YEHS - CRUISE LINES

YEHS - CRUISE LINES PEME FORM

YOUR DETAILS
Name

Given NameFamily Name
Initials
Birth Date (day month year)

DayMonthYear
Day Month Year
Place of Birth
Gender Assigned at Birth
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000000000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Seamans Book No
Vessel
Crew ID No
It is VERY IMPORTANT that you provide this information. If you do not have it, please let us know via yehs@yourexcellenthelath.org / +44 (0)20 7580 5467 or inform the Medical Administrator on the assessment day.
Employee ID No
It is VERY IMPORTANT that you provide this information. If you do not have it, please let us know via yehs@yourexcellenthelath.org / +44 (0)20 7580 5467 or inform the Medical Administrator on the assessment day.
Crew Position
Passport No
Nationality
City of Residence
Country of Residence
Emergency Contact Person
Emergency Contact Number
If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org
advisehiddencxrRCXA
addresshidden
royal

YEHS - CRUISE LINES PEME FORM
Which Cruise Line PEME are you having?
Tests Include
Contract?
If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org

ROYAL CARIBBEAN GROUP PEME

FORM
Hello,

Before you go ahead with filling this form, you must have filled your FORM A on RiskConnect.

FORM A: https://riskonnectrcl.my.site.com/EHR/s/peme
Are you a Perfect Destination employee (CocoCay, Labadee, and Perfect day Mexico).?
Perfect Destination and Regular Crews have different FORM As. Please confirm you have filled the right Form A for your category?
When did you fill Form A?

DayMonthYear
Date
Please give the reason why you have not filled your FORM A.

Other
YES
YES
CONSENT FORM
CONSENT FORM
advisehiddencxrrccl
NO
NO
If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org

YEHS - CRUISE LINES PEME FORM

Your Vaccination History
Measles, Mumps, Rubella - LOT Number
Measles, Mumps, Rubella - Date Recieved

DayMonthYear
Date
Tetanus - LOT Number
Tetanus - Date Recieved

DayMonthYear
Date
Yellow Fever - LOT Number
Yellow Fever - Date Recieved

DayMonthYear
Date
Hepatitis B - LOT Number
Hepatitis B - Date Recieved

DayMonthYear
Date
Hepatitis A - LOT Number
Hepatitis A - Date Recieved

DayMonthYear
Date
Meningitis - LOT Number
Meningitis - Date Recieved

DayMonthYear
Date
Polio - LOT Number
Polio - Date Recieved

DayMonthYear
Date
Varicella - LOT Number
Varicella - Date Recieved

DayMonthYear
Date
UPLOAD VACCINATINO HISTORY

Please upload your full vaccination history here.

You can get this as a print out from your NHS GP.

If you do not have your full history, please ensure you upload your MMR at least.
Upload Vaccination History

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PROOF OF MMR

If you do not have any evidence of MMR vaccination, you will either need a blood test (MMR Antibody Test: £205) to check that you are immune or you get vaccinated with one dose (£90 per dose).

Pleae let us know what you would like to do.
If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org

YEHS - CRUISE LINES PEME FORM

Letter from GP / Specialists
If you have any current or historic medical problems, please try to get a recent letter from your GP or specilaist stating your current state of health and possibly giving you the all clear.
Upload Letter from GP / Specialists

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If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org

YEHS - CRUISE LINES PEME FORM

END OF FORM
Place of examination
Fit Questions
If you require further guidance, please call +44 (0)20 4617 6186 or email us on yehs@yourexcellenthealth.org
Should be Empty:

YEHS - CRUISE LINES PEME FORM