Coast Guard Medical Forms

New Versions of Coast Guard Medical Forms Are Now Available

We have reviewed the new Coast Guard Medical Forms and can say without question they are much better than the older version. Finally, as promised the Coast Guard National Maritime Center has improved the new “Evaluation of Fitness”  forms that are required for every mariner.

Entry-Level Merchant Seaman
Ordinary Seaman, Wiper and Food Handler — are NOT required to complete a physical examination, but they must have the agility, strength and flexibility to complete shipboard tasks as described on the new CG Medical Form CG-719K-E.

The New Merchant Mariner Evaluation of Fitness for Entry Level Ratings Form –  Download Here
The CG-719K-E form is only two pages long and can be completed by any Physician, Physician’s Assistant or Nurse Practitioner.

All Other Merchant Mariners
Applicants seeking an original, renewal or raise-in-grade credential are required to use the new CG-719K form. This CG medical form should be used by everyone EXCEPT the Ordinary Seaman, Wiper and Food Handler. Any physical completed on or after January 1st, 2010 must be on these new forms.

This new form Download Here better aligns with the Medical NVIC 04-08: Medical and  Physical Evaluation Guidelines for Merchant Mariner Credentials — From this link you can also download a copy of the NVIC 04-08, enclosure 3 – for your doctors  to better document any issued that is noted on your form. NOTE: The better supporting documents from your doctor, the faster your examination is reviewed and approved by the Medical Branch of the USCG NMC.

This new CG medical form addresses Body Mass Index (BMI). This new requirement states that a person having over a 40% BMI to show their doctor … So if you are concerned about your BMI, get an unofficial BMI estimate at this website link.

Note: If the examining medical practitioner doubts the applicants ability to meet hte guidelines contained in the tables and ALL applicants with a Body Mass Index (BMI) of 40.0% or higher, the practitioner is required to  the applicant to DEMONSTRATE the ability to meet the guidelines, i.e. the medical practitioner may utilize alternative measures to satisfy himself or herself that the applicant possesses the ability to meet the guidelines in the third column. A description of the methods utilized by the medical practitioner should be reported in Section IX.