Form

Approved doctor application form

Application form to become a Maritime and Coastguard Agency (MCA) approved doctor.

• From: Maritime and Coastguard Agency
• Published: 6 May 2014
• Last updated: 7 August 2023 — See all updates

Documents

Application to conduct seafarer medical examinations as an MCA approved doctor (MSF 4111)

Ref: 08/23

PDF, 54.3 KB, 4 pages

Details

For doctors wishing to become MCA approved for carrying out seafarer medical examinations.

Published 6 May 2014
Last updated 7 August 2023 + show all updates

1. 7 August 2023

   Revised MSF4111 - Approved Doctor Application Form v0823

2. 30 November 2021

   Updated application to conduct medical examinations MSF 4111 rev1121.

3. 6 May 2014

   First published.