Medical Examination Form Seafarers NOTE:the Certificate of Medical Fitness-Seafarers must be sent to Maritime New Zealand (not this form) Please indicate with an X whether this examination is for.
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How to fill out the Seafarers Medical Examination Form online
This guide provides clear instructions for completing the Seafarers Medical Examination Form online. It aims to help users navigate through the required fields and sections efficiently.
Follow the steps to successfully complete the form.
- Press the ‘Get Form’ button to access the Seafarers Medical Examination Form and open it in your browser.
- In the first section, indicate whether the examination is for an STCW or a national certificate of competency or proficiency by selecting the appropriate option with an X.
- Fill in your personal details in Section 1, including your surname, first name(s), date of birth, gender, and home address.
- Provide the identity document type and its number. Include information about the type of ship you will be serving on and the trade area.
- Complete the examinee's personal declaration, where you will answer questions regarding your medical conditions. Mark 'Yes' or 'No' for each condition listed.
- If you answered 'Yes' to any personal declaration question, provide further details in the designated space.
- Proceed to answer the additional questions regarding previous medical history, making sure to provide accurate answers.
- Sign the form to certify that the provided information is true. Include the date and witness details as required.
- Submit the completed form along with any necessary documentation to the approved medical practitioner for review.
- Once reviewed, save any changes made to the form. You can choose to download, print, or share the form as necessary.
Start filling out your Seafarers Medical Examination Form online today!
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What is STCW medical certificate?
A medical certificate is a document that serves as proof that a mariner meets the required medical and physical standards, per the publication of the Federal Register (FR). This FR incorporates the 2010 Amendments to the STCW Convention into the U.S. regulations.
What is Panama medical for seafarers?
A medical exam very similar to an ENG1 requires: Checking your height, weight, blood pressure, and examining your physical condition to determine your fitness level. Testing your eye sight (before and after you put on glasses) and your colour vision.
What is the BMI requirement for seafarers?
The ideal BMI is said to be between 18 and 25, while a score of over 25 is classed as overweight and over 30 obese.
How long does it take to get seafarer medical certificate?
Within 2-4 business days we will send you instructions with a clinic address and confirmation of appointment. After your exam you will be sent an email with your results when they are complete. This usually takes 5-14 days. We will notify you by email if there are any additional items required.
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