Instructions are provided with 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)
(301)415-1064 or Skylar.Cushing@nrc.gov