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Medical Examination FORM for STCW or STCW Seafarers IMPORTANT This form is for Approved Medical Practitioners who are examining seafarers that have STCW or STCW maritime certificates. Medicals for
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Begin by carefully reading the instructions provided with the medical exam form.
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Gather all the necessary personal information required, such as full name, date of birth, contact details, etc.
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Fill in the demographic information accurately, including your current address, nationality, and language proficiency.
04
Provide details about any medical conditions or illnesses you have been diagnosed with, including dates and treatments received.
05
Include information about any medications you are currently taking, including dosage and frequency.
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Answer all questions pertaining to your medical history, including any surgeries or hospitalizations you have had in the past.
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If required, provide details about your immunization history, including the dates of vaccinations received.
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If applicable, provide information about your family medical history, including any genetic disorders or hereditary conditions.
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Answer all questions truthfully and to the best of your knowledge. If you are unsure about any information, consult with a healthcare professional or contact the organization requesting the medical exam form.
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Review the completed form for any errors or omissions before signing and submitting it.

Who needs medical exam form for?

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Medical exam forms are usually required by various entities such as:
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- Immigration departments of different countries for visa applications.
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- Certain job positions that require a pre-employment medical examination.
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- Educational institutions for specific programs or courses.
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- Sports organizations for athletes and participants.
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The medical exam form is used to collect health information necessary for evaluating an individual's medical condition, often for insurance, employment, or visa purposes.
Individuals applying for specific visas, insurance coverage, or employment positions that require a health assessment are typically required to file a medical exam form.
To fill out the medical exam form, obtain the form from the relevant authority, complete the required fields with accurate and truthful health information, and submit it according to the provided instructions.
The purpose of the medical exam form is to assess an individual's health status and determine if they meet necessary health requirements for visas, insurance, or employment.
Information that must be reported includes personal identification details, medical history, vaccinations, and results of physical examinations or tests.
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