Scuba diving is an adventurous and exciting activity, but it can also be strenuous and potentially dangerous. As with any aquatic adventure, especially those relying on underwater breathing equipment, there are inherent dangers which cannot be eliminated that may cause serious illness, injury or death. You must be in good health to dive. If you have any questions about your medical, mental or physical fitness to dive, you should consult a physician to assess your individual risk factors
This form is to help you determine if you should be examined by a physician. If you have any doubt about your fitness to dive, then you must obtain approval from a physician prior to diving. Failure to obtain a physician’s approval to dive may significantly increase your risk of illness, injury or death. You are solely responsible for honestly evaluating your fitness to dive and you are ultimately responsible for your safety and wellbeing when engaged in dive activities (including boat travel, putting on/taking off dive equipment, getting in and out of the water, etcetera).
Date: May 28, 2022