Get the free SEAFARER MEDICAL REPORT FORM (ML5)

How to fill out seafarer medical report form

How to fill out seafarer medical report form:

Fill out personal information:

1. Provide your full name, address, contact details, and date of birth.
2. Indicate your gender, nationality, and passport details.
3. State your position or rank in the vessel or ship.

Document medical history:

1. Declare any existing medical conditions or illnesses you have.
2. Mention any medications you are currently taking.
3. Provide details of any previous surgeries or hospitalizations.

Provide vaccination records:

1. List all vaccinations you have received, including the dates.
2. Make sure to include vaccinations for diseases such as tetanus, hepatitis, and yellow fever.

Detail recent medical examinations:

1. Include results of recent physical examinations, if applicable.
2. Indicate your blood pressure, heart rate, and cholesterol levels.
3. Mention any specific tests conducted, such as X-rays or blood tests.

Discuss your mental health:

1. Answer questions related to your mental well-being.
2. Mention any history of psychiatric disorders or treatments.
3. Indicate if you have any current psychological issues or medication for mental health conditions.

Mention any disabilities or impairments:

1. Provide information on any physical disabilities or impairments.
2. Describe any devices or aids you use to assist with mobility.
3. Include any accommodations or specific requirements needed for your medical condition.

Who needs seafarer medical report form:

1. Seafarers or sailors working on vessels or ships require the seafarer medical report form.
2. This form is necessary for maritime authorities and employers to ensure the fitness and health of seafarers.
3. It allows for the assessment and monitoring of a seafarer's medical condition, ensuring they are physically and mentally capable of performing their duties at sea.

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What is seafarer medical report form?

The seafarer medical report form is a document that details the medical condition of a seafarer.

Who is required to file seafarer medical report form?

Seafarers are required to file the seafarer medical report form.

How to fill out seafarer medical report form?

To fill out the seafarer medical report form, seafarers must provide accurate information about their medical history and current health status.

What is the purpose of seafarer medical report form?

The purpose of the seafarer medical report form is to ensure that seafarers are fit to perform their duties at sea.

What information must be reported on seafarer medical report form?

Information such as medical history, current health status, and any medications being taken must be reported on the seafarer medical report form.