Form preview

Get the free Report of Medical Examination and Vaccination Record - gpo

Get Form
This document is used by U.S. Citizenship and Immigration Services (USCIS) to collect information related to medical examinations and vaccination records for individuals applying for adjustment of
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign report of medical examination

Edit
Edit your report of medical 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 report of medical examination form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit report of medical 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:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one yet.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit report of medical examination. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Now is the time to try it!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out report of medical examination

Illustration

How to fill out Report of Medical Examination and Vaccination Record

01
Obtain the Report of Medical Examination and Vaccination Record form from a reliable source, such as a healthcare provider or official website.
02
Read the instructions carefully to ensure you understand what information is required.
03
Fill in personal information, including your full name, date of birth, address, and contact information.
04
Provide details about your medical history, including any existing conditions, medications, and past surgeries.
05
Record your vaccination history, listing all vaccines received along with the dates administered.
06
Schedule an appointment with a qualified healthcare professional to conduct the medical examination.
07
During the examination, the healthcare provider will complete the necessary sections of the form regarding your health status.
08
Review the form for accuracy and completeness, ensuring all required fields are filled out.
09
Sign and date the form once you confirm all information is correct.
10
Submit the completed form to the appropriate authority or keep it for your records.

Who needs Report of Medical Examination and Vaccination Record?

01
Individuals applying for immigration, visas, or certain jobs may need to provide a Report of Medical Examination and Vaccination Record.
02
Travelers going to specific countries may also be required to show proof of certain vaccinations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
49 Votes

People Also Ask about

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).

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.

The Report of Medical Examination and Vaccination Record is a document that provides a comprehensive overview of an individual's health and vaccination history, typically required for immigration or employment purposes.
Individuals applying for immigration or certain jobs may be required to file the Report of Medical Examination and Vaccination Record to demonstrate their health status and vaccination history.
To fill out the Report of Medical Examination and Vaccination Record, individuals should gather their medical history, vaccination records, and complete the necessary sections of the form with accurate personal and health-related information.
The primary purpose of the Report of Medical Examination and Vaccination Record is to assess an individual's health, ensuring they are free from communicable diseases, and to confirm their vaccination status as per legal or job requirements.
The Report of Medical Examination and Vaccination Record must include information such as personal identification details, medical history, results of physical examinations, vaccination history, and any relevant laboratory test results.
Fill out your report of medical 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

Report Of Medical Examination is not the form you're looking for?Search for another form here.

Related Features

Strike Flag in the Veterinary Surgical Consent with ease
Cut Space in the Commercialization Agreement with ease
Cut Space in the Guaranty Agreement with ease
Cut Space in the Mobile App Design Proposal Template with ease
Cut Space in the Theatre Press Release with ease

Relevant keywords

immigration medical examination vaccination record USCIS Form I-693 adjustment of status health records public health information collection Paperwork Reduction Act

Related Forms

Form preview
www.scottsdaleaz.govAsset59215CITY COUNCIl REPORT - City of Scottsdale
Item 15city councilreport meeting date: general plan element: general plan goal:june 7,2022, provide for the
Fill Now
Form preview
www.coursehero.comwlan-service-request-formdocwlan-service-request-for
Wan service request form (sts01)/date:nc department of information technology service delivery it home page web
Fill Now
Form preview
vdocuments.netdepartment-of-permittingdepartment of permitting, inspec
Department of permitting, inspections and enforcement vietnam hijack, director 9400 peppercorn place, suite 500 largo,
Fill Now
Form preview
www.researchgate.netpublication360162734Migration study of chemical ad
Migration report migration of sodium perchlorate from low density polyethylene containing 20% megastar p18 into
Fill Now
Form preview
FREE 9+ Sample Work Request Forms in PDFMS Word15 Free Work Order Temp
Routine work request form please complete and return this form 12 weeks prior to the
Fill Now
Form preview
www.causeiq.comorganizationsmontana-urban-andMontana Urban and Communi
Montana department of natural resources & conservation and montana urban and community forestry association fy
Fill Now
Form preview
Bcn-appeal-decision-v1-0
Zc 0012.12006 1 xml 20061 20070101 zc 0012.12006
Fill Now
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.