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Student Health Services Forms
Forms/Immunizations required upon Admission, Due: May 1st, 2014
- Online Medical Insurance Fee Waiver - NOW OPEN!!
- CMA Health Report
- For more information regarding USCG Medical, Psychological & Physical Guidelines please view the NVIC Standards (Navigational Vessel Inspection Circular) 2008: 04-08.
- Hepatitis B Immunization Requirements (AB 1107)
- Meningococcal Disease and Immunization (AB 1452)
- Two MMR/MMRV (Measles, Mumps, Rubella & Varicella), Polio vaccination history, TD/Tdap history & current vaccine within the last 5 years & TB Skin test within the last 6 months.
- Abridgement of Drug Testing Form
- Athletic Physical Forms (Page 4 of Health Report)
Employee Cruise Physical Forms
U.S. Coast Guard Physical Forms
- Merchant Mariner's Physical Exam Report (CG-719K)
- Merchant Mariner's Certification of Fitness for Entry Level Ratings (CG-719K/E)