NOAA Health Form

Emergency Contact Information Form


·         NOAA Health Services Questionnaire form with instructions


The following are the medical requirements for the upcoming GO-SHIP/CO2
Repeat Hydrography Cruise:


         NOAA Health Services Questionnaire (signed and dated)
         Emergency Contact Information
         TB skin test

The date and results of the TB test should be entered in the NOAA Health
Services Questionnaire.  The NOAA Health Services Questionnaire form,
along with a copy of the TB test result must be emailed to NOAA Health Services.
The email address is moa.health.services@noaa.gov.  Put the name of the cruise
(A16S Cruise - RB-13-07) in the subject line of the email.  This form must reach
NOAA Health Services no later than four weeks prior to the beginning of the
cruise.  Please notify Betty Huss (Betty.Huss@noaa.gov) when you recieve
medical clearance by NOAA Health Services.


Travel and recommended vaccination and immunization information can be
found at the following CDC websites for Brazil and Chile:

Brazil
Chile


The Emergency Contact Information form must be completed by all cruise
participants.  The completed form must be emailed to Betty Huss
(Betty.Huss@noaa.gov) at least one month prior to the beginning of the cruise.


·         Emergency Contact Information Form




This web page last updated September 5, 2013