We have asked for filling in PADI MEDICAL STATEMENT to do diving safe for everybody before diving.
Please confirm whether there is something that applies to the following question. It's not because it doesn't have the diving qualification even if there is applying something. It means the thing for which advice from the doctor is necessary so that you may dive safely.
Please consult about something that applies to the following items with the doctor beforehand. And, please fill in and sign PADI MEDICAL STATEMENT, and have it.
_ 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)
_ Are you over 45 years of age and can answer YES to one or more of the following?
. currently smoke a pipe, cigars or cigarettes
. have a high cholesterol level
. have a family history of heart attack or stroke
. are currently receiving medical care
. high blood pressure
. diabetes mellitus, even if controlled by diet alone
_ Asthma, or wheezing with breathing, or wheezing with exercise?
_ Frequent or severe attacks of hayfever 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)?
_ Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?
_ Dysentery or dehydration requiring medical intervention?
_ Any dive accidents or decompression sickness?
_ Inability to perform moderate exercise (example: walk 1.6 km/one mile within 12 mins.)?
_ 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?
_ Heart attack?
_ Angina, heart surgery or blood vessel surgery?
_ Sinus surgery?
_ Ear disease or surgery, hearing loss or problems with balance?
_ Recurrent ear problems?
_ Bleeding or other blood disorders?
_ Ulcers or ulcer surgery?
_ A colostomy or ileostomy?
_ Recreational drug use or treatment for, or alcoholism in the past five years?
PADI MEDICAL STATEMENT
Please print out and use it.
Payment by Cash are accepted. Credit Card are also accepted; Visa, MasterCard and JCB. Please pay to acounting staff or your guide.
*All credit card transactions are subject to a surcharge of 3%.
Please contact us immediately if you want to cancel. Contacted by e-mail, please check a reply from us.
Cancellation must be received no later than 7 days on normal season and 14 days on high season prior to date of dive.
Be imposed as cancellation fee
- Cancellation is made within shorter notice, Ten percent (10%) from total payment of booking contents.
- Cancellation is made on the day before dive, Fifty percent (50%) from total payment of booking contents.
- Cancellation is made on date of dive or no-show, One hundred percent (100%) from total payment of booking contents.
- Prices are valid through December 31, 2018
- High season periods is July 1 to September 31 and December 21 to January 5
- Group Prices are available upon request
- Prices are subject to change without prior notice