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Pre-Employment Medical Examination (PEME) program

PEME Medical Forms

All seafarers are to provide a copy of the Club’s medical form to the Clinic at the commencement of the PEME.  The primary purpose of the form is: (1) to notify the Club-approved clinic that the PEME is to be performed to the Club’s standards; and (2) for the Club’s collation of statistics on the program.  It is not to be regarded as an alternative medical certificate to the formal documents required and issued by the Filipino or Ukrainian authorities.

In addition, the Club-approved clinics have been instructed to retain the original copy of the PEME medical forms should there be questions about the validity of a particular PEME.  The latest versions of the forms in question are attached.
 
Again, it is imperative that you instruct the seafarer and/or manning agent that these forms are to be presented to the clinic at the start of the PEME so the clinic will perform the appropriate tests and examinations as requested by the Club.
 
The relevant forms are attached.  Please be advised that there are separate forms for each individual country.
We would like to thank all Members for your support on the Club’s PEME program.  It is you that makes the program successful.
 

Further information

For further information regarding the Club’s PEME program, please contact Dr. William Moore, Vice President, Loss Prevention and Risk Control for the Shipowners Claims Bureau at +1 212 847 4542 or william.moore@american-club.com.


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