Medical Histoy Form

Required for every course

To take part in any of our courses, you must download, complete and sign the RSTC Medical Statement, and return it to us before the start of the course. You can download the form by clicking the button at the bottom of the page.

What if I have to answer YES?

Don’t panic. It just means that you have a condition that requires a physician’s approval prior to taking part in any in-water activities. Here is what you do:

  • Discuss the medical history/exam form and guidelines with your physician. If he or she has a question, the guidelines have a number at Duke University Medical Center you can call.

Assuming your physician is okay with you diving (which is generally the case), he or she can sign the form where indicated on the back. Bring the signed form with you when you arrive for class.

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