Complete this self assessment. IF you answer 'yes' to any of the questions you are required to have your physician complete the physician statement on Page 2 of the "Medical Statement" form.
The purpose of this Medical Self-Assessment is to find out if you should be examined by your doctor before participating in recreational diver training. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a preexisting condition that may affect your safety
while diving and you must seek the advice of your physician prior to engaging in dive activities.