{"id":315,"date":"2014-09-04T18:34:44","date_gmt":"2014-09-04T18:34:44","guid":{"rendered":"http:\/\/mainemaritime.edu\/student-life\/?page_id=315"},"modified":"2026-03-03T14:20:49","modified_gmt":"2026-03-03T14:20:49","slug":"required-medical-documents","status":"publish","type":"page","link":"https:\/\/mainemaritime.edu\/student-life\/health-and-counseling-services\/required-medical-documents\/","title":{"rendered":"Required Medical Documents"},"content":{"rendered":"<h1>Required Medical Documents<\/h1>\n<p>Thank you for completing the following health forms! Once you have read through and filled in each form, please submit them to the Health Services Office by email.<\/p>\n<p>Failure to successfully submit the required records may result in your inability to register at MMA, participate in Orientation, or select certain majors.<\/p>\n<p>Only Maine Maritime Academy forms will be accepted.<b>\u00a0<\/b>The U.S. Department of Homeland Security Merchant Mariner Credential Medical Evaluation Report is Maine Maritime Academy\u2019s official physical examination and medical information form, regardless of major. Please make copies of your forms for your records before you return the originals to Health Services.<\/p>\n<p>If you have any questions, please do not hesitate to contact the Health Services Department directly. We are happy to assist you!<\/p>\n<p>Tammy Tyler, RN, ASN<br \/>\nDirector of Student Health Services<br \/>\nPhone: 207-326-2295<br \/>\nFax: 207-326-2129<br \/>\nEmail:\u00a0<a href=\"mailto:tammy.tyler@mma.edu\">tammy.tyler@mma.edu<\/a> or <a href=\"mailto:healthservices@mma.edu\">healthservices@mma.edu<\/a><\/p>\n<h3>Required Forms &amp; Notices<\/h3>\n<ul>\n<li><a href=\"https:\/\/mainemaritime.edu\/student-life\/wp-content\/uploads\/sites\/5\/2014\/09\/EmergencyTreatMinors.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Emergency Treatment of a Minor Permission Form<\/a>\u00a0(1 pg)<\/li>\n<li><a href=\"https:\/\/mainemaritime.edu\/student-life\/wp-content\/uploads\/sites\/5\/2020\/09\/Immunization-Form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Immunization Form<\/a>\u00a0(1 pg)<\/li>\n<li><a href=\"https:\/\/mainemaritime.edu\/student-life\/wp-content\/uploads\/sites\/5\/2026\/03\/CG-719K-Med-Cert-Form.pdf\">Medical Evaluation &amp; Physical Examination Form (CG719K)<\/a><\/li>\n<li><a href=\"https:\/\/mainemaritime.edu\/student-life\/wp-content\/uploads\/sites\/5\/2014\/09\/PersonalInfo.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Personal Information Form<\/a>\u00a0(2 pgs)<\/li>\n<li><a href=\"https:\/\/mainemaritime.edu\/student-life\/wp-content\/uploads\/sites\/5\/2014\/09\/PrivacyNotice.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Practices Notice<\/a>\u00a0(1 pg)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Required Medical Documents Thank you for completing the following health forms! Once you have read through and filled in each form, please submit them to the Health Services Office by email. Failure to successfully submit the required records may result in your inability to register at MMA, participate in Orientation, or select certain majors. Only [&hellip;]<\/p>\n<a href=\"https:\/\/mainemaritime.edu\/student-life\/health-and-counseling-services\/required-medical-documents\/\"> Read More...<\/a>","protected":false},"author":1,"featured_media":0,"parent":307,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"healthandcounseling.php","meta":{"footnotes":""},"class_list":["post-315","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Required Medical Documents - Student Life<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/mainemaritime.edu\/student-life\/health-and-counseling-services\/required-medical-documents\/\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Required Medical Documents - Student Life\" \/>\r\n<meta property=\"og:description\" content=\"Required Medical Documents Thank you for completing the following health forms! Once you have read through and filled in each form, please submit them to the Health Services Office by email. Failure to successfully submit the required records may result in your inability to register at MMA, participate in Orientation, or select certain majors. 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Once you have read through and filled in each form, please submit them to the Health Services Office by email. Failure to successfully submit the required records may result in your inability to register at MMA, participate in Orientation, or select certain majors. 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