Get Seafarers Medical Examination Form

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.

1. Press the ‘Get Form’ button to access the Seafarers Medical Examination Form and open it in your browser.
2. 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.
3. Fill in your personal details in Section 1, including your surname, first name(s), date of birth, gender, and home address.
4. Provide the identity document type and its number. Include information about the type of ship you will be serving on and the trade area.
5. Complete the examinee's personal declaration, where you will answer questions regarding your medical conditions. Mark 'Yes' or 'No' for each condition listed.
6. If you answered 'Yes' to any personal declaration question, provide further details in the designated space.
7. Proceed to answer the additional questions regarding previous medical history, making sure to provide accurate answers.
8. Sign the form to certify that the provided information is true. Include the date and witness details as required.
9. Submit the completed form along with any necessary documentation to the approved medical practitioner for review.
10. 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!