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 answer the following questions on your past or present medical history with a YES or NO.
If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician
prior to participating in scuba diving. Your instructor will supply you with an RSTC Medical Statement and Guidelines
for Recreational Scuba Divers Physical Examination to take to your physician.