All members of the science party are required to submit
a medical questionnaire 30 days prior to embarking. A
doctor's signature is not required.
A PDF version of the medical form can be downloaded
here (Word Document). Forms can be returned to the Medical officer
by email or mail. Emailed forms should be sent to:
USCG Healy
D13-DG-CGCHEALY-XO@USCG.MIL
Email size limit for sending medical forms is 250k. Please zip the two
page pdf form or send each page as a separate attachment.
Forms can also be mailed to:
Medical Officer
USCGC Healy (WAGB 20)
1519 Alaskan Way S
Seattle, WA 98134
Mailed forms must arrive before the ship gets underway from Seattle, WA.
Please get an acknowledgment after sending the form. You can contact the Executive
Officer (Healy XO - D13-DG-CGCHEALY-XO@USCG.MIL) if you have any
questions.
The information submitted will be confidential, and all forms will be
destroyed once the person debarks from Healy.
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