Do I need a physician signature?

If any question on the medical form is affirmative or flagged, the diver may need physician evaluation and a signed medical clearance before participating in training or dives.

Can I e-sign the medical form?

Electronic signatures are legally valid under the ESIGN Act (15 U.S.C. §7001) and UETA where adopted, provided intent, consent, attribution, and retention requirements are met.

How long is a form valid?

Validity is determined by the dive operator; many require re-evaluation annually or whenever a significant medical change occurs. Follow the operator’s stated policy.

What if my health changes?

Update the form promptly and notify the instructor. New or changed conditions and medications can affect clearance and may require physician reassessment.

Who stores my medical form?

The dive operator or training agency typically retains forms. If health information is handled, maintain HIPAA-compliant controls and a written BAA where applicable.

Is the form confidential?

Medical information should be treated as confidential. When covered data is involved, apply HIPAA safeguards (45 CFR §164.530(j)) and limit access to authorized personnel.

PADI Medical Form

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PADI / RSTC Medical Statement - Participant Record

Please read carefully before signing. This statement informs you of potential risks involved in scuba diving and is required for participation in scuba training.

I, , by and located in the city of state/province of

Diver's Medical Questionnaire

To the Participant:

The purpose of this Medical Questionnaire is to find out if you should be examined by a doctor before participating in recreational diving. Please answer the following questions with a YES or NO.

Yes No Are you now, or are you planning to become pregnant?

Yes No Are you presently taking prescription medications?

Yes No Are you over 45 years of age and can answer YES to one or more of the following?

currently smoke a pipe, cigars or cigarettes
have a high cholesterol level
have a family history of heart attack or stroke
are currently receiving medical care
have high blood pressure
diabetes mellitus, even if controlled by diet alone

Have you ever had or do you currently have...

Asthma, or wheezing with breathing, or wheezing with exercise?
Frequent or severe attacks of hayfever or allergy?
Frequent colds, sinusitis or bronchitis?
Diabetes?
Pneumothorax (collapsed lung)?
Other chest disease or chest surgery?
Behavioral health, mental health or psychological problems?
Epilepsy, seizures, convulsions or take medications to prevent them?
Recurring complicated migraine headaches or take medications to prevent them?
Blackouts or fainting (full/partial loss of consciousness)?
Frequent or severe suffering from motion sickness?

Dysentery or dehydration requiring medical intervention?
Any dive accidents or decompression sickness?
Inability to perform moderate exercise?
Head injury with loss of consciousness in the past five years?
Recurrent back problems?
Back or spinal surgery?
Heart disease?
Heart attack?
Angina, heart surgery or blood vessel surgery?
Sinus surgery?
Ear disease or surgery, hearing loss or balance problems?
Bleeding or other blood disorders?
Hernia?
Ulcers or ulcer surgery?
A colostomy or ileostomy?
Recreational drug use or treatment for, or alcoholism in the past five years?

The information I have provided about my medical history is accurate to the best of my knowledge.

Signature

Date

Signature of Parent or Guardian

Date

Student

Please print legibly.

Name Birth Date Age

Mailing Address

City State/Province/Region

Country Zip/Postal Code

Home Phone Business Phone

Email FAX

Name and address of your family physician

Physician Clinic/Hospital

Address

Date of last physical examination

Name of examiner Clinic/Hospital

Address

Phone Email

Were you ever required to have a physical for diving? Yes No If so, when?

Physician

This person applying for training is or presently certified to engage in scuba diving. Your opinion of the applicant's medical fitness for scuba diving is requested.

Physician’s Impression

I find no medical conditions that I consider incompatible with diving.

I am unable to recommend this individual for diving.

Remarks

Physician Signature or Legal Representative of Medical Practitioner

Date

Physician Clinic/Hospital

Address

Phone Email

Overview: the PADI Medical Form explained

The PADI Medical Form documents a diver’s health status and any medical conditions that could affect safe scuba diving. It is used by dive instructors, operators, and certification agencies to assess fitness to dive and to determine whether a physician’s evaluation or medical clearance is required. The form asks about pre-existing conditions, medications, recent surgeries, and respiratory or cardiovascular history. Completing the form accurately protects the diver, the instructor, and the operator by identifying risks, guiding accommodations, and supporting informed decisions about participation in training or guided dives.

Why the PADI Medical Form matters

A properly completed PADI Medical Form reduces safety risks, clarifies medical restrictions, and documents informed assessment by dive staff or medical professionals.

Who completes and reviews the PADI Medical Form

The PADI Medical Form is completed by divers or their guardians and reviewed by dive instructors or operators before practical training or dives.

New or returning divers providing baseline medical history and current health status prior to course enrollment or guided dives.
Dive instructors and dive operators screening participants to confirm fitness to dive and determine if physician clearance is necessary.
Physicians reviewing forms to decide whether a medical examination or written clearance is required for dive participation.

Use the form as the primary medical screening tool; escalate to a physician when indicated by the questionnaire responses.

Core sections found in a professional PADI Medical Form

A complete PADI Medical Form groups personal data, health history, symptom checks, physician input, declarations, and signatures for clarity and compliance.

Personal Data

Full legal name, birth date, emergency contact, and emergency phone. Accurate identity details ensure records match certifications and insurance claims.

Health History

Checklist of past and current conditions including respiratory, cardiac, neurological, and mental health. This section flags conditions that commonly require physician clearance.

Recent Events

Questions about recent surgeries, cold/flu, ear or sinus problems, and diving incidents. Recent illness can temporarily disqualify participation.

Medications

Active prescription and over-the-counter medications with reason. Some drugs affect barotrauma risk or consciousness and may alter fitness-to-dive decisions.

Physician Block

Space for a medical professional to note findings, clear the diver for diving, or require further testing. Includes physician name, license, signature, and date.

Declaration

Diver statement affirming accuracy plus signature and date. Includes parental/guardian signature for minors and consent to share information with providers.

Essential data elements to capture

Full name: As on government ID

Date of birth: MM/DD/YYYY format

Emergency contact: Name and phone

Current medications: List active drugs

Relevant conditions: Respiratory, cardiac, neurological

Signatures: Diver and physician

Step-by-step: completing and submitting the form

Follow these steps to complete the PADI Medical Form accurately and get timely review from an instructor or physician.

01

Download or receive: Obtain the current PADI Medical Form before course start.
02

Fill fields: Complete all personal and health history sections fully.
03

Sign or obtain clearance: If required, get physician signature and license number.
04

Submit to operator: Provide the completed form to the dive operator or instructor.

How dive operators commonly process the form

Operators use a simple workflow to screen forms, route for clearance, and retain records for training and safety audits.

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

Typical sign-and-review flow for electronic forms

An electronic workflow reduces paper handling and creates an auditable record for the dive operator and medical reviewer.

Upload: Operator uploads PDF or template to the signing platform
Place fields: Add name, date, checkbox, and physician fields
Send to signer: Diver receives secure link or email invite
Receive signed copy: Signed form and audit trail return to operator

Digital signing: technical and compliance considerations

Choose a platform that supports secure signatures, audit trails, and appropriate privacy protections for health data.

File formats: PDF and DOCX
Authentication: Email or SMS code
Integrations: CRM and cloud storage

Ensure the chosen provider can support HIPAA protections where required and produce reproducible records for compliance and incident review.

When to complete and renew the medical form

Timing depends on the operator and course type; plan to complete the form early to allow physician review if needed.

Before enrollment:

Complete at booking or before the first confined-water session

Before open-water dives:

Ensure form is current for all practical dive activities

After medical changes:

Update immediately if health status or medications change

Minor participants:

Guardian signature required before participation

Valid period:

Follow operator policy; some require re-evaluation yearly

Common mistakes to avoid when completing the form

Incomplete medication lists omitting OTC drugs that affect respiration or consciousness.
Using nicknames or initials instead of full legal name; causes mismatches with certification records.
Delaying completion until the day of the dive, preventing timely physician review if needed.
Failing to obtain required physician clearance or missing the clinician’s license number on the form.

Consequences of inaccurate or missing medical information

Denied participation: Operator may refuse to allow diving

Insurance denial: Claims may be rejected for undisclosed conditions

Increased liability: Higher legal exposure for operator and participant

Course cancellation: Training may be postponed pending clearance

Medical emergency: Undisclosed conditions can exacerbate incidents

Recordkeeping issues: Poor documentation complicates investigations

Comparison: eSignature vendor considerations for PADI Medical Form workflows

For secure signing, choose a provider that supports audit trails, HIPAA protections when required, and straightforward bulk or individual sending.

	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

FAQs and troubleshooting for the PADI Medical Form

Answers to common questions about signing, physician clearance, validity, and storage for the PADI Medical Form.

Need help? Contact support

Do I need a physician signature?
If any question on the medical form is affirmative or flagged, the diver may need physician evaluation and a signed medical clearance before participating in training or dives.
Can I e-sign the medical form?
Electronic signatures are legally valid under the ESIGN Act (15 U.S.C. §7001) and UETA where adopted, provided intent, consent, attribution, and retention requirements are met.
How long is a form valid?
Validity is determined by the dive operator; many require re-evaluation annually or whenever a significant medical change occurs. Follow the operator’s stated policy.
What if my health changes?
Update the form promptly and notify the instructor. New or changed conditions and medications can affect clearance and may require physician reassessment.
Who stores my medical form?
The dive operator or training agency typically retains forms. If health information is handled, maintain HIPAA-compliant controls and a written BAA where applicable.
Is the form confidential?
Medical information should be treated as confidential. When covered data is involved, apply HIPAA safeguards (45 CFR §164.530(j)) and limit access to authorized personnel.

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