If you want to conduct medical examinations in the Netherlands for seafarers as an authorised examining doctor – also known internationally as an approved doctor (AD) – you need a permit from the Human Environment and Transport Inspectorate (ILT). Your application will be assessed by an ILT maritime medical adviser.
This application requires payment. The rules for the auhorisation of examining doctors are set out in Articles 3.6.7 and 3.6.8 of the Besluit bemanning zeeschepen (Seagoing vessels crew Decree, in Dutch).