Medical Conditions

Climbing Sardinia guides and employees are not qualified to evaluate your medical conditions. The information on this form is only for use in the event of an accident or injury, so please do not withhold any information. If you have any condition, illness or injury, or if you are taking any medication which might be of concern, we strongly recommend that you obtain medical advice from a qualified physician prior to participation.

We will try to accommodate your conditions if possible and you must be aware that walking on a trekking or to reach the base of a crag can sometimes be a demanding activity, especially during the hot summer months. If you have such a condition that may prevent you from carrying out your scheduled activity you must tell us prior to your booking, so that we can help arranging alternative plans with you and our instructors. Failure to carry out any activity due to a debilitating condition on which we were not informed will cause the immediate cancellation of your activity. Our instructors will take no risks.

 






Do you have a history of or currently have any of the following (check all that apply):

I have NONE of the conditions listed belowHypertensionSpine/back pain/injuryHeart attack/heart diseaseDietary restrictionsHeart palpitationsHeart murmurEating disordersChest pain or pressureFrostbite or cold injuryStrokeHeat challenge/injuryDiabetesAltitude illnessRespiratory concerns Major surgeryPhysical impairmentGastrointestinal concernsGenitourinary concernsRecent illness/injuryBlood/bleeding disordersSmokingInfectious diseaseAllergies to insects, food, drugs or environmental)Neurological concerns/seizuresMental health concernsDizziness/faintingPregnancyJoint/extremity pain/injury

Do you
I have NONE of the conditions listed belowHave any health concerns that you feel may limit your participation?Regularly take prescription or over-the-counter medications?Require the use of a rescue inhaler or epinephrine for asthma, anaphylaxis, or other condition?Wear glasses or contact lenses?

If you are currently under the care of a medical professional and/or answered “yes” to any of the above, please provide a brief explanation below (attach additional pages if necessary; indicate “N/A” if appropriate):

Please describe your current level of physical fitness and exercise/activity:

To the best of my knowledge, the above information is complete and accurately represents my pertinent medical history. I declare that I am in good physical health and that I am able to participate without reservation in the pertinent activities listed above. I authorize Climbing Sardinia, its guides, members or those it designates to provide for any evacuation and/or medical intervention or care that may be necessary for my immediate or future well-being. I understand that falsification, misrepresentation, or failure to provide the above information may pose significant threats the person or property of myself or others and that my participation may be contingent upon my willful admission of the above information.