Templates › Forms › SEO page

Run: Cruise Ship Medical Waiver and Fitness to Travel Form

Use this cruise ship medical waiver and fitness to travel form to collect the health details, medications, and travel-readiness acknowledgments needed before...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Consent and Submission Notice

I consent to the collection and review of the medical information I provide for travel safety and care planning. (required)

Yes No N/A

I confirm that the information provided is accurate and complete to the best of my knowledge. (required)

Yes No N/A

I understand that additional documentation or follow-up may be required before travel is approved. (required)

Yes No N/A

What happens after I submit?

Your submission will be reviewed by the appropriate cruise medical or guest services team. The information will be used only for travel safety, accommodation planning, and any required follow-up. If needed, you may be contacted for clarification or additional documentation.

Guest and Booking Information

Full Name (required)

Booking Reference (required)

Date of Birth

Collect only if needed to match the waiver to the reservation or medical record.

Email Address (required)

Phone Number (required)

Departure Date (required)

Medical Condition Disclosure

Do you have a medical condition that may affect your ability to travel safely? (required)

Medical Condition or Diagnosis

If yes, briefly describe the condition and any travel-related limitations.

Have you been hospitalized, treated in an emergency department, or had a major medical event in the last 6 months? (required)

Recent Treatment or Event Details

Provide the date, reason, and current status if applicable.

Treating Physician and Medication Information

Treating Physician Name

Treating Physician Phone Number

Treating Physician Email

Current Medications

List medications relevant to travel safety, including dosage and frequency if needed.

Medication Allergies or Adverse Reactions

Emergency Contact and Travel Readiness

Emergency Contact Name (required)

Relationship to Guest (required)

Emergency Contact Phone Number (required)

I acknowledge that I am fit to travel, or I have disclosed any limitations that may affect my ability to travel safely. (required)

Yes No N/A

Additional Comments

Use this field for any other information relevant to travel safety or medical review.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Generated with MangoApps Templates — browse 250+ free