Ipc medical review request form 2026

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  1. Click ‘Get Form’ to open the ipc medical review request form in the editor.
  2. Begin by filling in the NPC details, including the NPC name and contact person. Ensure all information is legible.
  3. Next, provide the athlete's details: last name, first name, date of birth, gender, passport number, SDMS ID, sport class, and class status.
  4. Indicate the next scheduled competition by entering the competition name, date (in dd/mm/yyyy format), and location (city and country).
  5. In the section for change in impairment, have a health professional complete the relevant details regarding any interventions that have occurred.
  6. Attach supporting documentation that demonstrates changes in impairment since the last evaluation.
  7. Ensure that both the health professional and NPC verification sections are completed with accurate information and signatures.

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Basic Evaluations: Without tests, it may take up to 12 days. Comprehensive Clearances: If lab tests or imaging studies are required, may take several days.
The IPC Medical Code (hereafter the Code) recognises the primacy of the athletes health, mandates best medical practice in the provision of care to the athletes, and the protection of their rights.
Obtain the Medical Clearance Form from your healthcare provider or the institution requiring it. Fill in your personal information, including your name, date of birth, and contact details.
Obtain Physical Examination: Obtain a physical exam for you and any accompanying EFMs from a licensed provider (i.e., a Physician Assistant, Nurse Practitioner, Doctor of Medicine, or Doctor of Osteopathic Medicine), who must complete and sign the DS-1843 /DS-1622 forms.
Any health care provider from whom the employer or the employers group health plans benefits manager will accept a medical certification to substantiate a claim for benefits.
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Using telehealth services Booking a telehealth appointment can be a convenient way of securing a medical certificate, particularly if you are physically unable to get to a doctor or cannot secure an appointment.

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