Please download all relevant documents for your specific medical condition (including both the USADA checklist and WADA guidelines). If your condition is not listed, please choose the “Other Conditions” option.

Cardiovascular Conditions (Beta-blockers)
USADA Checklist
WADA Guidelines

Diabetes Mellitus (Insulin) 
USADA Checklist
WADA Guidelines

Female & Male Infertility/PCOS (Aromatase Inhibitors, Clomiphene Citrate, hCG, Letrozole, Spironolactone) 
USADA Checklist – FEMALE
USADA Checklist – PCOS
USADA Checklist – MALE
WADA Guidelines – PCOS
WADA Guidelines – Female Infertility

Growth Hormone Deficiency – Adult (recombinant human growth hormone – rhGH) 
USADA Checklist
WADA Guidelines

Growth Hormone Deficiency – Child & Adolescent (recombinant human growth hormone – rhGH) 
USADA Checklist
WADA Guidelines

Inflammatory Bowel Disease (Glucocorticoids) 
USADA Checklist
WADA Guidelines

Intravenous Infusions (e.g. Normal Saline Solution – NSS, Lactated Ringer’s Solution – LRS, Dextrose in Water – D5W/D2.5W/D5LRS) in excess of 100mL/12hours and/or with a prohibited substance 
USADA Checklist
WADA Guidelines

Intrinsic Sleep Disorders (Stimulants) 
USADA Checklist
WADA Guidelines

Musculoskeletal Conditions (Glucocorticoids, Narcotics) 
USADA Checklist
WADA Guidelines

Pain Management (Narcotics, Cannabinoids) 
USADA Checklist
WADA Guidelines

Other Conditions
USADA Checklist

Renal Transplantation (Glucocorticoids, Beta-Blockers, Diuretics, Erythropoietin-EPO) 
USADA Checklist
WADA Guidelines

Sinusitis/Rhinosinusitis (Glucocorticoids, Pseudoephedrine)  
USADA Checklist
WADA Guidelines

Transgender Athletes/Gender Dysphoria (Gender-affirming Hormones, Androgen or Anti-androgenic therapy) 
USADA Checklist
WADA Guidelines

Click the link below to open the application in  browser, and then download the PDF to fill out.

General USADA TUE Application 

Professional Fighters League (PFL) TUE Application

Bring all forms and guidelines with you to your doctor’s visit.

Work with your physician to fill out the TUE application and collect supporting documents listed on the guidance document for your condition. Please ensure that your physician has correctly completed all medical information & diagnosis, medication details, and physician declaration sections in the TUE application.

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

Click the image below to download a letter for athletes to take to their healthcare teams so they may better understand their anti-doping responsibilities.

Please review your TUE application to ensure that it is complete and includes the proper medical documentation to support your medical diagnosis, and is 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 you as a patient.

To ensure all components are included in the applications submission, we recommend athletes submit the TUE application and medical documents at the same time. We consider it best practice for athletes to keep a copy of the entire application packet for their records.

Submit your application to USADA by filling out the form below. For those sports with a sport specific international federation TUE, you may submit the application to USADA and we will handle getting the application information to your international federation.

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

INCOMPLETE OR UNORGANIZED APPLICATIONS WILL BE RETURNED. Please save your files in a chronological organized fashion: LAST NAME, First name- “File Type” (Ex. SMITH, John- TUE Application)

**PLEASE NOTE THAT IT MAY TAKE 3-5 BUSINESS DAYS TO RECEIVE A RESPONSE.**