Divers Medical Questionnaire

This is a Participant Record intended for use by certified Scuba Instructions. This statement informes the student of some potential risks involved in scuba diving and of the conduct required of them during the scuba training program.

The purpose of this Medical Questionnaire is to find out if the student should be examined by a doctor before participating in recreational diver training. A positive response to a question does not necessarily disqualify the student from diving. A positive response means that there is a preexisting condition that may affect the student's safety while diving and he/she must seek the advice of a physician prior to engaging in dive activities.

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Divers Medical Questionnaire, sample

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