Please be sure to answer this medical with complete, "YES" or "NO" answers.  We cannot accept any forms with x's, checks, or dashes.

If you have a, "YES" to any of the questions on the medical, you will simply need a physicians signature on the back prior to diving.

200 Harbor Drive, Sausalito CA 94965

San Francisco Bay

phone: (415) 331-0904

info@harbordive.com

Mon-Fri 10:00am-7:00pm

Sat-Sun 10:00am-5:00pm