Recreational scuba diving and freediving requires good physical and mental health. There are some medical conditions which can be hazardous while diving. Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician. This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out that evaluation. If you have any concerns about your diving fitness not represented on this form, consult with your physician before diving. If you are feeling ill, avoid diving. If you think you may have a contagious disease, protect yourself and others by not participating in dive training and/or dive activities. References to “diving” on this form encompass both recreational scuba diving and freediving (breathhold diving). This form is principally designed as an initial medical screen for new divers, but is also appropriate for those considering any diving activity. For your safety, and that of others who may dive with you, answer all questions honestly.
Directions: complete this questionnaire as a prerequisite to a recreational scuba diving or freediving course. If you answer NO to all 10 questions, a medical evaluation is not required. If you answer YES to questions 3, 5 or 10 or to any of the questions in the boxes, a medical evaluation is required: take all three pages of the Diver Medical form (PDF) – Participant Questionnaire and Medical Examiner’s Evaluation Form – to your physician, then upload the signed evaluation below. Note to women: if you are pregnant, or attempting to become pregnant, do not dive.
Diver Medical | Participant Questionnaire – form 10346 EN, version date 2026-01-01 (DMSC / RSTC / DAN / UHMS). The questions cannot be changed; your answers and signature are locked into the PDF you receive.
