete’s Details section. Enter your first name, family name, gender, date of birth, address, city, zip/postcode, telephone number, nation, and email address.
3. Provide your consent by signing and dating the form where indicated. This confirms that you allow the information to be shared with the FEI for classification purposes.
4. In the Medical Details section, ensure a Doctor of Medicine completes this part. They should provide their name, medical diagnosis (health conditions), and attach any relevant medical reports if necessary.
5. Select any primary impairments from the list provided and indicate whether your medical condition is permanent or stable. Fill in additional details regarding therapeutic interventions or surgeries as applicable.
6. Finally, have the doctor confirm accuracy by signing and dating the form before submission.

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