Coach’s Request for Reasonable Suspicion Test

Coach’s form for listing personally observed and not otherwise reasonably explained changes in the appearance or behavior of the athlete.

Coach_________________________ Team _________________________ Date__________

Name of athlete________________________

Please detail below your personally observed and not otherwise satisfactorily explained changes in the athlete’s habits, appearance, demeanor and athletic performance that would lead you to suspect that the athlete is abusing illegal drugs of abuse. Please be specific in your descriptions and include dates and times if possible. Please attach additional sheets if required. In a sealed envelope, please turn in your completed documentation to the head athletic trainer.

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Coach’s signature__________________________________________________________________