101: The Medical Report Chinese Trail Races Require
Why Chinese trail races require a medical report, what foreign runners can submit instead of the domestic hospital certificate, and where to get it done.
China Trail Races 101: How to prepare Medical Report required By the event
Chinese trail races require a medical report from every participant, mandated under Chinese law by the government agency that oversees sports events.
If you've raced in Europe, you may already know a version of this system — races in Italy, France, and the UTMB series all require something similar.
If you're a foreign runner planning to enter one, here's what you need and how to get it done.
How to prepare
In practice, the domestic certificate is a standard pre-race health screening — nothing overly involved. Chinese runners typically submit a hospital-issued report that includes an ECG and a blood pressure check.
If you're a foreign runner, race organizers typically accept a signed medical certificate instead. Here's an example of the accepted format:

Where to get it done
💡 The most convenient option is at home: a routine visit to your family doctor or a sports-medicine clinic before you travel, using the exact required form so there's no back-and-forth once you're in China.
💡 If that's not practical, you can also get it done after you arrive China — RunEast can arrange a concierge escort service to a local clinic, so the process doesn't turn into a language-barrier problem on top of everything else.