Checklist for Therapeutic Use Exemption (TUE) Application
This Checklist is to guide the athlete and their physician on the overall requirements for a TUE application that will allow the TUE Committee to assess whether the relevant ISTUE Criteria are met.
Please note that the completed TUE application form alone is not sufficient; supporting documents MUST be provided. A completed application and checklist DO NOT guarantee the granting of a TUE. Conversely, in some situations a legitimate application may not include every element on the checklist.
| Application form included | |
|---|---|
| All handwritten information is legible and all sections are completed | |
| All information is in a language accepted by ADO | |
| Applying physician signed | |
| Athlete signed | |
| Medical report included | |
| Medical history: symptoms, age at onset, course of disease, start of treatment; typical symptoms and complications (where applicable) | |
| Findings on physical examination | |
| Interpretation of symptoms, signs and test results by physician | |
| Diagnosis based on current internationally accepted criteria | |
| Substance prescribed, dosage, frequency, administration route | |
| Evidence of follow-up/monitoring of athlete by physician | |
| Diagnostic test results included (copies of originals or printouts) | |
| Laboratory tests (where applicable) | |
| Imaging or other test results (where applicable) | |
| Additional information included | |
| As per ADO specification | |