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Get Noaa Form 57-03-50
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How to use or fill out the NOAA Form 57-03-50 online
Filling out the NOAA Form 57-03-50 online can help streamline the process of medical evaluation and authorization for diving. This guide offers clear instructions on how to efficiently complete each section of the form, ensuring all necessary information is accurately provided.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter your last name, first name, and middle name in the designated fields.
- Provide your date of birth to confirm your identity.
- Input your unit diving supervisor's name and email address in the respective sections.
- Indicate your dive unit and duty station location to specify your diving affiliation.
- Choose the type of examination applicable to you. You may need to cross out non-applicable sections, depending on your age and examination type.
- Ensure to complete all required documents and tests as outlined in Section 1 for both INITIAL and PERIODIC EXAMINATIONS.
- For INITIAL EXAMINATIONS, complete the additional tests listed in Section 2, and for those 40 and older, ensure to include the requirements in Section 3.
- In Section 4, only smokers need to complete the required spirometry test for PERIODIC EXAMINATIONS.
- Review the Applicant Certification section. Initial each item and provide your signature along with the date.
- The diving medical officer will review and must sign the approval section before the form can be submitted.
- After completing all sections, save your changes, download or print the form as needed, and prepare to share it as per submission guidelines.
Complete your NOAA Form 57-03-50 online today and ensure your diving eligibility.
The purpose of completing NOAA Form 57-03-52, Report of Medical History – Diver, is to obtain medical data for determination of medical fitness for diving with the NOAA Diving Program (NDP).
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