Department of Environment and Natural Resources / Radioactive Materials Branch / Division of Environmental Health / Mail Service Center / An administration / V / U.S. Nuclear Regulatory Commission / / /
Position
physician / prescribing physician / Medical Event Coordinator / OFFICIAL / referring physician / certifying official / /
MEDICAL EVENts reporting form INSTRUCTIONS FOR USE: Read these instructions carefully. Please note that completion and submittal of this form DOES NOT RELEIVE THE LICENSEE FROM THE 24 HOUR TELEPHONE REPORTING REQUIREMEN