If the release of the medical certificate for carrying out sporting activities considered competitive it is always obligatorythe same is not true for those non-competitive. But for which types of sports is a non-competitive medical certificate required? Who should be contacted, and at what cost? Let’s try to understand it together.
What is it for and who releases it
Medical certification in the sports field, even at a non-competitive level, is regulated by Legislative Decree no. 158 of 13 September 2012 (the so-called Balduzzi Decree), as well as the subsequent Ministerial Decree of 24 April 2013.
Il medical certificate per non-competitive sporting activity it is compulsory for people over the age of 6, for pupils who carry out extra-scholastic physical-sports activities, i.e. organized by schools outside of lesson hours, and for those who play sports in clubs affiliated to the national sports federations and at CONI (provided they are not considered competitive athletes). General practitioners and pediatricians of free choice, sports medicine specialists, or doctors of the Italian Sports Medical Federation of the Italian National Olympic Committee are authorized to issue this type of certificate for their clients.
For which activities is it mandatory
The requirement for a medical certificate depends on the type of physical-sports activity that you intend to undertake. In fact, there are differences between those who go to a facility to practice a non-competitive, but “guided” activity, and those who instead practice a recreational-motor activity, aimed simply at achieving and maintaining their own psycho-physical well-being.
Theoretically, the sports medical certificate it is not required for anyone who wants join the gym or swimming pool, practice an individual or collective activity, and is not a member of national sports federations or sports promotion bodies recognized by CONI. However, the gym or sports center can still ask you to present it for insurance purposes, in the event of injuries also due to recreational and motor activities.
However, there is a real obligation to present a non-competitive sports certificate for those who wish to: practice a sport (at a non-competitive level) at a Coni body/organization or one recognized by it, such as Csi, Pgs, Uisp, Cusi; at sports clubs affiliated with national sports federations such as FIGC, Fin, Fit, Fipav; practice associated disciplines Phases such as sport climbing, or at school bodies as part of extra-curricular activities.
Validity of the certificate and other requirements, cost
The check is carried out with annually and the certificate is valid for one year from the date of issue. To obtain the certificate you need a visit to a doctorin fact, which consists of anamnesis, objective examination with blood pressure measurement, electrocardiogram at rest.
For those over sixty years of age, who are more at risk for cardiovascular disease, a baseline electrocardiogram, duly reported annually; the same type of test is required for those who, regardless of age, have full-blown chronic pathologies that lead to an increase in cardiovascular risk.
If he deems it necessary, the doctor can prescribe other testssuch as a maximal stress test, or other targeted tests, as well as deciding to seek the advice of a sports medicine specialist or, according to clinical judgement, a branch specialist.
The certifying doctor will then keep it copy of the reports of all the diagnostic investigations carried out, as well as the documentation in compliance with the provisions in force and in any case for the validity of the certificate. As regards general practitioners and paediatricians of free choice, the obligation to conserve documents can also be fulfilled by registering the reports in the individual health card computerized, when this is activated.
According to what was established in 2018 by a decree of the Ministry of Health in agreement with the Ministry of Sport, relating to sports practiced in pre-school age, for sports activities carried out by children from 0 to 6 years old, there is no obligation to present the medical certificate except in cases reported by the pediatrician.
The certificates for non-competitive activity are for payment (cost 40 euros) if released by sports doctorsthey are instead free if released come on family doctors or by paediatricians of free choice affiliated with the National Health System, but only in cases of extra-scholastic sports activities, at the request of the School Director. The free visit concerns the visit and certification, while any instrumental examination (electrocardiogram) is the responsibility of the applicant.
As mentioned, the non-competitive sports medical certificate is considered mandatory for those who sign up to a gym or swimming pool affiliated with the respective sports federation or a sports promotion body. It will be up to the sports centers themselves to have a specific form filled out and signed, which specifies that in order to register you need a certificate, as well as the sports federation and body to which you will then be registered. For how many instead they go to the gym or swimming pool once every now and againthe sports medical certificate it is not needed.
The obligation to present the medical certificate, even if belonging to Federations or bodies regularly registered with CONI, does not exist even for those sport that require a reduced physical effortsuch as shooting disciplines (archery, shooting, etc.), golf or surface sport fishing.
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