Instructions are on Page 1 and Page 3 of the form.
NRC Form 396, Certification of Medical Examination by Facility Licensee, must accompany the NRC Form 398 unless a waiver of the medical examination is being requested.
For questions, please call or e-mail:
Skylar Cushing, Reactor Engineer (Examiner Qualified), NRR/DIRS/IOLB
(301) 415-1064 or Skylar.Cushing@nrc.gov