All Necessary Forms

1. Registration Form
As of January 1, 2024, Registration forms are being incorporated into Occudocs medicals.
Please download, print and fill-out the “Registration Form” on the FORMS page of the website:
www.occudocs.org
Bring this completed and signed form with you to the appointment. Thanks!

2. X-ray Referral Form

3. SAUHMA Dive Medical Application
The SAUHMA Dive Medical is IMCA approved. It can only be performed by a Diving Medical Officer.
Recent legislation requires that DMO’s all have a Diploma in Occupational Medicine.

Please click on the link below and fill out the SAUHMA diver questionnaire.
https://www.sauhma.org/dive-medical

If you prefer to print and fill out, below is PDF for the SAUHMA Dive Medical Report

4. OGUK Offshore Medical Application
Please download and print the attached document and fill-in and sign pages 1, 2 and 3.

5. Civil Aviation Authority
Medical Application Form
Please download and print attached document, fill-in and sign.

6. SAMSA Annex 17 form
Candidates applying for a National Small Vessel Certificate of Competency are required to show that
they are of sound mental health and are physically fit.
Please download and print attached document, fill-in and sign.

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