Published on Australian Maritime Safety Authority (https://www.amsa.gov.au)

Medical examination report

Overview

You can use this form to complete a medical examination report.

Submitting the form

Original copy of this report is to be forwarded by the medical inspector to Sonic HealthPlus Seafarer admin team after the examination is completed.

The medical inspector should retain a copy for record purposes for a period of at least 30 years.

A copy may be given to the applicant for their records if requested.

Lodging from overseas

You will need to fill out the Seafarer form 419, attach all required supporting documents and send the paperwork to us at our postal or courier address:

• Postal address – Australian Maritime Safety Authority Seafarer Certification Service, Operations GPO Box 2181 Canberra City ACT 2601 Australia
• Courier address – Australian Maritime Safety Authority Seafarer Certification Service, Operations 82 Northbourne Avenue Braddon ACT 2612 Australia

You will need to include payment with your application.

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