Personal Data
Full legal name, birth date, emergency contact, and emergency phone. Accurate identity details ensure records match certifications and insurance claims.
A properly completed PADI Medical Form reduces safety risks, clarifies medical restrictions, and documents informed assessment by dive staff or medical professionals.
The PADI Medical Form is completed by divers or their guardians and reviewed by dive instructors or operators before practical training or dives.
Use the form as the primary medical screening tool; escalate to a physician when indicated by the questionnaire responses.
Full legal name, birth date, emergency contact, and emergency phone. Accurate identity details ensure records match certifications and insurance claims.
Checklist of past and current conditions including respiratory, cardiac, neurological, and mental health. This section flags conditions that commonly require physician clearance.
Questions about recent surgeries, cold/flu, ear or sinus problems, and diving incidents. Recent illness can temporarily disqualify participation.
Active prescription and over-the-counter medications with reason. Some drugs affect barotrauma risk or consciousness and may alter fitness-to-dive decisions.
Space for a medical professional to note findings, clear the diver for diving, or require further testing. Includes physician name, license, signature, and date.
Diver statement affirming accuracy plus signature and date. Includes parental/guardian signature for minors and consent to share information with providers.
| Step | Typical action |
|---|---|
| Intake | Collect form at booking or check-in |
| Review | Instructor screens answers for red flags |
| Physician referral | Route to medical professional when needed |
| Record retention | Store per operator policy and legal requirements |
Choose a platform that supports secure signatures, audit trails, and appropriate privacy protections for health data.
Ensure the chosen provider can support HIPAA protections where required and produce reproducible records for compliance and incident review.
Complete at booking or before the first confined-water session
Ensure form is current for all practical dive activities
Update immediately if health status or medications change
Guardian signature required before participation
Follow operator policy; some require re-evaluation yearly
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 env/user/yr | Varies by plan | Varies by plan | Varies by plan |