Notice to User: The National Hyperbaric Directory does not advocate hyperbaric therapy for any specific condition. Further, the provider listings, content, and links provided throughout this site and all subsidiary sites of the National Hyperbaric Directory are for informational purposes only. The National Hyperbaric Directory makes no recommendation in regards to service provider or treatment and urges all Users to further research the facilities and information located throughout the directory.
Due to the National Hyperbaric Directory’s inability to ensure the quality of care, facility hygiene, and professionalism provided by the facilities located throughout the Directory; it is the Users responsibility to further research these areas.



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Choosing a hyperbaric facility is a big decision and we want to help ensure you choose the right one for you and your family. Consider the following questions and guidelines as a sort of starter kit to help you get started and make your final decision.
Step #1: The first component you need to consider is the type of treatment you are after.
Clinical Therapy (Deep Pressure) vs. Mild Hyperbaric (Low Pressure)
Step #2: Upon completion of this first vital step, skip to the appropriate section to view a list of questions to consider when interviewing locations. It is not necessary to ask every question, and often times you will find most of this information on their company website. In addition, take the time to write down what is most important to you. Then form a few questions of your own.
Questions for Clinical Treatment Facilities
Q. Does the clinic utilize monoplace or multiplace chambers? Note- Clinical treatment are done in two types of chambers. Multiplace units are designed to allow more than one treatment at a time. Multiplace chambers are pressurized with ambient air and oxygen delivered to each individual via a mask or a hood throughout the treatment. Monoplace chambers are generally pressurized with 100% oxygen under pressure. negating the need to wear a hood or mask. The term mono points towards the fact that only one individual can be treated at a time. However, in some special circumstances a parent or guardian can accompany a child if need be. On the contrary, If close monitoring or assistance of an adult will be necessary throughout the treatment, a facility with a multiplace chamber may be a better decision.
Q. Does the clinic accept insurance. Are you seeking treatment for an "off label" indication? List the indications. There are as many as 14 indications that typically accepted by insurance companies. However, in rare instances, an insurance company may approve an off label condition. Check with your insurance provider to learn more. Note: it is very important to know the costs of treatment prior to beginning therapy. The cost of a single session is one thing to consider, the cost of 40 sessions is another! Explore your insurance and financing options before... not after you get the bill!
Q. Does the facility treat "off label" indications? Note - if you are seeking treatment for an "off label" condition, you must make sure the clinic you are researching is willing to treat you. No sense in spending a half an hour of your time only to find out the facility specifically caters to a niche that has little to do with your condition.
Q. If you are seeking treatment for an "off label" indication, how much does the clinic charge per session. Note - There is no set rate for therapy. Each clinic will have a different price. Inquire before starting your treatment. Cash prices may range from $100-$2000 per session! If you were wondering if that was a typo and it is supposed to be two hundred... NO, that is two thousand!
Q. What is the chamber/technician ratio. Note - There should be at least one technician assigned to each chamber in a clinical hyperbaric facility. This is the law; however it is not always case. Ask the clinic what their ratio is. Regardless of their answer, this is something to visually confirm upon your first visit to the facility.
Q. Is there a medical doctor on the premises while treatments are in session? Note - It is the law that an M.D. must be present during all clinical hyperbaric therapy treatments. Again, this is the law; however it is not always the case. Keep in mind that "on the premises" does not mean, standing next to the hyperbaric chamber. The physician can be in an office with their door shut. They must simply be available should an emergency arise. Therefore, do not expect to see a medical doctor standing next the chamber for the duration of any treatment.
Q. What type of certification do the technicians in the clinic have? To become a Certified Hyperbaric Technician (CHT), one must have completed a National Board of Diving and Hyperbaric Medical Technology approved course, completed 600 hours of internship at an approved facility, and have passed the board certification exam. Further, certified hyperbaric technicians are generally only accepted from fields such as EMT, RN, DO, and MD. Point being, if a location says all of their technicians are certified. Feel confident that things are being done properly.
Q. Are vital signs and ears checked prior to and following each treatment? Many potential complications and risks of hyperbaric therapy can easily be avoided by taking just a few extra minutes before and after each session.
Q. Is the clinic a Medicare Provider? Note - Medicare providers are regulated and inspected, therefore they must live up to hospital standards. This question is obviously directed more towards a free standing clinic.
Q. Does the clinic work with adults only? Children only? Adults and children? Going back to the question regarding indications, some things should be discovered before we go any further. For example... one of your first questions may be... " I have a child with..., do you work with children and more importantly have you worked with this condition before?"
Q. Does the staff answer questions intelligently? Asking questions is the best way to eliminate doubt. When asking the above questions, are you put on hold to get an answer? Or does the individual have a simple, concise, polite response.
Q. Does the facility offer room and board? Note - Traveling out of state for treatment requires a place to stay. There are facilities across the nation that do offer room and board. If this is something you require, be sure to ask!
If Possible, visit the facility!
Meet the staff, look at the facility, observe how treatments are done.
Ask yourself...
Is the place clean?
How old are the chambers?
Are the chambers maintained? Are the records of their maintenance?
Do you trust the staff?
Meet other people visiting the facility, are they please with the clinic?
Of course, any additional questions that you develop in the course of your exploration are great! There are no stupid questions! Hopefully this helps, feel free to let us know about your experience and also feel free to share with us how we can improve our guideline to selecting a location!
Questions for Mild Hyperbaric Treatment Facilities
Coming Soon!
Choosing A Hyperbaric Service Provider