HEALTH CHECK LIST
Please check the following questions on your past or present medical history . If any of these questions apply YES to you, you are required to consult with a physician and provide our office a document that you are fit to participate in scuba diving program or any marine sports that we offer.
- Could you be pregnant, or are you attempting to become pregnant?
(Any guest that are currently pregnant will not allow to join any activity and not allow to be in the boat)
- Are you presently taking any medications? (With the exception of Birth control or anti-malarial)
- Asthma, infantile 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)?
- 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)?
- Frequent or severe suffering from motion sickness?
- Dysentery or dehydration requiring medical intervention?
- Any dive accidents or decompression sickness?
- Head injury with loss of consciousness in the past five years?
- Recurrent back problems?
- Back or spinal surgery?
- Back, arm or leg problems following surgery, injury or fracture?
- High blood pressure or take medicine to control blood pressure?
- Heart disease or Heart attack?
- Angina, heart surgery or blood vessel surgery?
- Sinus or any Body air space surgery?
- Bleeding or other blood disorders?
- Recreational drug use or treatment for, or alcoholism in the past five years?
- Hyperventilation syndrome?
- Do you use full dentures?
Please do inform SEASIR inquiry office at firstname.lastname@example.org if any the question above answers apply YES to your current medical condition or history. This is due to some activity are related to water pressure and may cause of life threatening, fail to do so, you are taking full responsibility of your own cause.