Get the free Form DS-2024: Chest X-Ray and Classification Worksheet - health state mn

U.S. Department of State CHEST X-RAY AND CLASSIFICATION WORKSHEET For Use with DS-2053 Name (last, First, MI) Birth Date (mm-dd-yyyy) OMB No. 1405-0113 EXPIRATION DATE: 1/31/2004 ESTIMATED BURDEN:

How to fill out form ds-2024 chest x-ray

How to fill out form ds-2024 chest x-ray:

1. Gather all the required information, including personal details such as your name, date of birth, and passport information.
2. Provide your contact information, such as your current address and phone number.
3. Fill in the purpose of the chest x-ray, whether it's for an immigration application, medical evaluation, or any other reason.
4. Specify the date and place where the chest x-ray was performed.
5. Include the name and address of the facility where the chest x-ray was conducted.
6. Provide the name and contact information of the radiologist or physician who interpreted the results of the chest x-ray.
7. Review the form for accuracy and completeness before submitting it.

Who needs form ds-2024 chest x-ray:

1. Individuals applying for immigration or visa processes where a chest x-ray is required.
2. Individuals undergoing medical evaluations that involve chest x-ray as part of the examination.
3. Individuals who may be required by certain organizations, employers, or authorities to submit a chest x-ray report for various purposes.

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What is form ds- chest x-ray?

Form DS-Chest X-Ray refers to the medical form that documents the results of a chest X-ray exam, which is often required as part of the medical examination for certain visa applicants.

Who is required to file form ds- chest x-ray?

Individuals applying for specific types of visas, particularly those who are required to undergo a medical examination, must file the form DS-Chest X-Ray as part of their application process.

How to fill out form ds- chest x-ray?

To fill out form DS-Chest X-Ray, applicants need to work with a designated physician who will perform the chest X-ray and document the results on the form as required, ensuring all necessary information is accurately provided.

What is the purpose of form ds- chest x-ray?

The purpose of form DS-Chest X-Ray is to assess the applicant's lung health and to ensure they do not have any conditions that could pose a public health threat, particularly tuberculosis.

What information must be reported on form ds- chest x-ray?

The form must include information such as the applicant's personal details, the results of the chest X-ray, any relevant medical history, and the signature of the physician who administered the examination.