Apply For Medical Certificate

Medical Certificate

The medical certificate is a document that serves as proof that a mariner meets the required medical and physical standards. In order to receive a Merchant Mariner Credential or Medical Certificate you will need to complete the correct applications.

For additional details on medical certificates, including Duplicate Medical Certificate Requests:

Appeals

Guidance for Medical Providers (Form CG-719K)

How to Complete the CG-719K Application Video Guide

Guidance for Medical Providers (Form CG-719KE)

Medical Fitness For Certification

Merchant Mariner Medical Manual

Top 10 Medical Conditions

3rd Party Sample Authorization Form

Medical Certificates FAQ

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CG-719K

Step 1 - Review the Common Errors on the CG-719K Form & Medical Certificate FAQ
Step 2 - Complete the Application for Merchant Mariner Medical Certificate (CG-719K).
Step 3 - Apply.

CG-719K/E “Entry Level Only”

Step 1 - Review the Medical Certificate FAQ
Step 2 - Complete the Application for Merchant Mariner Medical Certificate for Entry Level Ratings (CG-719K/E “Entry Level Only” ).
Step 3 - Apply.

Duplicate

Step 1 - Complete the Affidavit.
Step 2 - Apply.
Step 3 - (OPTIONAL) If you wish to receive your Medical Certificate via a method that can be tracked and will reach you in a few days, consider using an expedited mailing option expedited mailing option.

Additional Information (Existing Medical Certificate Application)

Step 1 - Combine all documentation into a single PDF file.
Step 2 - Submit

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