Athlete Medical Upload

This form is for athletes who have already completed their Competitive Membership with Muaythai Ontario, but need to submit or update their medical information. Annual Medical Declarations and blood work are only valid for 12 months from the date shown on the completed form. If submitting lab test results, please submit all 3 test results for review, even if only one test result was updated.

Athlete Province / Region*

I am...*

Athletes from Clubs outside Ontario must register with Muaythai Canada and upload their medicals to the Muaythai Canada Medical Form.

Athletes from outside of Canada must register a competition pass with Muaythai Canada and upload their medicals to the Muaythai Canada Medical Form.

SUBMITTER'S INFORMATION

Your Name*

First Last

Your Email*

Enter Email Confirm Email

ATHLETE INFORMATION

Athlete Legal Name*

First Last

Athlete Email*

Enter Email Confirm Email

Athlete's Club Affiliation*

Athlete Age (Years)*

Please enter a number greater than or equal to 0.

Athletes age 15 and younger are not required to submit laboratory blood tests in order to participate in competition.

You must still submit page 2 of the annual medical declaration.

When an athlete has reached 16 years of age HIV, Hepatitis B Surface Antigen, and Hepatitis C Antibody screening blood tests are required for judged full contact competition.

COACH INFORMATION

Coach Name*

First Last

Coach Email*

Enter Email Confirm Email

Send a copy of the uploaded medical documents to my coach*

Medical documents are personal, private information and do not need to be submitted to anyone other than Muaythai Ontario for approval.

Yes
No

Medical Release Signature*

By signing this form I authorize Muaythai Ontario to release confidential health information about me, by releasing a copy of my medical records to the coach email address completed above.

MEDICAL DOCUMENTS TO UPLOAD

Please select the medical documents that you will be uploading*

Annual Medical Declaration
Laboratory Blood Tests (Age 16+)
Clearance for Returning to Competition After Injury

ANNUAL MEDICAL DECLARATION UPLOAD

Upload the Annual Medical Declaration here*

All athletes participating in full contact competition must have a completed Annual Medical Declaration that has been completed no more than 12 months prior to the competition date. Both pages must be uploaded at the same time for a medical to be processed.

File types: .jpg, .jpeg, .png, .pdf
Maximum 20 MB.

Drop files here or

LAB TEST UPLOAD

Upload the scans of the completed HIV, HEP B, and HEP C tests here*

All athletes age 16 years and older participating in full contact competition must have HIV, Hepatitis B Surface Antigen, and Hepatitis C Antibody screening blood tests that have been completed no more than 12 months prior to the competition date. All tests must be uploaded at the same time to be processed; individually uploaded tests will not be recorded.

File types: .jpg, .jpeg, .png, .pdf
Maximum 20 MB.

Drop files here or

CLEARANCE FOR RETURNING TO COMPETITION AFTER AN INJURY

Upload the scans of the completed medical clearance letter*

The medical clearance letter must be completed by a medical doctor. In the event that an athlete was on a medical suspension, the athlete must complete the duration of the suspension even if the medical clearance letter is completed in advance.

File types: .jpg, .jpeg, .png, .pdf
Maximum 20 MB.

Drop files here or

DOCUMENT PROCESSING TIMES

Do you have an upcoming competition and require your medical documents processed by a specific date?*

Standard processing time is 5-10 business days

Yes
No

What date do you need your documents processed by?*

Unfortunately we are not able to process your documents by the desired date. All information submitted to MTO required at least 1 business day to process. Please select a different date to continue.

Refer to the image below for the document processing schedule:
"OK" - Documents are processed without a rush fee
"RUSH" - Only documents with a rush fee are processed
"NOT PROCESSED" - Documents are not processed on these days, even with rush fees
"EVENT DAY" - The day of the competition

It Looks Like You Require Rush Processing

In order to process your documents by the desired date, a rush processing fee is required.

Rush information processing is required when submitting information 2 to 5 business days prior to an event an you are participating in.

Refer to the image below for the document processing schedule:
"OK" - Documents are processed without a rush fee
"RUSH" - Only documents with a rush fee are processed
"NOT PROCESSED" - Documents are not processed on these days, even with rush fees
"EVENT DAY" - The day of the competition

THERE ARE NO EXTENSIONS: If you rush incorrect or incomplete information there is no guarantee that it will be processed in time, and no deadline extensions will be provided. Ensure all submitted information is correct and complete; no refunds will be provided.

Do you want to rush your documents to be processed within 2-5 business days?*

Yes, rush my documents ($30)
No, do not rush my documents ($0)

Rush Information Processing Fee

Price: CAD$ 30.00 CAD

Total

CAD$ 0.00 CAD