USCG Medical requirements for deploying on USCG Icebreakers

All members of the science party are required to submit a medical questionnaire at least 30 days prior to embarking. A doctor's signature is not required.

A text 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 Polar Sea
D13-SG-CGCPolarSeaXO@USCG.MIL

Email size limit for sending medical forms is 250k.

Forms can also be mailed to:
Medical Officer
USCGC Polar Sea (WAGB 11)
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 (POLAR SEA XO - D13-SG-CGCPolarSeaXO@USCG.MIL) if you have any questions.

The information submitted will be confidential, and all forms will be destroyed once the person debarks from Polar Sea.