Medical Surveillance - Safety
Medical Surveillance
Medical Surveillance
If you need to schedule an appointment for medical surveillance, then please send a completed copy of the below referral form to schedule your appointment.
NOTE - Download a copy of the form and then open it with Adobe Reader or Acrobat.
When scheduling an exam, please schedule at least 30 days in advanced.
Scheduling procedure:
- Employee supervisor:
- Complete the SECNAV 5100/1 form identifying which programs the employee is enrolled in and the type of exam(s) needed - contact safetey@nps.edu for assistance.
- Contact the Occupational Health (OH) Clinic to make an appointment.
- Provide the completed SECNAV 5100/1 to the OH Clinic (via secure email) when scheduling.
- Once scheduled, the OH clinic will provide the Medical Matrix paperwork to the supervisor. The employee must fill out this paperwork and bring with them to the appointment.
- To schedule an appointment, follow the below process (in the listed order) and continue to move down the list until you have success:
- Call 831-242-5332 (OH Technician) – This position is currently vacant. Don’t leave a voicemail. Call the OH Nurse below if no one answers this phone line.
- Call 831-242-4842 (OH Nurse).
- Email Ms. Flora Dela Pena (OH Nurse) at: flora.a.delapena2.civ@health.mil and Dr. Johnson (Occ Med Doc) at: edward.g.johnson30.civ@health.mil.
- Emial safety@nps.edu we will engage with POCs (OH Nurse & Occ Med Doc).
