If there is no Company-approved Medical Provider in your country, you must determine if your country can issue maritime medical certificates.

Countries NOT allowed to issue medical certificates (without STCW or MLC Signatory Status:
Angola, Armenia, Austria, Belarus, Bhutan, Botswana, Cameroon, Costa Rica, Dominican Republic, Guyana, Haiti, Iraq, Kazakhstan, Kyrgyzstan, Lesotho, Macau, Macedonia, Moldova, Namibia, Nepal, North Macedonia, Paraguay, Republic of Taiwan, St. Lucia, Suriname, Swaziland, Uzbekistan, Zambia, and Zimbabwe.

• If your country is listed above, you should arrange to obtain/renew your medical at an approved provider in a neighboring country. You will be able to complete the new online process.
• If your country is NOT listed above, you may use the services of a physician/clinic familiar with maritime or occupational health medicals for your PEME/REME, and follow these steps:
1. Download and print Form A and B from RCLCrewTravel’s Crew Medical page and manually complete Form A,
2. Schedule and complete the medical exam with the chosen provider.
3. Send all completed medical forms and test results to PEME@rccl.com for final review and approval (an approval email will be required to join the ship).
4. Once approval is given, upload a copy of the email to ACT or C-TRAC together with the copy of the medical certificate at sea.