Seafarer identity
Name, passport/ID number, date of birth, nationality and contact details to verify the person examined and match crew lists.
A valid Malta Medical Certificate establishes a documented medical baseline for seafarers, helps meet flag-state and port-health requirements, and supports safe crewing decisions. It reduces ambiguity about fitness for duty and clarifies employer obligations when medical limitations exist.
The form is completed by an approved maritime medical practitioner and reviewed by employers, crewing managers, and port health authorities.
Keep a verified copy in the seafarer’s file and provide a certified copy to the seafarer for their records.
| Field | Configuration |
|---|---|
| Authentication Method | Email + SMS code or provider MFA for examiners |
| Signature Capture | Typed signature with audit trail or scanned handwritten signature |
| Document Format | PDF/A for long-term retention and portability |
| Storage Location | Encrypted cloud storage with access controls |
Use platforms that support secure PDF handling, audit trails, and legal e-signature standards when collecting or storing certificates.
Choose a platform with role-based access, retention controls, and the ability to produce an audit trail for compliance requests.
Name, passport/ID number, date of birth, nationality and contact details to verify the person examined and match crew lists.
Relevant chronic conditions, recent surgeries, medications, and allergies summarized to inform onboard safety and duty assignment.
Physical exam results plus vision, hearing, and any lab tests required to determine fitness for duty and medical restrictions.
Clear declaration stating 'fit for duty' or 'fit with restrictions', plus exact wording of any limitations or required accommodations.
Clinician name, licence number, clinic, signature and date to permit verification of the medical authority and its credentials.
Certificate issue and expiry dates, document version, and a unique record identifier to support tracking and renewal reminders.
Obtain prior to embarkation or as required by employer or flag.
Renew on expiry or after significant medical events.
Clinic processing varies; plan for several days for tests and reporting.
Provide certificate to crewing manager before boarding.
Update personnel files with new versions promptly.
Seafarer completes history and forms before clinical tests.
Examiner performs physical, vision, hearing, and required tests.
Examiner signs and dates the completed certificate.
Company confirms validity and records certificate in crew file.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A small crewing firm digitized medical intake to reduce turnaround time
A healthcare operator standardized clinician attestations and audit trails
A licensed maritime medical practitioner or similarly authorized clinician must complete the medical exam, attest to findings, and sign the certificate with licence or registration details for verification.
The seafarer provides history and consent; the employer or crewing agent verifies validity, retains a copy in the personnel file, and uses findings to assign duties.