Blue Grotto Scuba

Medical History Questionnaire

Required for all courses

By answering the following questions, you will help us determine whether you must obtain a physician’s approval for scuba diving before the start of your class. This is something you need to do right now and not put off until later.

You must answer each questions with either a Yes or No. All answers are required. Please note the questions apply whether you currently suffer from a condition or have in the past. We keep all information you supply confidential.