What is required for a physical examination?
If you are renewing a License or a Merchant Mariner’s Document with a qualified rating other than Lifeboatman (LBMAN), then you must submit an original physical examination report ( Form CG-719K ) completed by a U.S. Licensed physician, physician’s assistant, or nurse practitioner within one year of the application. This report must certify that you are in good health and have no physical impairment or medical condition which would render you incompetent to perform the ordinary duties allowed by your credential. Please ensure this form has been completed entirely. Delays in approving applications are frequently the result of incomplete physical examination reports. For example, if you are taking any medications prescribed by your physician, then your physician must have all of the medications disclosed in block 15 of the form with a statement regarding whether or not you experience any side effects from them. If side effects are experienced, they must be listed. If no side effects are
If you are renewing a License or a Merchant Mariner’s Credential with a qualified rating other than Lifeboatman (LBMAN), then you must submit an original physical examination report ( Form CG-719K ) completed by a U.S. Licensed physician, physician’s assistant, or nurse practitioner within one year of the application. This report must certify that you are in good health and have no physical impairment or medical condition which would render you incompetent to perform the ordinary duties allowed by your credential. Please ensure this form has been completed entirely. Delays in approving applications are frequently the result of incomplete physical examination reports. For example, if you are taking any medications prescribed by your physician, then your physician must have all of the medications disclosed in block 15 of the form with a statement regarding whether or not you experience any side effects from them. If side effects are experienced, they must be listed. If no side effects ar
