Every Special Olympics athlete needs a physical exam and medical eligibility determination on file with their local Program. The two practitioner pages, updated August 2024, record vital signs, a condition checklist, exam findings and one of six eligibility outcomes, alongside separate health history and release pages completed by the athlete or guardian.
A licensed medical practitioner qualified to conduct physical exams and prescribe medications completes both pages and signs, listing an NPI or license number and license type (MD, DO, NP or PA). The athlete or guardian completes the separate health history and release pages.
Download the current version from the source each time; forms change without notice.
Special Olympics Athlete Medical Form
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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A licensed medical practitioner qualified to conduct physical exams and prescribe medications. The signature block asks for license type (MD, DO, NP or PA) and an NPI or license number. Some state Programs also accept chiropractors under their own rules.
The practitioner can mark the athlete medically eligible for all or listed sports without restriction, eligible with recommendations for further evaluation or treatment, not eligible pending further evaluation, not eligible for specific sports, or not eligible for any sports.
Yes. The form recommends reviewing the medical history items with the athlete or their guardian before performing the physical exam, and it allows additional pages to list anything else Special Olympics should know about the athlete.