Note to Providers: Non-Contagious lesions do not require treatment prior to return to participation
(e.g. eczema, psoriasis, etc.). Please familiarize yourself with NFHS Rule 4-2-3 which states
"If a participant is suspected by the referee or coach of having a communicable skin disease or
any other condition that makes participation inadvisable, his coach shall provide current written
documentation from a physician stating that the suspected disease or condition is not communi-
cable and that the athlete's participation would not be harmful to his opponent." Covering a
communicable condition shall NOT be considered acceptable and does not make the
wrestler eligible to participate. This documentation shall be furnished at the weigh-in or prior
to competition in the dual meet or tournament.
Note: If an on-site tournament physician is present, he/she may overrule the diagnosis of the
physician signing this form.
Below are some Treatment Guidelines that suggest minimum treatment before return to wrestling:
Bacterial diseases (impetigo, boils): Oral antibiotics for 2 days and no drainage, oozing, or
moist lesions.
Herpetic lesions (Simplex fever blisters, Zoster, Gladiaatorum): No new lesions in 48 hours
and all lesions scabbed over. No oral treatment required.
Tinea lesions (ringworm scalp, skin): Oral or topical treatment for 7 days and 14 days on scalp.
Scabies, Head lice: 24 hours after appropriate topical management.
Conjunctivitis: 24 hours of topical or oral medication and no discharge.
Molluscum Contagiosum: 24 hours after curettage.
