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This document is used by USCIS to collect information necessary for considering the eligibility for adjustment of status under applicable immigration regulations.
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How to fill out report of medical examination

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How to fill out Report of Medical Examination and Vaccination Record

01
Begin with the applicant's personal information, including full name, date of birth, and address.
02
Provide details of the medical examination, including the name and credentials of the examining physician.
03
Record the results of the physical examination, noting any significant findings.
04
List all vaccinations received, along with the dates administered.
05
Include any additional tests performed and their results, such as blood tests or x-rays.
06
Ensure the form is signed and dated by the examining physician.
07
Double-check for completeness and accuracy before submission.

Who needs Report of Medical Examination and Vaccination Record?

01
Individuals applying for immigration or certain visa categories.
02
Students enrolling in schools or universities that require health documentation.
03
Individuals seeking employment in positions requiring medical clearance.
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Applicants will need to bring several items to their medical exam appointment, such as proof of identity, a list of current medications, any relevant medical records, and payment for the exam fee. In some cases, applicants may also be required to have chest x-rays taken at the time of the exam.
What To Bring To The Examination. Bring the following to your medical examination: Form I-693, Report of Medical Examination and Vaccination Record. Government-issued photo identification, such as a valid passport or driver's license.
A government-issued photo ID, such as your passport, state ID, driver's license, travel permit, or work permit. Payment for the medical exam fee (check with the doctor's office before your appointment for acceptable payment options)
After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope.
Form I-551, Permanent Resident Card; Appointment notice; and. A second form of identification (driver's license, passport, or state identification card).

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The Report of Medical Examination and Vaccination Record is a document that provides a detailed account of an individual's medical examination results and vaccination history, typically required for immigration or employment purposes.
Individuals applying for certain immigration benefits or certain jobs that require medical evaluations are required to file the Report of Medical Examination and Vaccination Record.
To fill out the Report of Medical Examination and Vaccination Record, individuals must provide personal information, complete medical history, document results of the physical examination, and list all vaccinations received.
The purpose of the Report of Medical Examination and Vaccination Record is to ensure that individuals meet health and vaccination requirements set by immigration authorities or employers.
The Report of Medical Examination and Vaccination Record must include personal details (name, date of birth), results of the physical examination, findings from lab tests if applicable, and details of vaccinations administered.
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USCIS immigration medical examination vaccination record Form I-693 health assessment adjustment of status information collection Department of Homeland Security public burden

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