Scuba Diving Medical - diver clearance

Check your physical diving suitability here.

The purpose of this dive medical questionnaire is to find out if a doctor should examine you before participating in recreational scuba diving. A positive response to a question does not necessarily disqualify you from diving, it means that there is a pre-existing condition that may affect your safety while diving and it is necessary to seek the advice of a physician. Please read the following questions and answer them honestly. If you answer "YES" to any of them then consult a physician prior to participating in dive training. Please note that this is a precautionary measure - many that are required to see a doctor can indeed scuba dive. (We have great medical facilities in Pattaya/Jomtien. A medical check here is gained very easily and very inexpensively).

- Could you be pregnant or are you attempting to become pregnant?

- Do you regularly take prescription or nonprescription medication?
(with the exception of birth control or anti-malaria)
- Are you over 45 years of age and have one or more of the following?
  1. Currently smoke a pipe, cigars or cigarettes?
  2. Have a high cholesterol level ?
  3. Have a family history of heart attacks or strokes ?
  4. Are currently receiving medical care ?
  5. High blood pressure ?
  6. Diabetes mellitus, even if controlled by diet alone ?

 

Have you ever had or currently have ... 

- Asthma, or wheezing with breathing, or wheezing with exercise?  
- Frequent or severe attacks of hay fever or allergy?
- Frequent colds, sinusitis or bronchitis?
- Any form of lung disease?
- Pneumothorax (collapsed lung)?
- Other chest disease or chest surgery?  
- Behavioral health, mental or psychological problems?
- (Panic attack, fear of closed or open spaces)?
- Epilepsy, seizures, convulsions or take medications to prevent them?
- Recurring complicated migraine headaches or take medications to prevent them?
- Blackouts or fainting (full/partial loss of consciousness)?  
- Do you frequently suffer from severe motion sickness (seasick, carsick etc.)?
- Dysentery or dehydration requiring  medical interventions?
- History of diving accidents or decompression sickness?
- Inability to perform moderate exercise (example: walk 1.6 km/one mile within 12 minutes)?
- Recreational drug use or treatment for, or alcoholism in the past 5 years?
- Angina or heart surgery or blood vessel surgery?
- Sinus surgery?
- Ulcers or ulcer surgery?  
- Bleeding or other blood disorders?
- Hernia?
- Colostomy or ileostomy?
- Recurrent ear problems?
- Ear disease, hearing loss or problems with balance?
- Heart disease?
- Head injury with loss of consciousness in the past 5 years?
- Recurrent back problems?
- Back or spinal surgery?
- Diabetes?
- Back, arm or leg problems following surgery, injury or fracture?
- High blood pressure or take medications to control blood pressure?  
 
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