SHC Forms
Forms/Immunizations required upon Admission, Due: May 3rd, 2022
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ONLINE HEALTH INSURANCE WAIVER - NOW OPEN FOR ACADEMIC YEAR 22/23
JCB Insurance Solutions Student Customer Service Line (707) 692-3043
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For more information regarding USCG Medical, Psychological & Physical Guidelines please view the NMC Merchant Mariner Medical Manual 08/2019.
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Two MMR/MMRV (Measles, Mumps, Rubella & Varicella), Polio vaccination history, TD/Tdap history & current vaccine within the last 10 years & TB (Tuberculin) Skin test within the last 1 year.
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Athletic Physical Forms (Pages 2 & 4 of Health Report)
Readmission Form
Employee Cruise Physical Forms
U.S. Coast Guard Physical Forms
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Merchant Mariner's Physical Exam Report (CG-719K)