Below are the medical requirements for all disciplines sanctioned, regulated, and licensed by the AAC. The AAC reserves the right to require additional medical testing and/or documentation as requested by our licensed physicians, clearance from injuries sustained in prior fights, medical issues resulting from prior performances, etc.

Medical Requirements for Boxing and MMA (Pro and Am)

All competitors shall provide the AAC with the results of their blood work and any other medical examination(s) and/or medical reports. The AAC shall work with the promotion to collect and update the status of the competitor’s medical submissions.

  • No competitors under the age of 18 years of age.
  • Blood Work – Competitors shall provide and submit blood work no earlier than 360 days prior to participation in each scheduled competition.
    View the list below:
    • HIV 1 & 2 - Must be negative.
    • Hepatitis B - Must be negative.
    • Hepatitis C antibody - Must be negative.

  • Positive Blood Work Results - Contestants with positive test results for Hepatitis B, Hepatitis C and HIV shall automatically have their blood work reviewed by a physician licensed through the AAC. The physician shall verify the results of the test and shall advise the Commission as to whether the contestant's participation in a match, contest or exhibition would pose a threat to the health and safety of a participant, Official, or spectator.
  • Neurological Examination - All contestants who have competed in over two-hundred (200) rounds during their professional career, according to the number of rounds disclosed on a contestant ring record, and prior to competing in Alabama, must submit to the Commission the results of a detailed neurological examination performed with the precious twelve (12) months by a board certified and state licensed neurologist.
  • Dilated Ophthalmological Examination - All contestants intending to compete in Alabama who have competed in over two-hundred (200) rounds during their professional career, according to the number of rounds disclosed on a boxer's ring record, and prior to competing in Alabama, must submit to the Commission results from a complete Ophthalmological examination performed within the previous twelve (12) months by a board certified state licensed Optometrist or Ophthalmologist. Such exam shall include a careful dilation examination of the retinal periphery utilizing indirect ophthalmoscope sufficient to identify any sign of previous trauma or retinal damage along with any other specific test or tests requested by said Ophthalmologist.
  • Physical – A pre-fight physical shall be performed as part of the contestant’s application process. This physical shall be performed by a physician, licensed by the AAC as either Ringside or Non-Ringside Physician, at the weigh-in for each event.
  • Additional Tests – Also the Commission or its designee will review your record and information on a case by case basis. This means the commission MAY require additional medical exams or tests to be submitted. All documents, exams or test results requested, must be forwarded to MedLic.
  • For Females Only – You will need to pass a pregnancy test before you will be able to compete. Pregnancy tests will be conducted at weigh in's.

Medical Requirements for Wrestling

  • No competitors under the age of 18 years of age.
  • The promoter shall ensure that all participants are physically fit to participate.
  • No exhibition shall have any act that creates intentional bleeding without the approval of the Commission. Blood testing shall be required for any competitors seeking approval to intentionally bleed.
  • Blood testing shall test for the presence of Hepatitis B, Hepatitis C, and the Human Immunodeficiency virus (HIV).

Medical Requirements for Toughman

  • Age - No fighter will be allowed over 37 years of age or under 18 years of age.
  • Rounds - No fighter will be allowed to participate who has fought 200 or more rounds in toughman contests, elimination boxing or a combination of the two.

Medical Examinations

  • Pre-Fight Examination - At the time of weigh-in, or at such other time as is then announced, all contestants must pass a pre-fight medical examination and a commission designated physician must complete a Pre-Fight Medical Examination Form. The examining physician shall deliver all Pre-Fight Examination Forms to the Athletic Commission or to its authorized representative no more than five (5) days after the weigh-in.
  • Pregnancy Testing - Each female contestant, during the pre-fight physical, will be required to submit to a pregnancy test administered under the direction of the examining physician, or such physician’s authorized assistant. The cost of such test shall be the responsibility of the promoter. No contestant shall be allowed whose pregnancy test indicates they are pregnant. . Female contestants submitting written documentation acceptable to the examining physician may be waived from the pre-fight physical pregnancy test requirement. Such documentation shall be limited to:
    • (i) A copy of a lab report from a recognized clinical laboratory and dated within ten (10) days of the pre-fight physical attesting that the contestant is not pregnant, or
    • (ii) A statement from a state licensed physician, on such physician’s letterhead stationery, stating that the contestant has undergone certain medical procedures rendering her medically improbable of bearing children.

  • Hydration Testing - At the official weigh-in, all contestants’ hydration shall be tested by the appointed event physician.
  • Minimum Uncorrected Visual Acuity - A contestant must have a minimum uncorrected visual acuity of 20/200 in both eyes. Any person who applies for a license or renewal of license to compete as a professional contestant in Alabama may, upon the request of the Commission, be required to present evidence of his/her visual acuity.
  • Additional Medical Examinations - Upon recommendation of the examining physician or the medical advisory panel, the Commission may require a contestant to undergo additional medical examinations performed by a state licensed physician to determine the contestant’s medical fitness to compete.