Address:
201 Greenfield Road
Lancaster, PA 17601
717.39.SCUBA
info@lancasterscuba.com


 
Hours of Operation:
Monday, Wednesday, Saturday 
10AM - 5PM
Tuesday, Thursday, Friday
10AM - 7PM



 

 
 
PADI Discover Scuba Diving Statement
On the Medical Statement: Please answer the questions on your past or present medical history with a YES or NO. (Y, N or Check marks can not be accepted) If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving.

There is two lines that you need to print your name.


Sign and date the form at the end. (If you are under 18, a parent or guardian must also sign and date.)

Please do not answer the Discover Scuba Diving Knowledge and Safety Review, you will be able to answer these questions when you take your Discover Scuba

 
 PADI Medical Statement
If you answered YES to any of the medical questions on the PADI Discover Scuba Medical Questionnaire please print this form and take it to your physician prior to participating in scuba diving.