Complete Cg Form 719b: A Step-By-Step Guide

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The CG Form 719B, also known as the U.S. Coast Guard's Medical Certificate form, is a crucial document that helps determine a mariner's fitness for duty. Whether you're a seasoned sailor or new to the maritime industry, understanding the process of completing this form is essential. In this article, we will guide you through the step-by-step process of filling out the CG Form 719B, highlighting key sections, and providing tips for a smooth submission.

Understanding the CG Form 719B

The CG Form 719B is a medical evaluation form required by the U.S. Coast Guard for mariners applying for a Merchant Mariner Credential (MMC). The form assesses a mariner's medical fitness to perform their duties safely and efficiently. The evaluation process involves a thorough review of the mariner's medical history, current health status, and any medical conditions that may impact their ability to perform their duties.

Step 1: Gathering Required Documents

Before starting the application process, ensure you have the following documents:

• A valid government-issued ID
• Proof of citizenship or lawful permanent residence
• A copy of your current MMC (if applicable)
• Medical records, including any relevant test results or diagnoses

Step 2: Completing Section 1 - Mariner Information

Section 1 requires basic information about the mariner, including:

• Name and contact information
• Date of birth and social security number
• Citizenship or lawful permanent residence status
• Current MMC number (if applicable)

Step 3: Completing Section 2 - Medical History

Section 2 delves into the mariner's medical history, including:

• Previous illnesses or injuries
• Current medical conditions
• Any surgeries or hospitalizations
• Medications currently being taken

It's essential to be thorough and accurate when completing this section, as any omissions or inaccuracies may impact the evaluation process.

Step 4: Completing Section 3 - Physical Examination

Section 3 requires the mariner to undergo a physical examination by a licensed medical professional. The examination should include:

• A review of the mariner's medical history
• A physical examination, including vital signs and a urinalysis
• Any additional tests or evaluations required by the Coast Guard

Step 5: Completing Section 4 - Vision Examination

Section 4 requires the mariner to undergo a vision examination, including:

• A visual acuity test
• A color vision test
• A peripheral vision test

The results of the vision examination should be recorded on the form.

Step 6: Completing Section 5 - Hearing Examination

Section 5 requires the mariner to undergo a hearing examination, including:

• A pure tone audiometry test
• A speech audiometry test

The results of the hearing examination should be recorded on the form.

Step 7: Submitting the Application

Once the form is complete, submit it to the Coast Guard along with any required supporting documentation. The Coast Guard will review the application and determine the mariner's medical fitness for duty.

Tips for a Smooth Submission

• Ensure all sections are complete and accurate
• Use clear and legible handwriting
• Include all required supporting documentation
• Submit the application well in advance of the expiration date of your current MMC (if applicable)

Conclusion

Completing the CG Form 719B requires attention to detail and accuracy. By following these step-by-step instructions, you'll be well on your way to a successful submission. Remember to stay calm, and don't hesitate to reach out to the Coast Guard or a medical professional if you have any questions or concerns.

We hope this guide has been informative and helpful. If you have any questions or would like to share your experiences with the CG Form 719B, please leave a comment below.