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Click ‘Get Form’ to open the SCUBA Diver Medical Examination Form in the editor.
Begin by filling out Part I, Diver Medical History. Enter your name, contact information, date of birth, height, weight, sex, age, and eye color. Ensure all fields are completed accurately.
Check all applicable medical history boxes related to persistent headaches, emotional problems, and any other conditions. If you check any boxes, provide explanations in the designated area.
Complete the emergency contact section with the name, relationship, and contact details of your emergency contact.
Sign and date the form at the bottom of Part I to confirm that all information is correct.
In Part II, Diving Fitness Examination, ensure your physician fills out their details and comments on your fitness for diving based on their examination.
Review all sections for completeness before saving or exporting your filled form for submission.

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Versions	Form popularity	Fillable & printable
2003	4 Satisfied (39 Votes)

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How can I send my scuba diving medical clearance for eSignature?

Upload your scuba diving medical clearance to DocHub (after you’ve created an account for this). If you need to complete fields in it, use appropriate tools from the upper pane. For instance, drop Signature Fields, assign each to specific party, and click on Sign → Request signatures from others. Change your message for your recipients and click Send Request. You can also send your document by fax or as a Signing link instead of using email (you’ll find these options by navigating to the Menu → Send)

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