Sign Up

To issue one of our digital certificates you will first need to be recognized as an authorized physician by the Panama Maritime Authority.

If you are already a recognized physician and have a resolution number please fill the form below and we will contact you in less than 24hours to help you set up your account.

Please provide the correct information below:

Complete Name *

Professional License No.*

PMA Resolution No.

DGGM-MED-

Issue date

Issuing Country:

Birthdate:

Birth Country:

Affiliated Medical Center/Diagnostic Center

Contacts

Password:

Confirm password:

I agree to the Terms and Conditions

A confirmation will be sent to your email address if your account registration is validated for initial screening.

Email address is valid per single account only.

For any concerns regarding in this form, please reach us via email at pmamedcert.com.