In Kentucky, a wrestler suspected of a communicable skin condition needs current written documentation that it is not communicable before competing, and KHSAA states WR111 is the only form a referee will accept for that. The physician records the diagnosis, lesion locations, medications and treatment start date, and checks which NFHS rule the condition falls under.
The examining physician (MD or DO) completes and signs the form. The wrestler's name and high school are entered at the top.
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WR111 Skin Condition Form
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Seven days. The form states it expires seven days from the date listed as the provider's examination. NFHS rules separately allow documentation of a non-communicable condition such as a birthmark, psoriasis or eczema to remain valid for the season.
The provider signature line is marked M.D. or D.O., so the form must be signed by a medical or osteopathic physician who examined the wrestler. The physician adds office phone and address and checks the applicable NFHS rule.
For a first episode, the wrestler should be treated and kept out of competition for at least 10 days, extended to 14 days with fever or swollen lymph nodes. Recurrent outbreaks need at least 120 hours of oral antivirals, with no new lesions and all lesions scabbed over.