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Medical certificate for service at sea appendix iv 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the examinee's Family Name and Given Names in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Fill in the Date of Birth using the format day/month/year, and select the appropriate Sex option (Male or Female).
  4. Provide the Home Address, Passport No./Discharge Book No., and Nationality in their respective fields.
  5. In the evaluation section, specify the basis of your evaluation according to national law or regulations.
  6. Indicate whether the examinee is Fit or Not Fit for various duties (look-out duty, deck service, engine service, catering service) by checking the appropriate boxes.
  7. Complete any additional tests performed (Chest X-ray, Bacteriological stool test, Parasitical stool test) and note their results.
  8. Document any restrictions regarding specific positions or trade areas if applicable.
  9. Finally, enter the Place of Examination and Date. Ensure that both you and the medical examiner sign where indicated.

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Fees: R2,800.00 with an annual increase of 10%.
Using telehealth services Booking a telehealth appointment can be a convenient way of securing a medical certificate, particularly if you are physically unable to get to a doctor or cannot secure an appointment.
To qualify for a medical certificate, a mariner must provide evidence of meeting the medical and physical standards on a CG-719-K or CG-719-K/E, as appropriate..
HOW DO I GET CERTIFIED AS AN ABLE SEAMAN? Proof of Sea Service. A Completed USCG-Approved Course. STCW 2010 Training. A Lifeboatman Certification. A TWIC Card. A Medical Examination. Proof of Drug Screening Enrollment. Application Form CG-719B.
Mariners are required to carry a valid medical certificate, once issued, to sail under the authority of their MMC. 2. How do I request a duplicate medical certificate? Submit your request for a duplicate medical certificate to the National Maritime Center (NMC) via phone ((888) 427-5662) or e-mail (IASKNMC@uscg.mil).

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The medical certificate shall remain in force for a period not exceeding two years from the date on which it was granted.
An FAA-designated Aviation Medical Examiner (AME) must examine you. You must contact an AME of your choosing, schedule an appointment, complete an official FAA application form via MedXPress, and undergo a physical examination by an AME.
The Medical Certificate shall be valid for a maximum period of 2(two) years unless the seafarers are under the age of 18, in which case the maximum period of validity of the Medical Certificate shall be 1 year.

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