ENG1 Seafarer's Medical Certificate...anybody know how to get one in the US?

Here’s the guidance: http://www.mcga.gov.uk/c4mca/msn_1822.pdf (caution, reading may cause drowsiness; the use of alcohol while reading it will exacerbate this effect)

It’s now a form “MSF 4104” and it is a “certificate” carried onboard by the Mariner.
Cheers