2020 Injury Report
To be completed for moderate and major injuries occurring at International competitions
Email address *
Your First and Last Name
Please select the competition for which you wish to report an injury:
Clear selection
Date of Competition
MM
/
DD
/
YYYY
Injured Athlete
First and Last Name
Address
National Federation
Email address
Type of Injury
Please describe the injury mechanism
Was there a security failure?
Clear selection
Did the Athlete continue to compete?
Clear selection
Final diagnosis
to be completed through MedCom
Competition Doctor
First and Last Name
Email address
Telephone number
Signature *
Required
A copy of your responses will be emailed to the address you provided.
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