1. Crew Leader Guide for Required Medical Documentation

2. This presentation will help you with:
Important Dates
Required Documents
Common Mistakes
Medical Issues

3. Please include your Crew Number on all correspondence.
Important Dates
Spring Crews – BSA Annual Health and Medical Record Parts A & B by January 1st
Summer Crews - BSA Annual Health and Medical Record Parts A & B by March 1st
Winter Crews - BSA Annual Health and Medical Record Parts A & B by October 1st
BSA Parts A and B are completed by the participant or parents and do not require
a physicians signature.
Please include your Crew Number on all correspondence.

4. Please include your Crew Number on all correspondence.
Required Documents
30 days prior to arrival :
Medical Record Part C signed by physician
PADI Medical Statement signed by physician (MD or DO only)
Copy of health insurance card
Copy of scuba certification card (N/A for Certification Adventure)
PADI Release
Release for Certified Divers (Scuba Adventure and Scuba Live Aboard)
Release for General Training (Scuba Certification)
Please include your Crew Number on all correspondence.

5. Please include your Crew Number on all correspondence.
BSA Part A
Common Mistakes
“List Participant Restrictions” box not marked
Missing participant and/or parents signature
Missing dates next to signatures
Authorized adult section not completed
Please include your Crew Number on all correspondence.

6. Please include your Crew Number on all correspondence.
BSA Part B page 1
Common Mistakes
Height and weight not indicated
No explanations on indicated conditions
A line through all boxes instead of each box individually marked
Please include your Crew Number on all correspondence.

7. Please include your Crew Number on all correspondence.
BSA Part B page 2
Common Mistakes
Allergies not indicated or no explanation
Check box marked “No Medications are Routinely Taken” if applicable
Medications listed but no reason given
Check appropriate box and indicate type of medication for “non-prescription “ medication
Parent or physician signature
Please include your Crew Number on all correspondence.

8. Please include your Crew Number on all correspondence.
BSA Part C
Common Mistakes
“Medical Restrictions to Participate” box not marked
Allergies or Reactions not indicated
Height, Weight, Blood Pressure not indicated
Examiner’s Certification boxes not all completed.
Examiner’s signature and date not completed
Please review maximum weight and height chart
*All must meet the Height/Weight Restrictions found on the BSA Part C Physical.
Please include your Crew Number on all correspondence.

9. Please include your Crew Number on all correspondence.
Information Regarding
Medical Restrictions form
Common Mistakes
Does not need to be completed for every participant.
Those on medications for ADD, ADHD, Anxiety Depression etc., need to have this form completed.
Must be signed by a Physician (MD or DO only)
Please include your Crew Number on all correspondence.

10. Please include your Crew Number on all correspondence.
PADI Medical Statement
page 1
Common Mistakes
Must be completed by every participant
Complete “YES” or “NO” answers on each line
Must be signed by participant and adult
Please include your Crew Number on all correspondence.

11. Please include your Crew Number on all correspondence.
PADI Medical Statement
page 2
Common Mistakes
Must be completed by every participant’s physician regardless of answers on page 1
Must be signed by a physician (MD or DO only)
Please include your Crew Number on all correspondence.

12. Please include your Crew Number on all correspondence.
PADI Release for
Certified Divers
page 1
Common Mistakes
Must be completed by those participating in the Scuba Adventure and Scuba Live Aboard
Insert participant’s name on appropriate line
Completing the form and having a dive resort name other than Florida Sea Base listed
Please include your Crew Number on all correspondence.

13. Please include your Crew Number on all correspondence.
PADI Release for
Certified Divers
page 2
Common Mistakes
Must be completed by those participating in the Scuba Adventure and Scuba Live Aboard
Insert participant’s name on appropriate line
Must be signed and dated by participant and parents
Completing the form and having a dive resort name other than Florida Sea Base listed
Please include your Crew Number on all correspondence.

14. Please include your Crew Number on all correspondence.
PADI Release for
General Training
Common Mistakes
Must be completed by those participating in the Scuba Certification program
Insert participant’s name on appropriate lines
Must be signed and dated by participant and parents
Completing the form and having a dive resort name other than Florida Sea Base listed
Please include your Crew Number on all correspondence.

15. Please include your Crew Number on all correspondence.
PADI Safe Diving
Practices Statement
Common Mistakes
Must be completed by those participating in the Scuba Certification program
Insert participant’s name on appropriate line
Must be signed and dated by participant and parents
Please include your Crew Number on all correspondence.

16. Please include your Crew Number on all correspondence.
Florida Sea Base
Dietary Notification form
Must be completed for those participant’s with food allergies
Please include your Crew Number on all correspondence.

17. Please include your Crew Number on all correspondence.
Scuba Certification Card Requirements
BSA Recognized Training Agencies: The Boy Scouts of America only accepts scuba certification credentials from RSTC ( recognized training agencies which include; NASDS, PADI, PDIC, SSI, SDI, RAID, YMCA and NAUI.
If your certification card is not from a BSA recognized agency, your card will not be recognized and you cannot scuba dive at Florida Sea Base if the certification agency is not a member of the RSTC.
Please include your Crew Number on all correspondence.

18. No wavers will be issued.
Medical Fitness for Scuba Diving
The following pages are meant to be a guide for the more common conditions and not an absolute list. If you have a medical condition that may be of concern, please contact the Scuba Department at Florida Sea Base for guidance.
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.

19. No wavers will be issued.
Medical Fitness for Scuba Diving
BSA Annual Health and Medical Record Part C and PADI Medical Statement must be signed
by a physician within the last year. Florida Sea Base must receive this 30 days prior to your arrival.
Medical issues:
Hypertensive: Blood pressure must be lower than 140/90 prior to arrival at Sea Base.
Epilepsy: Participants have been cleared by their physician, they do not take seizure
medications and have not had a seizure with in the last 5 years.
Seizure Activity: A person with a history of seizure activity (neurological or other) who
have been asymptomatic and medication free for 5 years may be allowed to
scuba dive.
Weight Limits: Those exceeding the Height/Weight Restrictions found on BSA Part C
will not be allowed to participate or attend Florida Sea Base.
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.

20. No wavers will be issued.
Medical Fitness for Scuba Diving
Medical issues:
ADD/ADHD Medication: Your physician must contact Divers Alert Network
for a consultation before signing Part C. *
Anti-Depressant/Anxiety Medication: Your physician must contact Divers Alert Network
for a consultation before signing Part C. Particular attention is paid to anxiety
medications and the effect anxiety may have on the scuba diver.*
*Physician (MD or DO only) must complete the Information Regarding Medical Restrictions
form and submit it with the participants other documents.
Concussions: Those who have suffered a concussion should contact Florida Sea Base
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.

21. No wavers will be issued.
Medical Fitness for Scuba Diving
Medical issues:
Asthma:
Persons being treated for asthma (including reactive airway disease) are disqualified from BSA scuba programs. Persons with a history of asthma who have been asymptomatic and have not used medications to control asthma for five years or more may be allowed to scuba dive as part of a BSA activity upon submission of evidence from their treating physician. Persons with a history of asthma who have been asymptomatic and have not used medication to control asthma for fewer than five years may be allowed to scuba dive as part of a BSA activity upon submission of a methacholine challenge test showing the asthma to be resolved to the satisfaction of the Sea Base Medical Director. This is the only test approved by the BSA.
Those with asthma no matter the severity, causes or intermitted asthma will not be qualified to scuba dive.
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.

22. No wavers will be issued.
Medical Fitness for Scuba Diving
Medical issues:
Diabetes:
Persons 18 years old or older must submit four hemoglobin A1c test with each test being less than 7, which are taken with in the last 12 months. Any test higher than 7 will disqualify a participant. Persons younger that 18 years of age with Type 1 diabetes will not be allowed to scuba dive. Participants who use insulin to control diabetes will not be qualified to scuba dive.
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.

23. No wavers will be issued.
Medical Fitness for Scuba Diving
Medical issues:
Diabetes:
Persons 18 years old or older must submit four hemoglobin A1c test with each test being less than 7, which are taken with in the last 12 months. Any test higher than 7 will disqualify a participant. Persons younger that 18 years of age with Type 1 diabetes will not be allowed to scuba dive. Participants who use insulin to control diabetes will not be qualified to scuba dive.
The final decision for participation in all Florida Sea Base program is at the discretion of the
Sea Base Medical Director. The decision is final and we are unable to change or alter that decision.
No wavers will be issued.