Medical Forms and Emergency Contacts Sample Clauses

Medical Forms and Emergency Contacts. The NOAA Health Services Questionnaire (NHSQ, Revised: 02 JAN 2012) must be completed in advance by each participating scientist. The NHSQ can be obtained from the Chief Scientist or the NOAA website xxxx://xxx.xxxxxxxxxxxxxxxxx.xxxx.xxx/~noaaforms/eforms/nf57-10-01.pdf. The completed form should be sent to the Regional Director of Health Services at Marine Operations Center. The participant can mail, fax, or scan the form into an email using the contact information below. The NHSQ should reach the Health Services Office no later than four weeks prior to the cruise to allow time for the participant to obtain and submit additional information that health services might require before clearance to sail can be granted. Please contact MOC Health Services with any questions regarding eligibility or completion of the NHSQ. Be sure to include proof of tuberculosis (TB) testing, sign and date the form, and indicate the ship or ships the participant will be sailing on. The participant will receive an email notice when medically cleared to sail if a legible email address is provided on the NHSQ. Contact information: Regional Director of Health Services Marine Operations Center – Atlantic 000 X. Xxxx Xxxxxx Norfolk, VA 23510 Telephone 000.000.0000 Fax 000.000.0000
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Related to Medical Forms and Emergency Contacts

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