Medical Deployment Packet RPSC and NANA Services Employees and Non-RPSC Participants

The Raytheon Polar Services Company (RPSC) Medical Department processes all medical paperwork for potential participants, and this web page contains only Medical paperwork; to print Travel paperwork, see the corresponding web pages: Travel Deployment Packet—Non-RPSC Participant web page  Travel Deployment Packet—RPSC and NANA Services Employees web page DISCLAIMER: 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. To find out which tests are required, check the Medical and Dental Checklist for Deployment Clearance to Antarctica that RPS Medical sent to you (via email), and be sure to make your appointments as soon as possible. Bring the checklist with you to every appointment. NOTE: All medical paperwork is provided separately in the sections below; however, you can also download the complete packet: Medical Packet—RPSC and NANA Services Employees and Non-RPSC Participants (PDF 933 KB) Do not submit completed medical forms or other documents that contain personally identifiable information via email.  Explanation Paperwork That Medical Professionals Need to Fill Out and You Need to Send Back to RPSC Paperwork That You Need to Fill Out and Send Back to RPSC Paperwork That You Need to Read and Keep for Reference Address and Fax for Returning Medical Forms Health Status and Name Changes Obtaining Copies of Medical, Dental, and Lab Results RPSC Medical Staff Contacts Paperwork That Medical Professionals Need to Fill Out and You Need to Send Back to RPSC Completed by Your Doctor: Polar Physical Examination—Antarctica (PDF 87 KB) Required Laboratory Tests (PDF 19 KB) Any additional testing as indicated on checklist NOTE: Be sure to provide your doctor with the letter addressed “Dear Doctor.” (PDF 40 KB) Completed by Your Dentist: Polar Dental Examination—Antarctica (PDF 109 KB) The original dental X-rays NOTE: Be sure to provide your dentist with the letter addressed “Dear Dentist.” (PDF 24 KB) Paperwork That You Need to Fill Out and Send Back to RPSC Medical History (PDF 1,119 KB) Medical Screening for Blood-borne Pathogens/Consent for HIV Antibody Blood Test (PDF 27 KB) Important Notice to Those Signing the Medical Screening for Blood-borne Pathogens/HIV Consent Form Medical Risks for NSF-Sponsored Personnel Traveling to Antarctica (PDF 26 KB) Influenza Vaccination—Read, Sign, Return (PDF 14 KB) Authorization for Treatment of Field-Team Member/Participant Under the Age of 18 Years (if necessary) (PDF 836 KB) Personal Information form (PDF 78 KB) Important Notice for Participants in the United States Antarctic Program (PDF 20 KB) Medical/Dental Expense Reimbursement Form (RPSC and NANA employees only) (PDF 31 KB) Important Tips for Submitting Reimbursement Expenses (RPSC and NANA employees only) (PDF 27 KB) Paperwork That You Need to Read and Keep for Reference Electronic Submission of Medical Forms (PDF 13 KB) Medical and Dental Instruction Guide (PDF 34 KB) List of RPSC doctors, dentists, and eyewear distributors (PDF 22 KB) Privacy Notice—Medical Examination Records for Service in Polar Regions (PDF 18 KB) Influenza Vaccination—Important Notice (and FAQs) (PDF 20 KB) Inactivated Influenza Vaccine—What You Need to Know (PDF 69 KB) Live Intranasal Influenza Vaccine—What You Need to Know (PDF 70 KB) Altitude-related illness and suggested medications for those traveling to the South Pole (PDF 34 KB) How to transport prescription medications: Non-RPSC Participants (PDF 31 KB) RPSC and NANA Employees (PDF 22 KB) Eyewear Policy for Antarctica (PDF 16 KB) Raytheon RX Polar Plan—sunglasses and safety glasses (RPSC and NANA employees only) (PDF 277 KB) NOTE: RPSC reimburses employees for prescription sunglasses every two years with a cost limit. Address and Fax for Returning Medical Forms You must mail or fax all completed medical forms to RPSC eight weeks prior to your deployment; mail or fax forms to the following: Raytheon Polar Services Company ATTN: Medical 7400 S. Tucson Way Centennial, CO 80112 Fax: 303.649.9275 Health Status and Name Changes 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:   RPSNZ Medical Coordinator: 3.358.1425 (local) AGUNSA office: 247503 (local) The RPSNZ Medical Coordinator and AGUNSA office assist you with arranging medical or dental appointments. NOTE: Be prepared to pay for services at your appointment.  The reimbursement guidelines and form are listed in the Paperwork That You Need to Fill Out and Send Back to RPSC section above. Obtaining Copies of Medical, Dental, and Lab Results If you would like a copy of your medical, dental, and lab results, send a medical record request form (PDF 12 KB) to the address above.