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UNIVERSITY OF WASHINGTON DIVING MEDICAL HISTORY FORM ENVIRONMENTAL HEALTH & SAFETY THIS IS A CONFIDENTIAL HEALTH HISTORY FORM To be completed by Diving Applicant and presented to the evaluating physician
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How to fill out diving medical history form

How to fill out a diving medical history form:
01
First, make sure to carefully read and understand each section of the form. It's important to provide accurate and honest information.
02
Begin by filling out your personal details, such as your full name, address, contact number, and date of birth.
03
Move on to the next section which typically includes questions about your previous diving experience. Provide details about the level of certification you currently hold, the number of dives you have completed, and any specialized training you have received.
04
The form may also ask about any previous diving-related incidents or accidents. If you have experienced any, be sure to provide detailed information about the incident, including the dates, locations, and any resulting injuries.
05
Next, you will likely come across a section pertaining to your general medical history. This may include questions about any pre-existing medical conditions, allergies, medications you are currently taking, or surgeries you have undergone. Take your time to accurately answer each question.
06
If you have any specific medical conditions that could potentially affect your ability to dive safely, there may be a separate section to disclose this information. It is crucial to be honest and transparent about any health conditions you have.
07
After completing all the necessary sections, carefully review your responses to ensure accuracy. Make sure you haven't missed any questions or left any fields blank.
Who needs a diving medical history form?
Any individual who wishes to participate in scuba diving activities, whether for recreational purposes or professional endeavors, will typically need to fill out a diving medical history form. This form helps dive operators, instructors, and medical professionals assess a diver's overall health and fitness for diving. It ensures the safety of the individual and those around them, as certain medical conditions or medications can pose risks or limitations in the underwater environment. Whether you are a beginner or an experienced diver, providing a comprehensive medical history is essential to ensure a safe and enjoyable diving experience.
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What is diving medical history form?
Diving medical history form is a document that records an individual's medical history relevant to diving activities, including any past injuries, illnesses, or medications.
Who is required to file diving medical history form?
Anyone who wishes to participate in diving activities, whether recreational or professional, is required to file a diving medical history form.
How to fill out diving medical history form?
To fill out a diving medical history form, individuals need to provide accurate and detailed information about their medical history, including any pre-existing conditions, surgeries, or medications they are currently taking.
What is the purpose of diving medical history form?
The purpose of the diving medical history form is to ensure that individuals are medically fit to participate in diving activities and to identify any potential health risks that may affect their safety underwater.
What information must be reported on diving medical history form?
Information such as past medical conditions, surgeries, medications, allergies, and any history of ear or sinus problems should be reported on the diving medical history form.
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