Become a Warfighter Diver!

Please fill out the form completely and honestly. Upload any military records to prove service. Any medical documentation you feel necessary please upload as well as this will be required after vetting. Please black out any sensitive personal information before uploading. We are not responsible for this. Thank you.

Please download the SSI Medical Forms by clicking the PDF icon below and fill them out. Scan them and attach them with your other medical documentation required in the form below.

Become a Warfighter Diver!

Step 1 of 4 - Personal Info

Eligibility Information

Medical Information

Scuba Experience

Multi-Limb Amputee*
Amputee above knee L Leg
Amputee above knee R Leg
Amputee below knee L Leg
Amputee below knee R Leg
Deaf Hard of Hearing
Blind/Vision Impaired
Poly-Trauma
TBI
PTSD
Amputee above elbow L Arm
Amputee above elbow R Arm
Amputee below elbow L Arm
Amputee below elbow R Arm
Loss of sensory response*
Thermal regulation issue
Speech Impairment*
Developed decubiti
Hemiplegic on L Side
Hemiplegic on R Side
Impaired Cough Reflex
COPD
Paraplegic – Level of injury (T7 etc)
Complete Quadriplegic - Level of injury (C4 etc)
Incomplete Quadriplegic- Level of injury (C6-7 etc)
Intermittent Catheter
Indwelling Catheter
External Catheter
History of Hyperreflexia (Autonomic Dysreflexia)
Orthostatic Hypo-tension (low Blood pressure)
Unable to perspire in any area of the body
Other illness or condition not listed above