Student Guide:
Do This First
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Important Medical Form
For your safety and to avoid delays in your course:
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Carefully read the form and answer the Medical History Questions honestly.
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If you can answer "Yes" to question 3, 5, or 10, OR any questions on page 2, then written clearance to dive, without restrictions, from a physician is required prior to any in-water activities. Immediately do the following:
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Take or send all 3 pages of the form to your physician (MD or DO).
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Ask your physician to complete the PHYSICIAN section on Page 3 of the form and return the form to you.
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Student Divers who are professional physicians may not sign their own medical form.
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Make a copy of the completed form and put it in a safe place. You may need it in the future.
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Bring the completed original form to your first course session.
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Give your completed Diver Medical Form to your instructor at your first course session. Otherwise, your training will be delayed.
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For questions regarding your fitness to scuba dive, please speak with your physician. You and/or your physician can also speak with Diving Medicine Specialists at Divers Alert Network at no charge. Contact the Divers Alert Network (DAN) non-emergency medical information line at 919-684-2948 (Monday-Friday, 8am-4pm CT). Referrals to local diving and hyperbaric medicine specialists are available.
Additional Form Required for Student Divers Under Age 18
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A parent/legal guardian must complete the form.
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Give the completed consent form to the instructor at the first course session.
Additional Form Required for Student Divers Under Age 12
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Download and review the Youth Diving: Responsibilities and Risk Flipchart
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A parent/legal guardian must review the flipchart together with the student diver.
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A parent/legal guardian must complete the Acknowledgement Form together with the student diver.
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Give the completed acknowledgement form to the instructor at the first course session.