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UEFA Pre-Match Medical Information Form
UEFA Pre-Match Medical Information Form
This form is designed to assist clubs/associations in their compliance with chapter 3, Article 14 of UEFA
Medical Regulations – Pre-Match Information Provision for Minimum Medical Requirements. The form
can be downloaded from Box and should be completed by the host club/association. It must then be
uploaded on TIME at least two weeks in advance of the match or as soon as possible after the relevant
draw if within this deadline.
In this document you will find mandatory sections (marked with a star *, points 1-5) and a
recommended section (points 6-7).
All mandatory items must be completed, and all recommended items are strongly recommended to be
completed.
1. General information:*
2. Contact details:*
Please provide the following information relating to the pitchside medical officials and emergency
hospital:
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UEFA pre-match medical information provision form
Website: https://pirogov.eu/bg/
Address/
№3, „Sveti Georgi Sofiyski” Str., 1606, SOFIA
location:
Emergency
telephone 02/ 92 26 000
number:
Website: https://www.vma.bg/
3. Stadium/Hall map:*
Please attach to this document (either electronically or in paper form) a map of the stadium/hall. This
must contain at least the following information:
1. Location of the ambulance for the sole use of players, team officials, referee team and match
officers
2. Emergency exit point from the pitch/tunnel/dressing room areas to ambulance
3. Location of the medical room
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UEFA pre-match medical information provision form
The injured player would be removed from the pitch, via the tunnel, to the medical room for
assessment in the first instance.
The ambulance on site is located at a distance of 20 m from the tunnel.
Should the medical staff decide or in case of an emergency, the player (in the ambulance) can easy be
evacuated via the entry / exit points for transport vehicles in order to go to the nearest hospital.
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UEFA pre-match medical information provision form
5. Health information:*
Recommended Vaccinations:
N/A
Average temperature expected at Expected daily high: 12°; Expected daily low: 6°
kick-off time: Expected at KO: 10°
Please comply with the UEFA RTPP and keep all
Any other applicable health warnings:
requested / recommended COVID-19 protection
measures
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UEFA pre-match medical information provision form
Telephone number(s)
Name Position/role/speciality
/mobile phone
7. Additional notes:
Please provide below any additional information regarding the stadium or local medical service that
may be of use to the visiting team
The local surgeons depend on the emergency hospital. They have 24/7 surgeons in both
hospitals, sited hereabove. Specific contacts cannot be provided at this stage as it depends
which doctor shall be on duty in the respective hospital.
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UEFA pre-match medical information provision form
“SLAVIA” STADIUM
ZONNING MAP
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UEFA pre-match medical information provision form
“SLAVIA” STADIUM
SLAVIA STADIUM
Zone 1
• Staggered arrival/departure for teams, referees, UEFA delegate,
DCO, officials (10-15 min difference)
• Officials shall be allowed to the Stadium KO-1 hour to avoid
contact with teams
• Floor markings at transit points
• Stewards at all transit points
• Studs control at the corridor in front of each dressing room
• Referees and teams leave the tunnel area to the pitch for kick-off
and second half
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UEFA pre-match medical information provision form
“SLAVIA” STADIUM
ZONE 1 PLAN
STAIRS
Zone 1
TO THE
VIP AREA