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Click here for
Medical Statement Form
Instructions:
If you answer "No" to all of the statements
on page one, you need to
only complete page one. Bring form to class with
you.
If you answer "Yes" to any of the statements
on page one, complete page one and then take the
whole form to your doctor. You will need a
doctor's release for scuba diving prior to entering the
water. Bring the completed page one and page two
of the form including Physician's Statement completed
and signed by your doctor to class. The remaining
pages are
information for your doctor. If you are a doctor,
you may not sign the Physician's Statement for yourself.
Questions? Call us at 214-505-0713 or
Click here to
email us.
Saturday, 14 June 2008

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Sherry, LLC d/b/a Diving with Sherry. Copyright © 2007. All rights reserved.
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