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Click ‘Get Form’ to open the msc physical in the editor.
Begin by filling out Section I, which requires your personal information such as name, date of birth, and social security number. Ensure all details are accurate.
In Section II, complete the release authorization for your verifying medical practitioner. This allows them to share necessary medical information with Coast Guard personnel.
Proceed to Section III to list all medications you have taken in the last 30 days. Be thorough and include dosages for each medication.
In Section IV, report any relevant medical conditions. The verifying medical practitioner will review and verify this information.
Complete Sections V through IX as required by your verifying medical practitioner, ensuring they provide their recommendations and sign off on your evaluation.
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