Section 5.00 – Medical Standards

5.10 Medical Requirements

General

  • All medical evaluations required by this Manual must be performed by, or under the direction of, a licensed physician of the applicant-diver’s choice, preferably one trained in diving/undersea medicine.
  • The diver should be free of any chronic disabling disease and any conditions contained in the list of conditions for which restrictions from diving are generally recommended. (Appendix 1)
  • The MBL must verify that divers have been declared by the examining medical authority to be fit to engage in diving activities.

5.20 Frequency of Medical Evaluations

Medical evaluation must be completed:
Before Age 40 After age 40 Before Age 60 After Age 60
Before a diver may begin diving, unless an equivalent initial medical evaluation has been given within the preceding 5 years Before a diver may begin diving, unless an equivalent initial medical evaluation has been given within the preceding 3 years Before a diver may begin diving, unless an equivalent initial medical evaluation has been given within the preceding 2 years
At 5-year intervals At 3-year intervals At 2-year intervals
Clearance to return to diving must be obtained from a healthcare provider following a medically cleared diver experiencing any Conditions Which May Disqualify Candidates From Diving (Appendix 1), or following any major injury or illness, or any condition requiring chronic medication. If the condition is pressure related, the clearance to return to diving must come from a physician trained in diving medicine.

5.30 Information Provided Examining Physician

The MBL must provide a copy of the medical evaluation requirements of this Manual to the examining physician. (Appendices 1, 2, and 3).

5.40 Content of Medical Evaluations

Medical examinations conducted initially and at the intervals specified in Section 5.20 must consist of the following:

  1. Diving physical examination (Appendix 2). Modifications or omissions of required tests are not permitted
  2. Applicant agreement for release of medical information to the Diving Safety Officer and the DCB (Appendix 2b)
  3. Medical history (Appendix 3)

5.50 Physician’s Written Report

  • A Medical Evaluation of Fitness For Scuba Diving Report (or MBL equivalent) signed by the examining physician stating the individual’s fitness to dive, including any recommended restrictions or limitations will be submitted to the MBL for the diver’s record after the examination is completed.
  • The Medical Evaluation of Fitness For Scuba Diving Report will be reviewed by the DCB or designee and the diver’s record and authorizations will be updated accordingly.
  • A copy of any physician’s written reports will be made available to the individual.
  • It is the diver’s responsibility to provide to the MBL a written statement from the examining medical authority listing any restrictions, limitations, or clearances to dive resulting from medical examinations obtained by the individual outside of their normal diving medical examination cycle. These statements will be reviewed by the DCB or designee and the diver’s record and authorizations will be updated accordingly.