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Summer is just around the corner and if you intend to operate within Florida’s waterways during summer, there’s nothing more important than sorting out your medical documents. The CG-719K Florida process, which applies whether you’re a brand new applicant for a Merchant Mariner Credential or a seasoned captain who needs to renew his credentials, often leaves candidates with many unanswered questions. Just what is the CG-719K? How expensive is it going to be? And what do you do when something comes back flagged?
With us, you get all of the answers to these questions and more.
What Is a USCG Medical Certificate (CG-719K), and Do You Actually Need One?
This means that the CG-719K is the actual physical examination form that the U.S. Coast Guard uses to determine the medical eligibility of a mariner for the Merchant Mariner Credential (MMC). In other words, it is the document completed by the examiner after a physical examination performed by a licensed medical provider in Florida.
You need one if you:
- Are applying for or renewing a Merchant Mariner Credential (MMC)
- Hold or are seeking an officer endorsement (including captain or mate)
- Operate vessels as part of a commercial operation in U.S. waters
- Are required by your employer or the USCG to demonstrate medical fitness for duty
The requirement can be traced to 46 CFR Part 10 Subpart C, wherein the medical and physical requirements that mariners should have are defined. If you’re unsure whether your credential requires a CG-719K, consult the NMC guidance or speak with a qualified examiner.
Who Can Perform a Mariner Medical Exam in Florida?
The exam must be completed by a licensed healthcare provider, physician, physician assistant, or nurse practitioner, who is familiar with USCG medical standards.
At Sea Medicine in Clearwater, Florida, Dr. Auren Weinberg MD with over 25 years of medical experience also has extensive experience performing Coast Guard medical examinations. He brings deep familiarity with Coast Guard requirements, which means your exam is done right the first time. We also serve mariners in West Palm Beach, FL, and surrounding areas across the state, making it convenient for applicants throughout Florida.
Step-by-Step: How to Get Your USCG Medical Certificate in Florida
Step 1 – Download and Complete the CG-719K Form Before Your Appointment
Even before coming in for your examination, you’ll have to complete your part of the CG-719K form. It is the physical examination form, and Section I is done by the applicant.
You must complete:
- Full legal name, date of birth, and applicant identification as required by the current CG-719K revision (verify SSN or reference number requirements against the latest form version from the NMC website)
- Merchant Mariner Credential number (if you have any)
- Medical history that includes previous surgery, diseases, prescription drugs used, and psychological health information
- Credential/endorsement for which you are applying
Please be as accurate and truthful in filling this out because failure to include any condition can result in certificate denial.
Step 2 – Schedule Your Mariner Physical Exam in Florida
Once your form is ready, book your appointment with a qualified Marine Medical Examiner. If you’re searching for a mariner physical exam in Clearwater, FL, West Palm Beach, or the broader Florida area, Sea Medicine offers appointments with Dr. Weinberg, who is experienced specifically with Coast Guard certification.
When scheduling, let the office know:
- What credential or endorsement you’re pursuing
- Any pre-existing conditions the examiner should be aware of
- Whether you need a same-day or expedited appointment
Step 3 – Attend Your Coast Guard Physical Exam
On the day of your appointment, the examiner will complete the clinical portions of the CG-719K. A standard Coast Guard physical exam in Florida includes:
Examination Component | Details |
Vision testing | Distance acuity, color vision, peripheral vision |
Hearing assessment | Standard audiometric testing |
Cardiovascular evaluation | Blood pressure, heart rate, EKG if indicated |
Neurological screening | Basic motor and reflex assessment |
Musculoskeletal review | Range of motion, functional capacity |
General health review | Height, weight, BMI, respiratory function |
Medical history review | Cross-referencing your CG-719K disclosures |
The exam typically takes 45–90 minutes depending on your health history and whether any additional testing is warranted.
Once Dr. Weinberg has completed and signed the CG-719K, the mariner is generally responsible for submitting the form to the National Maritime Center through the designated submission process. If everything meets USCG standards, you’ll receive a medical certificate either directly or via the NMC’s processing timeline.
If any condition requires further review, the NMC may request additional documentation or a specialist evaluation. This is a deferral, not a denial and it’s more common than most people think.
Step 5 – Submit Your Medical Documentation Through the NMC Portal
As of 2025–2026, the NMC supports electronic medical document uploads, which is now a standard part of the application workflow. Rather than mailing physical paperwork, most mariners can submit their completed CG-719K and any supporting documentation through the NMC’s official online portal
When submitting electronically:
- Ensure all pages of the CG-719K are signed and legible before scanning
- Include any required specialist reports or lab results referenced during your exam
- Retain copies of everything submitted for your own records
If you are unsure whether your situation requires electronic or mail-based submission, the NMC’s mariner licensing helpdesk can clarify the current process.
What Does a Mariner Medical Exam in Florida Actually Cost?
The USCG medical exam cost in Florida varies based on the examiner and the depth of evaluation required. Here’s a general breakdown:
Service | Estimated Cost Range |
Standard CG-719K exam | $150 – $350 |
Exam with additional cardiac or pulmonary testing | $250 – $500+ |
Follow-up or specialist referral | Varies |
NMC processing fee | Free (no charge for CG-719K submission) |
Sea Medicine offers transparent pricing, you won’t face surprise add-ons. Call ahead to confirm current rates and what’s included.
Medical exam fees are set by individual providers and are not regulated by the USCG. The ranges above reflect typical market rates in Florida and are subject to change.
What Does a Mariner Medical Exam in Florida Actually Cost?
This is one of the most searched questions. It depends on the condition, its severity, how well it’s managed, and what credential you’re seeking.
The USCG does not automatically disqualify mariners for having a medical condition. Instead, they evaluate whether the condition affects your ability to safely perform your duties at sea. NVIC 04-08 provides detailed guidance on this.
- Cardiovascular conditions – coronary artery disease, arrhythmias, recent cardiac procedures
- Seizure disorders – epilepsy or any seizure history, particularly within the past two years
- Diabetes mellitus – especially insulin-dependent diabetes
- Mental health diagnoses – depression, anxiety, bipolar disorder, PTSD (assessed case by case)
- Substance use history – alcohol or drug dependency within the previous three years
- Vision impairment – uncorrected acuity below USCG thresholds
- Hearing loss – failing to meet minimum audiometric standards
A condition appearing on this list doesn’t automatically mean denial. Dr. Weinberg understands Coast Guard requirements deeply and, when needed, can refer you to specialists experienced in working with mariners and familiar with USCG evaluation standards which makes a meaningful difference in how your case is reviewed.
How Long Is a USCG Medical Certificate Valid?
This is straightforward but important. How long a USCG medical certificate is valid depends on the type of certificate issued and whether any medical limitations apply :
Certificate Type | Validity Period |
National Medical Certificate | Up to 5 years |
STCW Medical Certificate | Generally 2 years |
Time-limited certificate (medical review) | 1–2 years |
If your certificate is approaching expiration, the NMC recommends submitting your renewal application, including a fresh medical exam at least 90 days in advance to avoid gaps in your credential.
Do You Need a New Medical Exam to Renew or Upgrade Your Captain's License?
A valid CG-719K medical card is required for renewals and upgrades. However, the need for a physical exam renewal is only required if the current medical certificate is in a state of expiry or inactive when your MMC application is approved through the National Maritime Center (NMC).
If your medical certificate is due to expire at the time of applying and you are required to take a fresh exam.
In the case of upgrading your credential (for instance, changing from a six-pack licence to 100-ton Master) a new physical isn’t necessarily required. It’s dependent on the condition of your medical certificate to ensure it is valid and satisfies the requirements of the upgraded credential.
Is a Drug Test Part of the USCG Medical Exam?
That said, your examiner will review your disclosed substance use history as part of the medical evaluation. Honesty remains essential.
Mariner Physical in Kissimmee, Clearwater, and West Palm Beach - What Are Your Options in Florida?
Florida has a handful of qualified Marine Medical Examiners, but access varies significantly by region. If you’re looking for a mariner physical exam in Kissimmee, FL, or anywhere in Central Florida, proximity to an experienced examiner matters – especially if your case involves complex medical history.
Sea Medicine serves mariners across Florida with locations accessible to those in the Clearwater and West Palm Beach corridors. Dr. Weinberg’s background in both Sea Medicine and marine certification means he’s familiar with the nuanced, multi-system evaluations these exams demand. Walk-in appointments may be available depending on scheduling, calling ahead is always the better move.
What Happens If Your Medical Certificate Is Denied or Deferred?
A deferral by the NMC indicates that they require further information prior to taking action. This could involve a specialist’s report, laboratory results, or a treatment plan prepared by your doctor. It is not a final no.
An outright denial can be appealed. The NMC’s appeals process allows mariners to submit additional documentation or request a formal review. Dr. Weinberg and the team at Sea Medicine can help guide you through that process including connecting you with specialists who know how to frame their reports in the context of USCG standards.
How Is a USCG Mariner Physical Different From a Regular Doctor's Physical?
A standard annual physical at your primary care provider and a merchant mariner medical certificate exam are not the same thing.
- Regulatory framework – The CG-719K follows specific USCG standards (46 CFR Part 10, NVIC 04-08), not general wellness guidelines
- Scope of evaluation – Color vision, hearing thresholds, and cardiovascular fitness are assessed against federal benchmarks, not population averages
- Form-based documentation – The examiner must complete an official federal form submitted to the NMC, not just chart notes
- Credential-specific criteria – Different endorsements (officer vs. rating vs. STCW) have different medical thresholds
- Consequence – Findings affect federal licensing, not just personal health
Even your regular doctor could be doing a great job, but without proper knowledge of USCG requirements, they might fail to identify any aspect or write findings that will subject them to closer examination.
You may check out USCG National Maritime Center (dco.uscg.mil) for more information.
What's New for Mariners in 2026?
- Continued use of electronic submission systems
- Current NMC processing recommendations
- Reminder to use the latest CG-719K revision
- Current medical certification workflow
Frequently Asked Questions
What is a USCG medical certificate (CG-719K) and who needs one?
The CG-719K form is the only physical exam report necessary when filing an application for a new MMC or renewal of your current MMC. As a commercial boat operator, you will need a USCG physical exam conducted by a Florida physician before your new license can be approved.
How do I fill out the CG-719K form correctly before my appointment?
Print off the CG-719K application from the NMC website and fill out Part I in its entirety. This should include your legal name, applicant identification information required on the current CG-719K revision, your MMC number (if applicable), and your medical history. The clinical portion will be filled out by your examiner at your examination.
What medical conditions can disqualify you from a USCG medical certificate?
Not all conditions exclude you automatically. The USCG looks into how well the condition is being controlled and if it interferes with performing job responsibilities. The most scrutinized ones tend to be epilepsy, insulin-dependent diabetes, heart rhythm disturbances, and a drug history. An experienced physician might advise you on your case beforehand.
How long is a USCG medical certificate valid in Florida?
Validity depends on your certificate type. National Medical Certificates are valid up to 5 years, STCW certificates generally 2 years, and time-limited certificates 1–2 years based on medical review. Pilot credentials may have different periods under current regulations.
What should I bring to my mariner medical exam appointment?
Please bring the following:
- Your CG-719K form
- A photo ID issued by the government
- Medications list
- Medical condition details if any (Lab reports/Letter from specialists)
- MMC, if any
- Corrective glasses, if any
How much does a Coast Guard medical exam cost in Florida?
The price range of a medical exam by USCG in Florida varies between $150 and $350. Extra charges may apply for further tests such as cardiovascular, respiratory, or specialist ones. The cost for these services will be given upfront at Sea Medicine.
Can I get a same-day or next-day USCG physical in Florida?
Availability varies, but Sea Medicine does accommodate expedited appointments when scheduling allows. Call ahead to check – don’t assume walk-in availability, especially during peak boating season.
What happens if my mariner medical certificate is denied or deferred?
Deferral implies that the NMC requires more information; it does not imply denial. Denial can be appealed formally with medical evidence. Dr. Weinberg will be able to assist you in making the necessary referral to specialists as well as document your case appropriately to NMC.
Do I need a new medical exam to renew or upgrade my captain's license in Florida?
Yes. Any MMC renewal or upgrade requires a current, valid CG-719K on file with the NMC. Begin the medical process well before your credential expiration date to avoid gaps.The NMC recommends beginning the medical process at least 90 days before your certificate expires.
Is a drug test required as part of the USCG medical exam, or is it separate?
Drugs tests occur outside of the examination process for CG-719K. These take place usually in line with 46 CFR Part 16, but not in relation to the medical certification. Nonetheless, the substance abuse history of the candidate will be included in the medical evaluation done by the examiner.
Does Sea Medicine accept walk-in mariner physicals in Clearwater or West Palm Beach?
Walk-ins may be available depending on the schedule, but booking an appointment is strongly recommended – especially during busy seasons. Contact Sea Medicine directly to confirm availability at either location.
How is a USCG mariner physical different from a regular doctor's physical?
Unlike a routine wellness exam, the CG-719K Florida physical follows strict federal standards under 46 CFR Part 10 and NVIC 04-08. It tests color vision, audiometric thresholds, and cardiovascular fitness against credential-specific benchmarks and the completed form becomes part of the mariner’s submission to the National Maritime Center. It requires an examiner who knows USCG requirements, not just general medicine.
Ready to Get Your USCG Medical Certificate in Florida?
At Sea Medicine, Dr. Auren Weinberg MD makes the CG-719K process as clear and stress-free as possible. With over 25 years of medical experience and deep knowledge of Coast Guard certification requirements, he’s here to support you from your first question to your final certificate – including referrals to specialists when needed. Whether you’re based in Clearwater, West Palm Beach, or anywhere across Florida, the team is ready to help.
Contact Sea Medicine at (727) 648-2402 or aweinberg@medavex.org, to schedule your appointment or ask any questions about your upcoming exam. Getting certified shouldn’t be a guessing game – and with the right examiner, it won’t be.
