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Get Physical Examination Certificate
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How to fill out the Physical Examination Certificate online
This guide provides step-by-step instructions for completing the Physical Examination Certificate online. Following this comprehensive approach will help ensure that your application process is smooth and straightforward.
Follow the steps to complete the Physical Examination Certificate online.
- Click ‘Get Form’ button to access the Physical Examination Certificate and open it in your browser.
- Begin by entering the applicant's last name, first name, and middle initial in the designated fields. Make sure to provide accurate information for proper identification.
- Fill out the date of birth and place of birth. Be sure to follow the format specified in the form for consistency.
- Indicate the applicant's sex by selecting the appropriate box (Male or Female).
- Enter the mailing address of the applicant, including city and country, ensuring that all information is current and correctly formatted.
- Specify the examination duty by selecting from the options: Master, Mate, Engineer, Radio Officer, or Rating.
- Complete the medical examination section, including height, weight, blood pressure, pulse, respiration, vision (with and without glasses), and general appearance.
- Detail the hearing capability in both ears and confirm if the color test is normal by checking the appropriate box.
- Answer whether the applicant suffers from any disease that might hinder their ability to serve at sea or endanger others.
- The applicant must sign and date the certificate, ensuring that the signature is affixed in the presence of the examining physician.
- The examining physician will also fill out their details, including name, address, certifications, and state whether the applicant is fit or not for duty.
- Once all sections are completed, review for accuracy, then save your changes, download, print, or share the Physical Examination Certificate as required.
Complete your Physical Examination Certificate online today to ensure compliance with maritime regulations.
To undergo a physical examination, first, schedule an appointment with a certified medical examiner. During the exam, the healthcare provider will assess your medical history, check vital signs, and perform physical tests. Completing this examination successfully will result in the issuance of your Physical Examination Certificate, which is essential for various requirements, including a CDL.
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