If you determined that a therapeutic use exemption (TUE) is needed, please follow the steps below to complete the TUE application.

Step 1

Download Appropriate Application

If your sport or federation is listed to the tabs below, select that tab and download the corresponding PDF application.

Everyone else should download the General USADA TUE Application only.

Step 2
Step 3

Bring application form and any guidance document to your primary care physician

Your doctor MUST fill out ALL forms correctly. Bring all forms with you to your doctor’s visit.

Please note, any TUE application submitted to USADA without medical documentation will be returned to the athlete and will not be processed.

Step 4

REVIEW of TUE Application before submission to USADA

Please review your TUE application to ensure that this is a complete application with the proper medical documentation organized in a logical fashion. All TUE applications must contain sufficient medical information, including clinic and laboratory testing notes to allow the USADA TUE Committee make the same diagnosis and arrive at the same treatment plan as your physician without ever seeing the patient. At a minimum, please verify that you have provided the following medical documentation:

A)  A complete, comprehensive medical history of your diagnosis (age of onset, severity, progression of symptoms over time, etc.) and management strategies (including a description of attempts to use non-prohibited medications, and a clear statement from your physician why the use of non-prohibited alternatives are not effective in symptom management).

B)  Pre-medication lab results and pertinent measurements must be provided in addition to post-medication results (if applicable).

C)  Physicians should send copies of medical records and not just a brief comment as to your medical condition and prescribed medication.

Step 5

Step 5 – Submit COMPLETED application to USADA

Submit your application by email to tue@usada.org or by fax to 719-785-2029. For those sports with a sport specific international federation TUE, you may submit the application to USADA and we will handle getting the information to your international federation.

Please note, any TUE application submitted to USADA without medical documentation will be returned to the athlete and will not be processed.