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All cruise participants going to sea on a NOAA vessel such as the R/V Shimada or R/V 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 2012

Send the completed form to:

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

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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