Bubblemaker - Self Assessment Medical Questionnaire |
Complete the following medical self-assessment prior to your dive trip.
Scuba diving is an exciting and demanding activity. To scuba dive safely, your child must not be extremely overweight or out of condition. Diving can be strenuous under certain conditions. Your child's respiratory and circulatory systems must be in good health. All body spaces must be normal and healthy. A person with heart trouble, a current cold or congestion, epilepsy, asthma, a severe medical problem, or is who under the influence of alcohol or drugs, should not dive. If taking medication, consult your doctor before taking part in this program.
To the participant and parent: Please answer YES or NO to any of the following items to accurately reflect the participant’s past
medical history or present medical condition. A YES answer to any of these items requires that a participant obtain written medical
approval before being allowed to participate in scuba diving activities. If this applies, please ask for a Medical Statement (#10063) to
take to the physician.
medical history or present medical condition. A YES answer to any of these items requires that a participant obtain written medical
approval before being allowed to participate in scuba diving activities. If this applies, please ask for a Medical Statement (#10063) to
take to the physician.