Apply for your Medical Certificate

Follow the steps below to complete your medical certificate application

Step 1: Download and Fill out medical Form CG-719K/E and drug test Form CG-719P
- Download the Form CG-719K/E (Medical Examination Report) and drug test from
Step 2: Schedule and complete Medical Exam and Drug Test
- Find nearby clinic that can complete DOT or USCG physicals (Google search "USCG or DOT Physical Near Me")
- Bring the CG-719K/E and CG-719P form to your appointment.
Step 3: Complete the Medical Exam and Drug Test
- The doctor will evaluate your:
  - Vision and hearing.
  - Physical fitness (e.g., mobility, strength, and cardiovascular health).
  - Mental health and cognitive abilities.
- The doctor will complete and sign the CG-719K/E and CG-719P form.
Step 4: Submit the completed CG-719K/E form ONLY to the USCG National Maritime Center (NMC) online or by mail.
- Online (preferred method): Email scanned application as a PDF to MEDAIP@uscg.mil
  - Subject line of email: Last name, First name
- Mail: Send to the NMC address listed on the form.
Step 5: Keep CG-719P (Drug test form) separate. It will be submitted with MMC Application separately

Q: What is a TWIC card?

A security ID for accessing secure areas of ports and ships.
Q: How do I get a TWIC card?

Apply through the TSA, complete a background check, and pay a fee.
Q: Who needs a TWIC card?

Maritime workers, truckers, and others needing unescorted access to secure port areas.
Q: How much does it cost?

$124 for new applicants (valid for 5 years).
Q: What’s the wait time?

Usually 2-3 weeks after your in-person enrollment appointment.
Q: How long is it valid?

5 years.

Have Questions or Need Help?

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