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Medical Questionnaire

Diver medical report

Participant questionnaire (Confidential)

Diving requires good physical and mental health. There are some medical conditions that can be dangerous during diving and are listed below. This questionnaire is designed primarily as an initial medical screening for new divers, but is also appropriate for those receiving continuing education. If you have any concerns about your physical condition that are not represented on this form, consult your doctor before diving. For your safety and the safety of others who may dive with you, answer all questions honestly.

Complete this questionnaire as a prerequisite for snorkeling or recreational diving.

For women: If you are pregnant or trying to become pregnant, do not dive.

    IMPORTANT

    If you answered YES to questions 3, 5, or 10 above, then you need a medical examination. Complete the entire form. You know that we can arrange an appointment with our specialist doctor in hyperbaric medicine and have it done at our center. Call us and we’ll organize it whenever you want.

    Personal data protection. In compliance with art. 13 of the GDPR and art. 11 of the LOPDGDD, we inform you of the following terms:

    1. The purpose of data processing is to comply with the application of the new Royal Decree 550/2020, of June 2, which determines the safety conditions for diving activities. This RD legitimizes the collection of the requested health data.
    2. To register for and practice diving activities, you must answer this questionnaire in order to guarantee safety in the practice of said activity. Otherwise, you will not be able to register or practice said activity. The data provided will only be used for the purpose stated above.
    3. We have adopted the technical and organizational measures to guarantee the security and confidentiality of the medical data provided.
    4. Your data will be kept as long as you practice this activity or do not request its deletion, and must be updated by you in case of changes in your health status.
    5. Your data will not be transferred unless legally required or necessary for the provision of the service.
    6. You have the right to exercise your rights: access, rectification, deletion, limitation, portability, opposition and not to be subject to automated individual decisions by contacting planeta@planeta-azul.com attaching a photocopy of your ID.
    7. You can also file the corresponding claim with the Spanish Data Protection Agency if you believe that we have violated any of your rights. You can request additional information about the processing of your data in our offices or through email.