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DANISH MARITIME AUTHORITY Parts A and B to be completed by the seafarer A SurnameMedical certificate for examination of seafarers To be used only for persons of 16 years of age or olderFirst name’s)Date

How to fill out medical maritime authority form

How to fill out medical maritime authority form

1. Step 1: Obtain a copy of the medical maritime authority form.
2. Step 2: Read and understand the instructions on the form.
3. Step 3: Provide your personal details such as name, address, phone number, and date of birth.
4. Step 4: When required, fill in the details of your medical condition, including any medications you are taking and the name of your treating physician.
5. Step 5: If applicable, provide information about any previous surgeries or medical procedures you have undergone.
6. Step 6: Sign and date the form.
7. Step 7: Submit the completed form to the relevant authority or organization.

Who needs medical maritime authority form?

1. Individuals who work in the maritime industry and require medical clearance or authorization.
2. Seafarers, sailors, or maritime workers who are embarking on a voyage or working on a vessel.
3. Crew members of commercial ships, cruise ships, fishing boats, and other maritime vessels.
4. Individuals involved in offshore operations, such as oil and gas rig workers or offshore construction professionals.
5. Anyone who is required by their employer or regulatory body to undergo a medical examination or assessment before engaging in maritime activities.

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What is medical maritime authority form?

The medical maritime authority form is a document that certifies a seafarer's fitness for duty at sea.

Who is required to file medical maritime authority form?

Seafarers and crew members working on ships are required to file the medical maritime authority form.

How to fill out medical maritime authority form?

The medical maritime authority form can be filled out by providing personal and medical information, as well as undergoing a medical examination.

What is the purpose of medical maritime authority form?

The purpose of the medical maritime authority form is to ensure that seafarers are physically and mentally fit to work onboard a ship.

What information must be reported on medical maritime authority form?

Medical history, current medications, allergies, and results of medical examinations must be reported on the medical maritime authority form.