Was chatting with someone from Italy, and found out that every year, he sees a sports medicine physician to do a round of tests (EKG etc etc ... ) to get a medical certificate, necessary to participate in the MA, WA, MB, WB, elite courses. It costs him about 70 Euro.
Browsing around, found that this international meet in Italy has this form
for non-Italian participants.
What other countries require such documentation?