Sinusitis/Rhinosinusitis
29 de março de 2021Musculoskeletal Conditions
29 de março de 2021Checklist for Therapeutic Use Exemption (TUE) Application:
Attention Deficit Hyperactivity Disorder (ADHD)
Prohibited Substance: Methylphenidate and amphetamine derivatives
This Checklist is to guide the athlete and their physician on the 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.
- TUE Application form must include:
- All sections completed in legible handwriting
- All information submitted in [language]
- A signature from the applying physician
- The Athlete’s signature
- Medical report should include details of:
- Medical history: age at onset of ADHD symptoms, age at initial diagnosis, symptoms across more than one setting, trial of non-prohibited interventions (if used)
- Diagnostic tests or rating scales used (e.g., Conners, DIVA)
- Interpretation of symptoms, signs and test results by physician (paediatrician, psychiatrist or other physician specializing in ADHD)
- Diagnosis referring to ICD 10 or DSM 5
- Stimulant prescribed (methylphenidate and amphetamine are prohibited in-competition) including dosage, frequency, administration route
- Diagnostic test/scale results should include copies of:
- These could include but are not limited to:
Adults: ACDS, CAADID, CAARS, Barkley, DIVA 2.0 (copy of original test/scale)
Children: Vanderbilt, K-SADs, DISC, Conners, SNAP (copy of original test/scale)
- These could include but are not limited to:
- Additional information included
- Supplementary reports which support the diagnosis: e.g., reports from psychologists, school teachers, parent/guardian (not mandatory)