Scientists or contractors that will be sailing overnight aboard an OMAO ship must submit a completed NOAA Form 57-10-01, Health Services Questionnaire, (NHSQ) and >NOAA Form 57-10-02, Tuberculosis Screening Document (TSD) to the Marine Medical Branch (MMB) for review no later than 30 days prior to the sailing date. Medical clearance to sail is not required for day trips. Scientists and contractors less than 18 years old must also submit a completed NOAA Form 57-10-05, Medical Form For Minors. Refer to the instructions page within the NHSQ for guidance on completing the form and a list of acceptable tuberculosis screening methods. Follow the instructions on the TSD if you have tested positive for tuberculosis exposure in the past or received a tuberculosis vaccine as a child.
Completed forms for NOAA ships Oscar Dyson, Oscar Elton Sette, Reuben Lasker, Bell M. Shimada, Fairweather, and Rainier can be faxed to 541-867-8856 or emailed to mop.health-services@noaa.gov, or mailed to: MOP Marine Health Services , Room 240, 2002 SE Marine Science Dr. Newport, OR 97365. Completed forms for NOAA ships Ronald H. Brown, Gordon Gunter, Nancy Foster, Henry B. Bigelow, Pisces, Ferdinand R. Hassler, Oregon II, Thomas Jefferson, and Okeanos Explorer can be faxed to 757-441-3760 or emailed to moa.health.services@noaa.gov, or mailed to: MOA Marine Health Services 439 W. York St., Norfolk, VA 23510. After reviewing your NHSQ and TSD, someone from the MMB will contact you to request additional information or to inform you that you have been medically cleared to sail.
If you routinely sail aboard NOAA ships, you must periodically update your NHSQ and TSD to retain your medical clearance to sail. Your NHSQ remains valid for two years following the date you signed the NHSQ if you are less than 50 years old. Your NHSQ is valid for one year following the date you signed the NHSQ if you are 50 years or older. Your TSD is valid for one year after the date the screening was completed. If your TSD will expire while at sea, you must submit an updated TSD prior to sailing to retain medical clearance to sail. If you have questions, please call the respective center at the phone numbers below:
Marine Operations – Pacific
Attn: Marine Health Services
Room 240, 2002 SE Marine Science Dr.
Newport, OR 97365
Fax: 541-867-8856
Front Desk: 541-867-8820
mop.health-services@noaa.gov
Marine Operations – Atlantic
Attn: Marine Health Services
439 W. York St.
Norfolk, VA 23510
Fax: 757-441-3760
Front Desk: 757-441-6320
moa.health.services@noaa.gov