How to Apply for a TUE

Please follow the steps below to complete the Therapeutic Use Exemption Application. If you have any questions you may contact USADA at 719-785-2000 or by email at or

Step 1 - Download Appropriate Application

If your sport is listed below, you must download the appropriate sport specific TUE Application Form. If your sport is not listed below, download the USADA Therapeutic Use Exemption Application Form PDF

Sport Specific TUE Application Forms:

Track and Field (IAAF) PDF
World Masters Athletics (WMA) PDF

Step 2 - Download Specific Medical Information

Please choose the relevant information listed below and download the appropriate guidance document. If information for your specific situation is not listed below, proceed to step 3.

ADD/ADHD (stimulants) (*Recently Updated*)
Adrenal Insufficiency
Asthma (Beta-2 Agonists)
Diabetes Mellitus (Insulin)
Growth Hormone Deficiency (childhood)
Growth Hormone for Idiopathic Short Stature in children
Growth Hormone Deficiency (adult)
(*Recently Updated*)
Infertility (hormones)/Polycystic Ovarian Syndrome
(*Recently Updated*)
Inflammatory Bowel Disease
Intravenous Infusion
Intrinsic Sleep Disorders
Musculoskeletal Injuries
Post Infectious Cough
Renal Transplantation, Renal Disease

Step 3 - Bring 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; clinic notes 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 - Submit COMPLETED application to USADA.

Submit application by email to or by Fax 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.