Form preview

Get the free MEDICAL HISTORY AND EXAMINATION FOR FOREIGN SERVICE - state

Get Form
U.S. Department of State Office of Medical Services, Room L101, SA1, Washington, DC 205220102 *OMB APPROVAL NO. 14050068 EXPIRATION DATE: 06302017 ESTIMATED BURDEN: 1 HOUR MEDICAL HISTORY AND EXAMINATION
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign

Edit
Edit your medical history and examination form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your medical history and examination form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing medical history and examination online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
In order to make advantage of the professional PDF editor, follow these steps below:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit medical history and examination. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, it's always easy to work with documents.

Fill form : Try Risk Free

Rate free

4.8
Satisfied
38 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Medical history and examination is a record of a person's health information, including past illnesses, surgeries, medications, and current medical conditions. It also involves a physical examination by a healthcare provider to assess a person's overall health.
Individuals who are applying for certain jobs or insurance policies may be required to file a medical history and examination as part of the application process.
To fill out a medical history and examination form, individuals must provide accurate and detailed information about their past medical history, current health status, and any medications they are taking. They may also need to undergo a physical examination by a healthcare provider.
The purpose of medical history and examination is to assess a person's overall health status, identify any potential health risks, and provide important information to healthcare providers for better diagnosis and treatment planning.
Information that must be reported on a medical history and examination may include past medical conditions, surgeries, hospitalizations, medications, allergies, family history of illnesses, and lifestyle habits.
The deadline to file medical history and examination in 2023 may vary depending on the specific requirements of the job or insurance policy. It is important to check with the relevant authorities for the exact deadline.
The penalty for the late filing of medical history and examination may vary depending on the specific circumstances and requirements. It could result in the rejection of the application or insurance policy, or additional fees may be imposed.
It's easy to make your eSignature with pdfFiller, and then you can sign your medical history and examination right from your Gmail inbox with the help of pdfFiller's add-on for Gmail. This is a very important point: You must sign up for an account so that you can save your signatures and signed documents.
You certainly can. You can quickly edit, distribute, and sign medical history and examination on your iOS device with the pdfFiller mobile app. Purchase it from the Apple Store and install it in seconds. The program is free, but in order to purchase a subscription or activate a free trial, you must first establish an account.
With the pdfFiller Android app, you can edit, sign, and share medical history and examination on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!

Fill out your medical history and examination online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview