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City Sydney / Victoria / / Currency pence / / Facility Operation In hospital / C/-Australian College of Occupational Medicine / Royal Adelaide Hospital / / IndustryTerm compressed gas / middle car pressures / risk / food / / MedicalCondition history Coughing / allergies / acid reflux Vomiting / HIV / persistent cough TB Pneumothorax / Unconsciousness / liver disease Malaria / expiratory airway obstruction / injury / bullae / Frequent chest colds Asthma / dental procedures Deafness / weight Hernia / illness / air embolism / Asthma / Lung cysts / Paralysis / peptic ulcer / bronchospasm / cystitis / Shortness of breath / Recurrent vomiting / exertion Bronchitis / Chronic / bladder disease / muscle tone accompanying unconsciousness / diabetes / AIDS Syphilis Diabetes Blood disease / frequent headaches Migraine Fainting / pulmonary venous drainage / unconsciousness FEV1/FVC / pneumonia Pleurisy / Sudden unconsciousness / epilepsy / diarrhea Jaundice. hepatitis / heart disease Asthma / physical condition Diabetes / / MedicalTreatment drainage / relaxation / ear surgery / / Organization Royal Adelaide Hospital / C/-Australian College of Occupational Medicine / Hyperbaric Medical Unit / Medical Centre / Medicare / RAN School of Underwater Medicine / Diving Emergency Service / South Pacific Underwater Medicine Society / / Person Positive / Initial / / / Position diver / Secretary / THE EXAMINING PHYSICIAN / CANDIDATE / / Product Severe motion sickness Seasickness medication / Archos 3 vision Portable Video Player (PVP) / / SportsGame swimming / SCUBA diving / / Technology X-ray / / SocialTag 
SCUBA DIVING MEDICAL FORM FOR SPORTS DIVERS CANDIDATE DETAILS: THIS SECTION TO BE COMPLETED BY CANDIDATE Positive responses to questions do not necessarily disqualify you from diving 1