Medical Form

We're delighted to have you join us on your journey towards improved health and well-being. To ensure you receive the best possible care, please take a moment to provide us with some essential medical information. Your responses will allow our dedicated team to tailor your hyperbaric oxygen therapy to your specific needs. Thank you for entrusting us with your care. We look forward to guiding you towards a healthier, more vibrant future.

Please complete the form below with as much detail as possible. If you have any questions or need assistance, don't hesitate to reach out to our friendly staff.
  • Client Information

  • ( MM / DD / YYYY )
  • Family physician or physician aware of your condition.

  • ( MM / DD / YYYY )
  • Medical History

  • A positive response to any of the above conditions means that there is a pre-existing condition that may affect your safety in receiving hyperbaric oxygen therapy. Such a condition does not necessarily disqualify you from receiving therapy when appropriate means are in place. The point of the checklist is to ensure that you are physically able to receive hyperbaric oxygen therapy in a hyperbaric chamber. Should you have any doubts about your present physical condition, you may wish to consult with your physician.

    By typing your name in the Signature field below, you declare that the information you have provided about the client or your own medical history is accurate to the best of your knowledge.

  • This field is for validation purposes and should be left unchanged.

Our Mission

There is a saying, “health is the greatest gift, contentment the greatest wealth, faithfulness the best relationship”. At International Hyperbaric Health Centers Inc., our mission is to help our clients improve their quality of life and get their health back on track through the power of oxygen. IHHC operates under the direction of a knowledgeable team. One of our directors has over 20 years of experience in HBOT.

Contact us

12180 Horseshoe Way Unit 4,
Richmond, BC V7A 4V5, Canada

Phone: (604) 277-8608
Email: 
admin@internationalhyperbaric.com

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