Loading
Get Medical Questionnaire / Examination Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Medical Questionnaire / Examination Form online
Completing the Medical Questionnaire / Examination Form online is an essential step in ensuring your medical history is accurately recorded for employment in offshore roles. This guide provides clear instructions to help you navigate the form easily and effectively.
Follow the steps to fill out your Medical Questionnaire / Examination Form online.
- Press the 'Get Form' button to access the Medical Questionnaire / Examination Form and open it in your digital document editor.
- Begin by entering your personal details in the designated fields, including surname, forenames, address, contact numbers, date of birth, GP’s name, GP’s address, marital status, offshore occupation/job title, date of last offshore medical, and survival course information.
- Proceed to the social/occupational history section. Provide responses to the questions regarding smoking habits, alcohol consumption, occupational hazards, and any relevant medical conditions related to your occupation.
- In the medical history section, answer the questions by indicating 'yes' or 'no' as applicable and provide additional details when prompted, especially concerning significant medical issues.
- Fill in any significant or recurrent problems, clarifying with 'yes' or 'no' for each condition listed.
- If applicable, complete the section solely for females, addressing any specific health concerns as required.
- Once completed, review your entries to ensure all information is accurate and comprehensive.
- Finally, save any changes made, and download or print the form for submission or sharing as needed.
Start completing your Medical Questionnaire / Examination Form online today!
The Federal Motor Carrier Safety Administration (FMCSA) registration process requires that companies define the type of business operation (Motor Carrier, Broker, Shipper, Freight Forwarder and/or Cargo Tank Facility) that they plan to establish.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.