ASC Medical Department processes all medical paperwork for potential participants, and this web page contains only Medical paperwork.
USAP medical and travel qualification forms are only to be completed and submitted by individuals who have received valid offer letters of employment and/or official National Science Foundation approval for deployment to Antarctica. Submissions without valid offers or approvals do not constitute an obligation on the part of the USAP for employment or deployment.
The tests that are required for individual participants are included in the customized deployment packet provided for the individual by UTMB. Check the Medical and Dental Checklist for Deployment Clearance to Antarctica included in the provided packet (via email), and be sure to make your appointments as soon as possible. Bring the checklist with you to every appointment.
The prior NSF Medical forms have been replaced with an electronic version of the forms. Please contact UTMB at 855.300.9704 or email@example.com to obtain a copy of the form.
NOTE: The Medical Deployment Packet contains all the required forms for the medical prequalification process. You need to complete, print, and return the completed packet to UTMB. Mail or fax the printed packet to the following:
UTMB Polar Medical Operations
You may print the Medical FAQ's document as an aid to assist you in the PQ process.
You must mail (NO email) or fax all completed medical forms to ASC eight weeks prior to your deployment.
Do not submit completed medical forms or other documents that contain personally identifiable information via email. Explanation
Paperwork That Medical Professionals Fill Out and You Send Back to ASC Medical/UTMB
Completed by Your Doctor:
NOTE: Be sure to provide your doctor with the letter addressed Dear Doctor
Completed by Your Dentist:
NOTE: Be sure to provide your dentist with the letter addressed Dear Dentist
You are required to report any changes in your health status that occur after your physical examination, as well as name changes (for name changes, be sure to send your former and new names). You can send changes to the address or fax number above.
If you need medical care while in New Zealand or Chile, please use the following contact numbers:
NOTE: Be prepared to pay for services at your appointment.