Scientists and contractors who will be sailing overnight aboard an Office of Marine and Aviation Operations (OMAO) ship must submit a completed NOAA Form 57-10-01, NOAA Health Services Questionnaire (NHSQ) and NOAA Form 57-10-02, Annual Tuberculosis Screening Document to the Office of Health Services, Marine Medicine Branch (MMB) for review no later than 30 days before 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 NHSQ and Annual Tuberculosis Screening Document.
Where to Return Your Completed Forms:
Marine Operations Center - Pacific (MOC-P)
Office of Health Services
Marine Medicine Branch
Oscar Dyson, Oscar Elton Sette, Reuben Lasker, Bell M. Shimada, Fairweather, Okeanos Explorer, and Rainier
- Phone: 541-351-4696
- Email: mop.health-services@noaa.gov
- Fax: 541-351-4737
- Mail: Marine Operations Center - Pacific
Attn: Marine Medicine Branch
2002 SE Marine Science Dr., Room 240,
Newport, OR 97365
Marine Operations Center - Atlantic (MOC-A)
Office of Health Services
Marine Medicine Branch
Ronald H. Brown, Gordon Gunter, Nancy Foster, Henry B. Bigelow, Pisces, Ferdinand R. Hassler, Oregon II, and Thomas Jefferson
- Phone: 757-441-6320
- Email: moa.health.services@noaa.gov
- Fax: 757-917-2882
- Mail: Marine Operations Center - Atlantic
Attn: Marine Medicine Branch
439 W. York St.
Norfolk, VA 23510
If you routinely sail aboard NOAA ships, you must periodically update your NHSQ and Tuberculosis Screening Document 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 Tuberculosis Screening Document is valid for one year after the date the screening was completed. If your Tuberculosis Screening Document will expire while at sea, you must submit an updated NOAA Form 57-10-02 before sailing to retain medical clearance to sail. If you have questions, please call the appropriate MMB at the phone numbers above.