Step 1: Read and consent to our Privacy Policy

By clicking on the I AGREE & GIVE MY CONSENT button, I agree with the statements below and consent that my personal information is used as indicated in the Medical Screening Form Privacy Policy:

I have read the above Medical Screening Form Privacy Policy and consent to the collection, use, sharing, and storage of my Medical Screening Form for the purpose of review prior to embarkation. By submitting the Medical Screening Form, I agree that my data is recorded and processed for the purpose of review prior to embarkation at Vikand Medical Solutions until the end of the voyage or up to 7 years if medical assistance is given.

This consent can be withdrawn at anytime by submitting a written request to

By clicking on the I DISAGREE button, applicant does not consent to access to their personal information and will not continue further with the Medical Screening Form upload.

Step 2: Complete the Medical Screening Form

Complete form

Step 3: Schedule an appointment

Option 1: Schedule your appointment with a Vikand doctor (recommended)

Vikand's doctors are available to schedule an online review of your medical screening form at your convenience. You need a smartphone or computer with camera and audio capability. The service fee is $150 per form, which will be added to your onboard account.

Option 2: Provide the online form to your doctor

Please share the link in your submission confirmation email with your local doctor

Option 3: Provide the written form to your local doctor

Please download and print the PDF in your confirmation email and provide it to your local doctor

Step 4: Attend your consultation

If you have booked an online consultation with a Vikand doctor, simply click on the link in the consultation confirmation email at the scheduled time to begin the online consultation. Your assigned Vikand Doctor will complete the form online.

If you have shared the link in your submission confirmation email with your local doctor, they will be able to access the form online by clicking the link.

If you have provided a hard copy of the form to your local doctor to fill out by hand, please scan the completed form and upload it here:

Upload Form