Step 2 - Provide Medical Notes.
Provide all relevant medical notes from the date of your previous TUE approval to present. In most circumstances, USADA will retain all previously submitted medical notes, therefore re-submission all of the medical documentation that was previously provided with your previous TUE submission(s) is unnecessary.
-The medical notes should provide a clear and concise update of ongoing medical care and prescribed treatment in the time interval from the last TUE approval.
-Updated information from the treating physician detailing the ongoing need for the prohibited substance or method through differential diagnosis, detailed treatment plan, and any requests for further monitoring.
-If there has been a change in the dose and/or frequency of the medication or treatment, clinical notes discussing the change should be provided.
-Any complications or adverse health effects, including those which impact sport participation, should also be provided in detail.