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Medical Questionnaire

The purpose of this Medical Questionnaire 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.

Please read carefully and answer the following questions on your past or present medical history with a YES or NO. If you answer YES to any of the questions below we require a clearance in writing from a physician prior to participating in scuba diving. This doctors certificate needs to be printed out and give to shop staff minimum one day prior the course

Please fill in all required fields.
Box A - I have/have had:
Have you ever had or do you currently have...
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