ThreeraceBRASIL 2027
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ATHLETE AREA

Medical
information.

Your health history and documents for Threerace Brasil 2027, all in one place.

Work in progress: use fictional data. Submission to the organizers is not yet active.

YOUR HISTORY, HANDLED WITH CARE

Health declaration

Fields marked * are required. Answer all 12 questions.

01

Athlete identification

Use the number and email address provided in your registration.

In case of emergency

02

Health history

Select Yes or No for each question. Use the comments to add details to your answers.

QUESTIONS ANSWERED0 of 12
01Do you have or have you ever had heart disease, arrhythmia, heart failure, a heart attack or another cardiovascular condition?
02Have you ever experienced chest pain or pressure during physical exertion?
03Have you ever experienced fainting, loss of consciousness, severe dizziness or significant palpitations during exercise?
04Do you have high blood pressure or take medication to control your blood pressure?
05Do you have asthma, bronchitis, lung disease or another relevant respiratory condition?
06Do you have diabetes, a history of hypoglycemia or another metabolic condition that requires care during prolonged exertion?
07Do you have epilepsy, a history of seizures or another relevant neurological condition?
08Do you have an orthopedic or musculoskeletal injury or limitation that could affect long-duration cycling?
09Do you have a severe allergy to medications, foods, insect stings or other substances?
10Do you take medication on an ongoing basis?
11Have you undergone surgery, hospitalization or significant medical treatment in the past 12 months?
12Is there any other health condition that the event's medical team should know about?
03

Additional information

If needed, provide details that are important for the medical team.

RACE DOCUMENT

Medical certificate

Template for the Ultra format. Submit together with the Health Declaration.

Download the template

Take the document to a doctor for assessment, completion and signature.

Download certificate as PDFTHREERACE BRASIL 2027 · PDF

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