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Scuba Diver Medical Self-Assessment

Before you start your learn to dive course

Learn to Dive student Medical Self-Assessment

A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a preexisting condition that may affect your safety while diving and you must seek the advice of your physician.

Please answer the following questions on your past or present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving.

If your self-assessment requires you to be assessed by medical practitioner prior to participating in training.  Please download this Learn To Dive Medical Form  and take to your physician.

Could you be pregnant or are you attempting to become pregnant?
Are you presently taking prescription medications? (with the exception of birth control or anti-malarial medication other than mefloquine (Lariam)
Are you over 45 years of age AND can answer YES to one or more of the following questions?
  • Currently smoke or inhale nicotine by other methods
  • Have high cholesterol level
  • Have high blood pressure
  • Have had a close blood relative die suddenly of cardiac disease or stroke before the age of 50 , OR have a family history of heart disease before the age of 50 (including abnormal heart rhythms, coronary artery disease or cardiomyopathy)
I struggle to perform moderate exercise (for example, walk 1.6km in 14 min or swim 200M without resting), Or I have been unable to participate in a normal physical activity due to fitness or health reasons in the past 12 months.
I have had surgery within the last 12 months, Or I have ongoing problems related to past surgery
I have/had Chest surgery, heart surgery, heart valve surgery, stent placement, or a pneumothorax (collapsed lung) and/or Chronic Lung disease?
I have/had Asthma, wheezing, severe allergies, hay fever or congested airways within the last 12 months that limits physical activity/exercise?
I have/had problem or illness involving my heart such as: angina, chest pain on exertion, heart failure, immersion pulmonary edema, heart attack or stroke, OR am taking medication for any heart condition
I have/had Recurrent bronchitis and currently coughing within the past 12 months, Or have been diagnosed with Emphysema?
I have/had Symptoms affecting my lungs, heart and/or blood in the last 30 days that impair my physical or mental performance
I have/had Sinus surgery within the last 6 months
I have/had Ear disease or surgery, hearing loss or problems with balance?
I have/had Recurrent sinusitis within the past 12 months
I have/had Eye surgery within the past 3 months
I have/had Head injury with loss of consciousness in the past five years
I have/had Persistent Neurologic injury or disease
I have/had Recurring migraine headaches within the past 12 months, or take medication to prevent them
I have/had Blackouts or fainting (full or partial loss of consciousness within the last 5 years
I have/had Epilepsy, seizures, convulsions or take medications to prevent them
I have/had Behavioural health, mental or psychological problems requiring medical/psychiatric treatment
I have/had Major depression, suicidal ideation, panic attacks, uncontrolled bipolar requiring medication/psychiatric treatment
I have/had Been diagnosed with a mental health condition or a learning/developmental disorder that requires ongoing care
I have/had An addiction to drugs or alcohol requiring treatment in the last 5 year
I have/had Recurrent back problems in the last 6 months that limit my everyday activity
I have/had Back or spinal surgery in the last 12 months
I have/had Diabetes, drug or diet controlled, or gestational diabetes within the last 12 months
I have/had An uncorrected hernia that limits my physical activity
I have/had Active or untreated ulcers, problem wounds, or ulcer surgery within the last 6 months?
I have/had Ostomy surgery and do not have medical clearance to swim or engage in physical activity
I have/had Dehydration requiring medical intervention in the last 7 days
I have/had Active or untreated stomach or intestinal ulcers or ulcer surgery within the last 6 months
I have/had Frequent heartburn, regurgitation, or gastroesophageal reflux disease (GERD)
I have/had Active uncontrolled ulcerative colitis or Crohns disease
I have/had Bariatric surgery within the last 12 months