Some athletes are not subject to WADA’s International Standard for TUEs. These athletes do not require a TUE. However, all such athletes may undergo a medical review to validate and permit the use of prescribed medications for therapeutic reasons. There is no requirement for an athlete to obtain a medical review until a positive test is reported by CCES.

If an athlete is notified by CCES of a positive test, the CCES will request the athlete to submit the required material for a medical review.

The medical review will be granted by CCES provided the athlete satisfies all of the conditions set out below:

• the athlete demonstrates by means of appropriate documentation that he or she has a medical diagnosis made by a licensed physician prior to sample collection;
• the athlete has a prescription signed by a licensed physician prior to sample collection consistent with the finding;
• the athlete provides appropriate confirmation that he or she is being followed and monitored by a licensed physician to ensure the treatment plan matches the diagnosis;
• the athlete should declare the use of the prescribed medication on the Doping Control Form.

The CCES may have the information provided by the athlete reviewed and evaluated by a physician who is a member of the CCES Therapeutic Use Review Committee.

Medical reviews will be performed promptly following the athlete’s notification by CCES that a medical review is required. The medical review will not be commenced until all the information listed above is submitted in a legible format. The material submitted by the athlete will be returned to the athlete after the medical review is completed.

Athletes may contact the CCES national office at any time to enquire if they are an athlete subject to the medical review rules or to access additional information concerning a medical review.

For more information about medical reviews:

• Email: tue-aut@cces.ca
• Call the toll-free InfoLine: 1-800-672-7775