SHC Forms
Health Forms & Immunizations required upon Admission
WELCOME to Cal Maritime!
-
Health Insurance Waiver - NOW CLOSED for Academic Year '23-'24
JCB Insurance Solutions Student Customer Service Line (707) 692-3043
Health Forms for students admitted into:
Health forms will be accepted by the following modes of transmission:
-
- Hard copies via USPS or other service
- Fax to: 707.654.1171 (secure fax to health center)
- Photographed forms will NOT be accepted.
- Business Administration - International Business and Logistics
- Global Studies & Maritime Affairs
- Facilities Engineering Technology
- Marine Engineering Technology*
- Marine Transportation*
- Mechanical Engineering - General Option
- Mechanical Engineering - License Option*
- Oceanography
*For more information regarding USCG Medical, Psychological & Physical Guidelines please view the NMC Merchant Mariner Medical Manual 08/2019.
Immunizations:
- Hepatitis B Immunization Requirements
- Meningococcal Disease and Immunization
- MMR/MMRV (Measles, Mumps, Rubella & Varicella)
- Polio vaccination history
- TD/Tdap (Tetanus) series & current booster within the last 10 years
- Tuberculosis Screening within the last year
Sports Physical Forms
-
Athletic Physical Forms (Pages 2 & 4 of Health Report)
Readmission Form
Employee Cruise Physical Forms
U.S. Coast Guard Physical Forms
-
Merchant Mariner's Physical Exam Report (CG-719K)