Scuba Diving Medical Clearance Form
About this free form template

Medical Clearance for Recreational Scuba Diving: A Complete Health Screening Solution

Scuba diving is an exhilarating recreational activity, but it comes with unique physiological demands that require proper medical screening. This Scuba Diving Medical Clearance Form template provides dive shops, training centers, and healthcare providers with a thorough assessment tool to evaluate whether individuals are medically fit to dive safely.

Why Medical Clearance Matters in Scuba Diving

The underwater environment presents distinct challenges to the human body—changes in pressure affect the cardiovascular system, lungs, ears, and sinuses. Certain medical conditions can significantly increase the risk of diving accidents, including barotrauma, decompression sickness, and cardiac events. A comprehensive medical screening helps identify contraindications before a diver enters the water, protecting both the individual and the diving organization from preventable incidents.

What This Template Covers

This medical clearance form is designed to assess the key health areas that impact diving safety:

Cardiovascular Screening: Questions about heart conditions, chest pain, irregular heartbeat, high blood pressure, and history of heart surgery help identify cardiac risk factors that could lead to serious complications underwater.

Pulmonary Assessment: Evaluation of respiratory health including asthma, chronic bronchitis, collapsed lung history, and current breathing difficulties ensures the lungs can handle the demands of breathing compressed air at depth.

Ear, Nose & Throat Examination: Because pressure equalization is critical to safe diving, the form assesses ear infections, sinus problems, hearing loss, and difficulty equalizing—conditions that could lead to painful or dangerous barotrauma.

Contraindication Evaluation: A thorough review of medical conditions known to increase diving risk, including diabetes, seizure disorders, psychiatric conditions requiring medication, recent surgery, and pregnancy status.

Medication Review: Documentation of current medications helps physicians assess whether prescriptions might impair judgment, affect pressure equalization, or interact negatively with the diving environment.

Perfect for Dive Centers, Training Organizations & Medical Professionals

This template is ideal for:

  • Dive shops and training centers who need to screen students before certification courses
  • Recreational diving operators who require medical clearance before allowing customers to dive
  • Sports medicine physicians who provide diving medical examinations
  • Travel medicine clinics preparing clients for dive vacations
  • Occupational health departments screening commercial or scientific divers

The form captures essential information efficiently while maintaining a professional appearance that builds trust with participants. Conditional logic ensures that respondents who flag potential concerns are directed to provide additional details, creating a more targeted assessment.

How Paperform Enhances Dive Medical Screening

Using Paperform for your scuba diving medical clearance forms brings significant advantages over paper-based assessments:

Professional, branded experience: Customize the form with your dive center's logo, colors, and imagery to create a cohesive brand experience from the moment divers start their training.

Instant digital collection: Participants can complete the form on any device before arriving at your facility, reducing check-in time and allowing your staff to review clearances in advance.

Conditional logic for efficiency: Smart branching shows follow-up questions only when respondents indicate a potential concern, keeping the form streamlined for healthy divers while gathering detailed information when needed.

Secure data storage: All medical information is stored securely with SOC 2 Type II compliance, ensuring patient health data is protected according to current security standards.

Integration with your workflow: Connect the form to your CRM, Google Sheets, or email system to automatically notify instructors when medical clearances are submitted or when physician approval is required.

Streamline Operations with Automation

For dive centers managing high volumes of students, Paperform's Stepper (stepper.io) workflow automation can transform how you handle medical clearances:

  • Automatically route flagged medical forms to your medical consultant or designated physician
  • Send confirmation emails with next steps when clearance is approved
  • Trigger reminders for divers who need additional documentation
  • Update your scheduling system once medical clearance is obtained
  • Maintain organized records of all medical assessments for liability protection

If you require signed acknowledgments or consent forms alongside the medical screening, Papersign (papersign.com) lets you collect legally binding eSignatures on waivers, assumption of risk forms, and medical release documents—all linked to the original medical assessment for a complete audit trail.

Trusted by Dive Professionals Worldwide

Scuba diving instructors, dive masters, and recreational diving operators trust Paperform to handle their critical intake and assessment forms. With a professional, mobile-friendly design and robust data collection capabilities, this medical clearance template helps you maintain safety standards while delivering a modern, streamlined experience for your divers.

Whether you're running a small dive shop, managing a large training facility, or providing medical assessments for recreational divers, this template gives you a complete solution that's ready to customize and deploy immediately. The form can be easily embedded on your website, shared via direct link, or incorporated into your pre-dive briefing materials.

Get Started Today

Implement this Scuba Diving Medical Clearance Form at your dive center to improve safety screening, reduce administrative burden, and provide a more professional experience for your divers. With Paperform's intuitive editor, you can customize questions, adjust conditional logic, and brand the form to match your organization in minutes—no coding or technical expertise required.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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