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Required Medical Documents

Below please find all the health forms that MUST be completed and returned to us by May 1, 2014.

ONLY MAINE MARITIME ACADEMY FORMS WILL BE ACCEPTED. The U.S. Department of Homeland Security Merchant Mariner Credential Medical Evaluation Report is Maine Maritime Academy’s official physical examination and medical information form, regardless of major. Please make copies of the forms for your records before you return the originals to Health Services.

**Failure to successfully submit the required records on time may result in your inability to register at MMA, participate in Orientation, or select certain majors. DO NOT rely on the requirements accepted by your high school or other college.

If you have any questions, please do not hesitate to contact the Health Services Department directly. We are happy to assist you.

Susan C. McDonald, RN
Director of Student Health Services
Phone: 207-326-2295
Fax: 207-326-2129
E-Mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Required Forms & Notices
Emergency Treatment of a Minor Permission Form (1 page)
Immunization Form (1 page)
Medical Evaluation & Physical Examination Forms (9 pages)
Personal Information Form (2 pages)
Privacy Practices Notice(1 page)

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