How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the MPA Medical Forms - IMDA online

This guide provides clear and detailed instructions for completing the MPA Medical Forms - IMDA online. It is designed to support users in accurately filling out the necessary information to ensure compliance with medical examination requirements.

Follow the steps to complete the MPA Medical Forms - IMDA online.

  1. Press the ‘Get Form’ button to access the MPA Medical Forms - IMDA and open it in your preferred editor.
  2. In Part A, enter the seafarer’s full name in block capitals and provide the date of birth in the format day/month/year.
  3. Complete the place of birth and type of identification documents used, such as NRIC No. or passport No.
  4. Specify the department (Deck, Engine, Catering, or others) and rank of the seafarer in the designated fields.
  5. Indicate the type of ship and provide the home address.
  6. Detail routine and emergency duties, followed by the trading area (e.g., coastal or worldwide).
  7. Select the sex from the options available and enter the nationality.
  8. Respond to the health declaration questions by ticking ‘Yes’ or ‘No’ for each condition listed. If applicable, provide details for any 'Yes' responses.
  9. Address the additional questions regarding medical history, including past hospitalizations or declarations of unfit status.
  10. Sign the declaration confirming truthfulness to the best of knowledge, along with the date and witness signatures.
  11. In Part B, provide results of medical examinations, including eyesight, hearing, clinical findings, height, weight, and any diagnostic tests performed.
  12. Receive assessment feedback concerning fitness for service at sea from the medical practitioner, including any restrictions noted.
  13. Upon completion, review all sections for accuracy, then save changes, download, print, or share the completed form.

Complete your MPA Medical Forms - IMDA online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Acronyms - accessdata.fda.gov

A new drug application that contains full reports of investigations of safety and...

Learn more
Regulatory Agencies - globalEDGE - Michigan State...

The Medical Products Agency (MPA) regulates and monitors the development of drugs and...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What is a seafarers medical exam?

The maritime medical examination involves answering a questionnaire and a physical check, testing your health in relation the work you do. At the end you will be advised with the results. In normal circumstances the maritime medical examination is valid for two years.

An ENG1 can be valid for up to 2 years (1 year if you are aged between 16 and 18) and an ML5 can be valid for up to 5 years, however either certificate would become invalid if you developed a condition or a disability (mental or physical) which affects your ability to work.

Medical Fees (Full Medical Examination) 0 – 4 years oldPhp 2,640.00 5 – 10 years old Php 2,890.00 11 – 14 years old Php 4,760.00 15 years old – above Php 14,550.00

Blood test & Urine Routine – SGPT, Creatinine, Triglycerides, Cholesterol, Blood Sugar Random, ESR, Malarial Parasites, VDRL, HbsAg, HIV, Drugs & Alcohol tests. Complete Medical Examination including Anthropometry, Routine Dental, Vision & Colour vision.

Seafarers working on board a ship are required to have a valid Certificate of Competency (CoC) or endorsement, which comply with the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW).

While the medical staff on hand to assist may be limited depending on your exact setup, most large cruise ships have a fairly well setup and equipped medical facility including exam rooms, a pharmacy, EKG capabilities, lab testing, an X-ray machine, a triage area, and more.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get MPA Medical Forms - IMDA