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All cruise participants going to sea on a NOAA vessel such as the FSV Shimada or FSV Lasker must submit the completed Questionnaire and have a recent (within the last 12 months) TB test.

NOAA Office of Medical Services: NOAA Health Services Medical Questionnaire (PDF) - New form posted January 2014

Send the completed form to:

This email address is being protected from spambots. You need JavaScript enabled to view it. and CC This email address is being protected from spambots. You need JavaScript enabled to view it.

Forms may be faxed to the number listed below

Regional Director of Health Services
NOAA MOC-Pacific
1801 Fairview Avenue East
Seattle, WA 98102
Voice: 206-553-8704
FAX: 206-553-1112
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

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