UEFA pre-match medical information provision 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:*

Competition: UEFA U-21 2021/2023 QUALIFYING ROUND, GROUP E

Match: BULGARIA VS SWITZERLAND

Date: 12/10/2021, 18:00 hrs (17:00 CET)

Name of host team: BULGARIA

Name of stadium / hall: SLAVIA STADIUM, SOFIA

2. Contact details:*
Please provide the following information relating to the pitchside medical officials and emergency
hospital:

Name: DR. MIROSLAV KOSTADINOV

Pitchside emergency
1.
doctor
Mobile Mob: +359 896 641 284
phone: Email: miroslavco@gmail.com

Stadium/hall medical Name:

coordinator
2.
(If different to pitchside
doctor) Mobile
phone:

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Home team doctor Name: DR. FILIP KOYNARSKI

3. (If different from

stadium/hall medical Mobile
Mob: +359889757050
coordinator) phone:

Emergency Hospital Pirogov

Name 1:
-at 5km from the stadium/ 5 min ambulance

Address/ №21, “Gen.TOTLEBEN” BLVD., 1606, SOFIA

4.
Nearest hospital with location: Tel: 02 9154 411, 02 952 11 61
accident and emergency
facilities Emergency
Emergency number of the hospital: 02 9154 213
telephone
number:
National emergency number:112

Website: https://pirogov.eu/bg/

Military Medical Academy

Name 2:
at 6 km from the stadium/5 min with ambulance

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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4. Emergency evacuation plan:*

Please detail the emergency evacuation plan for the stadium/hall for medical emergencies involving
players, referees or match officers.

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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5. Health information:*
Recommended Vaccinations:
Suitability of tap water for drinking:
Current Medical Epidemics:
Restrictions on Medical Imports:
Average temperature expected at
kick-off time:
Any other applicable health warnings:
N/A
Tap water could be used for drinking,
nevertheless we recommend to use the water
that our NA shall provide you with for your stay
and trainings.
COVID-19 restrictions – wearing of masks in public
indoor spaces and social distancing of 1.5 m.;
matches played with 30% capacity of spectators
allowance
Expected daily high: 12°; Expected daily low: 6°
Expected at KO: 10°
Please comply with the UEFA RTPP and keep all
requested / recommended COVID-19 protection
measures
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6. Contact details of local surgeons and medical facilities:

Please provide contact details of any known local surgeons (orthopaedic surgeon, knee specialist,
cardiologist, etc.) as well as medical facilities (best place for imaging such as MRI, scans, etc.) who may
be available to treat and provide medical services, if required by the visiting team:

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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“SLAVIA” STADIUM

ZONNING MAP

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“SLAVIA” STADIUM

ZONNING MAP - CONTINUED

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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“SLAVIA” STADIUM

ZONE 1 PLAN

Zone 1 plan for Slavia Stadium

HOME TEAM BENCH AWAY TEAM BENCH

Referees entrance
Players entrance

STAIRS
Zone 1

TO THE
VIP AREA

Team, Referees, UEFA

officials, ORG. Staff, VIP
entrance