For your RCL Marine Medical Exam, please bring the following: Your RCL Client ID number A valid government-issued photo ID - Passport, driver's licence Any prescription glasses. Please do not wear contact lenses, as vision must be checked without prescription lenses. Your current or previous Marine Medical Certificate, if available A list of any current medications and relevant past medical history Your vaccination history, with particular attention to MMR (Measles, Mumps, and Rubella) immunization status. Any medical documentation you believe should be included with your application.

The current fee for the RCL Marine Medical Examination (MME) is $499 CAD + GST which covers the medical review and examination. This fee does not include the cost of laboratory tests or any additional investigations that may be required.

During the exam, a full review of your clinical and medical history will be completed, followed by a comprehensive physical examination, including visual acuity and colour vision testing. Any test results or investigations you bring with you will be reviewed as part of the assessment. Please dress appropriately to allow examination of all required areas.

Yes. You must complete Form A of your medical examination before your appointment date. You should receive an email from riskonnect@rccl.com with a link and login instructions to complete the form online. If you are unable to complete it online, you must bring completed paper copies to your appointment.

Possibly. Depending on your role and examination findings, you may be required to: Undergo additional testing Submit further medical information or documentation

Forms Form A – completed by applicant, with comments by examining physician Form B – completed by physician Medical Certificate – completed by physician Blood & Lab Tests CBC (complete blood count) Metabolic chemistry: glucose, BUN, creatinine, uric acid, ALT, AST, HDL, LDL, total cholesterol, triglycerides Hemoglobin A1C GFR (glomerular filtration rate) Urinalysis Infectious Disease Screening Hepatitis A – Anti-HAV IgM Hepatitis B – HBsAg Hepatitis C – Anti-HCV Syphilis – RPR, VDRL, or TPHA HIV CD4 / Viral load if HIV positive Drug & Imaging Tests Urine drug screen: benzodiazepines, amphetamines, cocaine, opiates (methadone, morphine, PCP) Chest X-ray – report only ECG Vaccinations/Immunity MMR – proof of vaccination or immunity Yellow Fever – TUI crew only Rubella – TUI crew only Other Requirements Stool Ova & Parasite (Food & Beverage department only) Audiogram (if marine exam or whisper test abnormal) Thyroid studies if history of thyroid disease Specialist reports (back/orthopedic, psychiatric, or other conditions, if applicable)

If a health abnormality is identified that could impact safe duties at sea, additional clarification and supporting documentation from your treating physician or specialist will be required to determine medical fitness for sea service. This requirement is mandated to ensure your safety and the safety of others.

If you do not have recent copies (within the past 6 months) of all required investigations: Your assessment will require two separate visits on different days You will be given requisition forms to complete laboratory testing, ECG, and chest X-ray It may be helpful to speak with your own doctor ahead of time to arrange these tests.

Please allow sufficient time before your planned employment start date, as: Additional tests Further documentation Follow-up visits may be required before your application can be completed.

Approval timelines are case dependent and largely depend on how the examination proceeds and whether any medical issues are identified. If your examination is normal and you are deemed medically fit, your application is typically approved by RCL immediately, provided that Form A of the medical examination has been submitted online. Applications done on paper, rather than online via RCL Riskonnect, must be mailed in and therefore may result in processing delays. If any concerns arise, additional review or documentation may be required, which can also delay approval.

If all required additional examinations, test results, and documentation are completed and brought with you to your initial appointment, a separate follow-up appointment is not required. However, if any information or investigations are missing or need to be completed after the initial visit, a separate follow-up appointment will be necessary. This follow-up appointment is included in the original fee unless extenuating circumstances apply or a significant amount of additional work is required. Additional testing can be completed at a laboratory located in the same building, which is open Monday to Friday from 9:00 am to 5:00 pm, or at a laboratory of your choice. Test results are typically reported within 24–48 hours.

In general, test results are acceptable if they were completed within the past 6 months. However, acceptability is ultimately case dependent and may vary based on the type of test and individual medical circumstances.

Yes. If test results are not in English, an official certified translation is required, and the results must be from a verified laboratory. If you are unsure whether your documents meet these requirements, you may email us a copy of the results in advance and we can confirm acceptability.

Not necessarily. Medical certification is not based on a diagnosis, weight, or BMI alone. The assessment considers the nature of the condition, its stability, any treatment required, the risk of sudden incapacitation, and your ability to safely perform your routine duties and emergency responsibilities at sea.Each case is assessed individually, and it is not possible to determine medical fitness without completing the examination and reviewing the relevant medical information. If you have a significant medical condition (including heart disease, diabetes, sleep apnea, neurological conditions, or obesity), please provide any relevant specialist reports, test results, medication lists, and other supporting documentation before your appointment. Having this information available helps avoid delays and allows for a more accurate assessment. Additional testing or documentation may sometimes be required depending on your medical history and risk factors. Any such requirements are determined on a case-by-case basis and cannot be confirmed before the examination.

In many cases, follow-up testing, specialist consultations, laboratory work, or diagnostic imaging can be completed closer to your home, with the results forwarded to our office for review. Whether an in-person follow-up is required depends on the specific circumstances and the information needed to complete your assessment. Many cases can be managed through review of medical records and test results, while others may require an additional appointment. If further information is needed after your examination, we will discuss the requirements with you and work to minimize unnecessary travel whenever possible. However, we cannot guarantee that additional travel or in-person assessments will not be required, as this depends on the findings of your examination, any subsequent medical information received, and the requirements of the certifying authority. Please note that medical certification cannot be finalized until all required information has been received and reviewed.

There is no specific minimum number of days required between your medical examination and any required laboratory testing. In many cases, laboratory tests can be completed before or shortly after your appointment. In many cases, laboratory tests completed within the previous 6 months are acceptable, provided they remain relevant to your medical condition and meet the requirements of the examination. However, your medical certificate cannot be finalized until all required test results have been received and reviewed. Processing times vary depending on the laboratory, the tests ordered, and whether any additional investigations are required. To help avoid delays, we recommend completing any requested laboratory work as soon as possible and ensuring results are sent directly to our office. If you are travelling a long distance for your examination, you may wish to complete any available testing in advance whenever possible.

The physical examination is similar to a routine medical examination and is designed to assess your overall fitness for work at sea. Depending on your age, medical history, and occupational requirements, the examination may include: Measurement of height, weight, and blood pressure Vision testing, including colour vision testing Hearing assessment Physical examination of the heart, lungs, abdomen, and nervous system Assessment of mobility, strength, balance, and coordination Review of medications, medical history, and any ongoing health conditions Additional testing or assessments may be required depending on your medical history, examination findings, or the requirements of the certifying authority. The exact scope of the examination varies from person to person, and the examining physician will determine what is necessary to assess your fitness to safely perform your duties and respond to emergencies at sea.