Diving requires good physical and mental health. There are some medical conditions that can be dangerous during diving, and they are listed below. Those who have or are predisposed to any of these conditions should be evaluated by a doctor. This Diver's Medical Questionnaire provides a basis for determining if you should seek such an assessment. If you have any concerns about your fitness to dive that are not addressed on this form, please consult your physician before diving.
References to "diving" in this form include both recreational scuba diving and breath-hold diving. This form is designed primarily as an initial medical exam for new divers, but is also appropriate for divers undergoing continuing education. For your safety and the safety of others who may dive with you, answer all questions honestly.