What paperwork do I need for a wrestler with a skin condition?
Rule- USA
- NFHS
- NFHS rules
- High school
- Grades 9-12
- Folkstyle wrestling
- 2026-27 season
- Coaches
NFHS Rule 4-2-3: if the referee or a coach suspects a wrestler has a communicable skin disease or another condition that makes participation inadvisable, the coach must provide current written documentation from a physician stating that:
- the condition is not communicable, and
- the wrestler's participation won't harm any opponent.
When: furnish it at the weigh-in for the dual meet or tournament. The only exception is if a designated on-site meet physician examines the wrestler right before or after weigh-ins.
Important:
- Covering a communicable condition does not make the wrestler eligible.
- An on-site meet physician may overrule the signing physician either way (4-2-4).
- For non-communicable conditions (birthmarks, eczema, psoriasis), one physician's note is valid for the whole season, unless the condition becomes infected and needs re-evaluation (4-2-5).
Use the NFHS skin lesion form or your state association's version. It records the diagnosis, the location and number of lesions, the medication, the treatment start date, the earliest return date, the form's expiration date and the physician's signature. Some states limit who may sign it.
Added 21 Oct 2026