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Medical Profiled No. WS 2022Revision Date11/01/2021PagePage 1 of 2IDENTIFICATION: Last Name:First Name:Address: Date of Birth: ___Height/Weight/Sex/Hair Color: ___Vessel/Rig/Site Name:R/V F.G. Walton

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How to fill out mas medical profile

01

Step 1: Obtain a MAS medical profile form from a licensed medical practitioner or clinic

02

Step 2: Fill out your personal information including name, date of birth, address, and contact details

03

Step 3: Provide information about your medical history, including any pre-existing conditions, medications you are currently taking, and previous surgeries

04

Step 4: Answer the questions about your lifestyle habits, such as smoking, alcohol consumption, and exercise routine

05

Step 5: Sign and date the form before submitting it to the relevant authority

Who needs mas medical profile?

01

Individuals who are applying for a Merchant Mariner Credential (MMC)

02

Individuals who are applying for a Medical Certificate for Small Vessel Personnel (SVP)

03

Individuals who are undergoing a medical examination for maritime job positions

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What is mas medical profile?

Mas medical profile is a document that contains information about an individual's medical history and current health status.

Who is required to file mas medical profile?

All individuals who are applying for a specific medical service or treatment may be required to file a mas medical profile.

How to fill out mas medical profile?

To fill out a mas medical profile, individuals need to provide accurate information about their medical history, current health conditions, medications, allergies, and any other relevant details.

What is the purpose of mas medical profile?

The purpose of mas medical profile is to ensure that healthcare providers have access to accurate and up-to-date information about an individual's health status in order to provide appropriate medical care.

What information must be reported on mas medical profile?

Information such as medical history, current health conditions, medications, allergies, and any other relevant details must be reported on mas medical profile.

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