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:
Bernard Litkett, Reactor Engineer (Examiner Qualified),
NRR/DRO/IOLB
(301) 415-3657 or Bernard.Litkett@nrc.gov
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