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Pre-mission Health Screening | Office of Marine and Aviation Operations
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block-system-main-block"> <article data-history-node-id="2555"> <div> <p class="introduction1">The following information is intended for all scientists, volunteers, contractors, NOAA and non-NOAA personnel, and others who will sail overnight on NOAA ships.</p> <p class="introduction1">Two documents are required:</p> <ul> <li><a href="https://www.omao.noaa.gov/sites/default/files/2024-10/NF%2057-10-01%20-%20NOAA%20Health%20Services%20Questionnaire%20%28NHSQ%29%20%28public%29.pdf"><u>NOAA Health Services Questionnaire (OMAO Form 57-10-01)</u></a></li> <li><a href="https://www.omao.noaa.gov/sites/default/files/2024-10/NF%2057-10-02%20%2807-24%29%20Annual%20Tuberculosis%20Screening_OMB.pdf"><u>Tuberculosis Screening Document (OMAO Form 57-10-02)</u></a></li> </ul> <p><meta charset="utf-8"></p> <p style="line-height:1.2;margin-bottom:14pt;margin-top:14pt;" dir="ltr"><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">The NOAA Health Services Questionnaire and the Tuberculosis Screening Document must be submitted to a ship's servicing Marine Operations Center (MOC) Marine Medicine Branch 30 days in advance of the project start date. This allows time to medically clear the individual and to request more information if needed. All documents must be valid through the project end date.</span></p> <p style="line-height:1.2;margin-bottom:14pt;margin-top:14pt;" dir="ltr"><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">The forms must be legible and complete. Unreadable or incomplete forms will be returned to the applicant. Late submissions may result in delayed medical clearance of sea duty past the project start date. Do not send forms as an unsecured email attachment.</span></p> <p style="line-height:1.2;margin-bottom:14pt;margin-top:14pt;" dir="ltr"><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">We ask that all personnel bring any prescription medication they may need and any over-the-counter medicine that is taken routinely (e.g., an aspirin per day). The ship maintains a stock of medications aboard, but supplies are limited and chances to restock are few. The medication stock is for emergency use only.</span></p> <p style="line-height:1.2;margin-bottom:14pt;margin-top:14pt;" dir="ltr"><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Please direct all questions regarding the information required on the medical forms, tuberculosis screening, and vaccination policies to the appropriate MOC of the ship you will be sailing with. </span></p> <p style="line-height:1.2;margin-bottom:14pt;margin-top:14pt;" dir="ltr"><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Ships managed by the Marine Operations Center-Atlantic (MOC-A) are serviced by MOC-A Marine Medicine Branch. Ships managed by the Marine Operations Center-Pacific (MOC-P) and Marine Operations Center-Pacific Islands (MOC-PI) are serviced by MOC-P Marine Medicine Branch.</span><br> </p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"><strong>Marine Operations Center - Pacific (MOC-P)</strong></span></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Office of Health Services</span></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Marine Medicine Branch</span></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"> </p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Oscar Dyson</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Oscar Elton Sette</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Reuben Lasker</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Bell M. Shimada</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Fairweather, Okeanos Explorer</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, and </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Rainier</span></em></p> <ul style="margin-bottom:0;margin-top:0;padding-inline-start:48px;"> <li style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;list-style-type:disc;margin-left:-9pt;text-decoration:none;vertical-align:baseline;white-space:pre;" dir="ltr" aria-level="1"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Phone: 541-351-4696</span></em></li> <li style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;list-style-type:disc;margin-left:-9pt;text-decoration:none;vertical-align:baseline;white-space:pre;" dir="ltr" aria-level="1"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Email: </span></em><a style="text-decoration:none;" href="mailto:mop.health-services@noaa.gov"><em><span style="-webkit-text-decoration-skip:none;background-color:transparent;color:#0000ff;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre-wrap;"><u>mop.health-services@noaa.gov</u></span><span style="background-color:transparent;color:#0000ff;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"> </span></em></a></li> <li style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;list-style-type:disc;margin-left:-9pt;text-decoration:none;vertical-align:baseline;white-space:pre;" dir="ltr" aria-level="1"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Fax: </span><span style="background-color:transparent;color:#000000;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">541-867-8856</span></li> </ul> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"> </p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"><strong>Marine Operations Center - Atlantic (MOC-A)</strong></span></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Office of Health Services</span></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Marine Medicine Branch</span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"> </span></em></p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-top:0pt;" dir="ltr"> </p> <p style="background-color:#ffffff;line-height:1.2;margin-bottom:0pt;margin-right:-18pt;margin-top:0pt;" dir="ltr"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Ronald H. Brown</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">,</span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"> Gordon Gunter</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Nancy Foster</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Henry B. Bigelow</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Pisces</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Ferdinand R. Hassler</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Oregon II</span></em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">, and </span><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Thomas Jefferson </span></em></p> <ul style="margin-bottom:0;margin-top:0;padding-inline-start:48px;"> <li style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;list-style-type:disc;margin-left:-9pt;text-decoration:none;vertical-align:baseline;white-space:pre;" dir="ltr" aria-level="1"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Phone: 757-441-6320</span></em></li> <li style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-variant:normal;font-weight:400;list-style-type:disc;margin-left:-9pt;text-decoration:none;vertical-align:baseline;white-space:pre;" dir="ltr" aria-level="1"><em><span style="background-color:transparent;color:#1b1b1b;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;">Email: </span></em><a style="text-decoration:none;" href="mailto:moa.health.services@noaa.gov"><em><span style="-webkit-text-decoration-skip:none;background-color:transparent;color:#0000ff;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre-wrap;"><u>moa.health.services@noaa.gov</u></span><span style="background-color:transparent;color:#0000ff;font-family:Arial,sans-serif;font-size:11pt;font-style:normal;font-variant:normal;font-weight:400;text-decoration:none;vertical-align:baseline;white-space:pre-wrap;"> </span></em></a></li> <li 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