Diving requires good physical and mental health. There are some medical conditions that can be dangerous while diving, which are listed below. Those who have or are predisposed to any of these conditions should be evaluated by a physician. This Diver Physician Questionnaire provides a basis for determining whether you should seek such an evaluation. If you have any concerns about your fitness to dive that are not represented on this form, consult with your physician before diving. References to “diving” on this form cover both recreational scuba diving and freediving. This form is primarily designed as an initial medical examination for new divers, but is also appropriate for divers undergoing continuing education. For your safety and the safety of others who may dive with you, answer all questions honestly.