Inflammatory bowel disease, bowel obstruction, hernia or severe reflux
Major depression, bipolar, psychotic disorder, personality disorder or other psychological condition
History of panic attacks or severe anxiety
Learning disability or neurological impairment
Any other chronic disease or condition
Please provide further details of your condition(s)
Family History
Two brief questions about your immediate family.
Family history of sudden cardiac death in close relatives (brothers, sisters, parents) under 50 years of age? *
Please select Yes or No
Please supply full details
Close blood relative who had a heart attack or heart surgery before age 55 (father/brother) or 65 (mother/sister)? *
Please select Yes or No
Please supply full details
General Health
A few final questions before we look at uploads.
Have you been admitted to hospital for any reason in the past 3 years? *
Please select Yes or No
Please describe your hospital admission(s)
Do you take any medication (excluding contraception and vitamins)? *
Please select Yes or No
Please list all regular medication you take
Are you pregnant or have you given birth in the last 3 months? *
Please select Yes or No
Please provide details regarding your pregnancy
How much do you smoke or inhale nicotine? *
Cigarettes per day (or “none” if you don’t smoke).
Please answer
How much alcohol do you drink? *
Units per week (or “none” if you don’t drink).
Please answer
Are there any other medical issues we need to be aware of? *
Including any issues with drugs or addiction.
Please select Yes or No
Please provide details
Have you ever been refused medical insurance? *
Please select Yes or No
Please describe any health-related issues you have consulted your GP about in the last 3 years
⚠️ Based on your answers, an in-person dive medical may be safer.
It may be safer for you to have an in-person dive medical consultation with further testing, which we cannot provide online.
If you choose to proceed with your submission, one of our doctors will still review your case and make a decision based on their discretion.
Supporting Documents
Upload documents now, or email them to us after submitting.
Send to certificates@medicalcert.co.uk with your submission reference.
or upload now
🛡️ Passport or Driver’s Licence *
📄
Tap to upload or drag & drop
JPG, PNG, PDF — max 10MB
🩺 Summary Care Record (SCR) or NHS GP Health Record
📄
Tap to upload or drag & drop
JPG, PNG, PDF — max 10MB
🧪 Health test results
📄
Tap to upload or drag & drop
JPG, PNG, PDF — max 10MB
📝 Custom form requiring doctor sign-off (+£10)
📄
Tap to upload or drag & drop
JPG, PNG, PDF — max 10MB
I will send the files via email to certificates@medicalcert.co.uk instead of uploading now. (Please note, our doctors will start on your case once we have received your documents.)
Review Your Details
Please check everything is correct before continuing.
✓ Your answers have been saved. Expand any section to check details before continuing.
Terms
I acknowledge the Terms and Privacy Policy and consent to the following: I am NOT seriously unwell with any of the following symptoms — chest pain, shortness of breath, unrelenting severe headache, worsening severe abdominal pain, loss of vision, thoughts of suicide, confusion, ongoing bleeding, inability to swallow fluids or saliva, loss of limb sensation or control, facial numbness/weakness, slurred speech. I understand the questions and answered them honestly. The requested letter is solely for the individual named. MedicalCert is not a replacement for a doctor’s visit and I confirm I do not think I need to see a medical professional in person. The issuing doctor may be unable to access my NHS/GP records. MedicalCert does not issue Med3 notes. Refunds are not possible once a letter has been written and sent. If my symptoms persist I will consult my regular GP. I consent to storage of my submitted information. *
You must agree to the terms to continue
Disclaimer
Any medical certificate is void if information is later discovered to have been falsely disclosed or deliberately withheld. The certificate does not guarantee fitness for an event but represents the doctor’s considered opinion based on the information available. I absolve Medical Cert UK, Nobel Medical LLC, and their doctors of liability for any adverse events affecting me or any other party. I understand that dynamic studies of cardiac function (echo, CPET) provide a more accurate assessment but are not usually required unless clinically indicated. *
You must agree to the disclaimer to continue
Payment
Scuba Diving Medical Certificate£89
📧 Certificate delivered to
Custom Form Completion+£10
Our doctor will complete and sign your dive school’s custom medical form. Automatically selected if you uploaded a custom form at the previous step.
Name on card
Card details
Pay instantly using Face ID, Touch ID, or your saved Google Pay card — no card number required.
If no button appears, Apple/Google Pay is not available on this device.
Your Scuba Diving Medical request has been received. Most approved certificates are issued same day or by 9AM the next day, delivered as a signed PDF direct to your inbox.