New TUE Application Steps
Click on each step to open the details.
Step 1: Find your Condition
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.
ADD/ADHD (Stimulants)
USADA Checklist
WADA Guidelines
Adrenal Insufficiency (Glucocorticoids, Mineralocorticoids, DHEA*)
USADA Checklist
WADA Guidelines
Anaphylaxis (Epinephrine, Glucocorticoids, B2 Agonists)
USADA Checklist
WADA Guidelines
Androgen Deficiency/Male Hypogonadism (Testosterone, hCG – Human Chorionic Gonadotropin)
USADA Checklist
WADA Guidelines
Asthma (B2 Agonists & Inhaled Glucocorticoids)
USADA Checklist
WADA Guidelines
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
Step 2: Download the TUE application
Click the link below to open the application in browser, and then download the PDF to fill out.
Step 3: Complete the TUE application and collect medical documents
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.
Step 4: Review your TUE application
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.
Step 5: Submit COMPLETED application to USADA
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.**
TUE Renewals
Read below for information on how to renew your TUE
Please note: any TUE application submitted to USADA without medical documentation will be returned to the athlete and will not be processed.
Step 1 - Complete a new TUE application.
Look for an email from USADA or check the expiration date on your TUE Certificate. Approximately sixty (60) days prior to expiration, you should review the TUE Approval letter conditions and schedule an appointment with your treating medical provider to go over what medical information needs to be submitted to USADA along with a new TUE Application that the provider will need to certify and sign. Download the appropriate TUE Application above.
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.
Step 3 - Review previous approval TUE certificate.
Please review your previous TUE approval and approval cover letter to see if there were any special conditions of your TUE approval or any recommendations made by the TUE Committee regarding the renewal of your TUE. To ensure as complete an application as possible, please provide any information suggested by the TUE Committee.
Step 4 - Review application.
Review your TUE application to ensure it is complete and accurate before submitting it to USADA.
Step 5 - Submit completed application.
Submit your completed application to USADA in Step 5 of the TUE Application Steps above. 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 THAT IT MAY TAKE 3-5 BUSINESS DAYS TO RECEIVE A RESPONSE.**
