It is likely that the pre-participation and physical examination forms will uncover one or more issues that need to be discussed or resolved among the team of professionals with an interest in the child's sports participation, such as the child's parents/guardians, pediatrician, potential coach, physical education or adapted physical education teacher, interpreter, league referees, playing field guide, exercise physiologist and others. The child with the disability should also have input. Some questions to help guide this discussion have been provided by an NIH Consensus Panel:

1. What are the child's cognitive abilities; what are the child's social skills?
2. What effect does the disability or treatment have on stamina and skills?
3. Will specific sports activities pose a substantial risk to health and well being?
4. Will specific interventions or modifications and conditioning or preparation be required?
5. How could an activity be modified to allow a child to obtain maximal benefit?
6. What level of activity would be best for this particular child? (Cooper et al., 1999).