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This memorandum outlines the procedures for health assessments for new refugee arrivals in Minnesota, detailing necessary forms and protocols to ensure a comprehensive health screening upon their
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How to fill out refugee health assessment forms

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How to fill out Refugee Health Assessment Forms

01
Obtain the Refugee Health Assessment Form from the appropriate health authority or organization.
02
Read the instructions carefully before filling out the form.
03
Provide personal information including name, date of birth, and country of origin.
04
Fill out medical history details, including current and past illnesses, vaccinations, and treatments received.
05
Indicate any special dietary needs or allergies.
06
Complete the section on family health history, if applicable.
07
Answer questions regarding mental health status and any previous trauma.
08
Sign and date the form to validate the information provided.

Who needs Refugee Health Assessment Forms?

01
Refugees seeking healthcare services in the host country.
02
Individuals resettling as refugees who need health evaluations.
03
Organizations that require health information for refugee integration programs.
04
Healthcare providers assessing health needs of refugee populations.
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Refugee Health Screener-15 (RHS-15) *** Purpose. Screens for common mental health conditions (anxiety, depression, PTSD, adjustment, coping), but not for domestic violence, substance use, or psychotic disorders.
The domestic refugee medical screening examination, conducted soon after US arrival, offers a timely opportunity to identify acute and chronic health conditions. The initial history and physical examination are critically important to identify and manage acute and chronic health conditions.
All recently resettled refugees, regardless of age and ethnicity, should have a complete blood count (CBC) with red blood cell indices, white blood cell differential, and platelet count. These general, nonspecific tests may indicate common underlying conditions, including iron deficiency and inherited anemias.
The Refugee Health Assessment Program (RHAP) provides a free comprehensive health assessment to newly arrived refugees, asylees, victims of severe forms of human trafficking (federally certified), and other eligible entrants such as Special Immigrant Visa holders and those granted humanitarian parole from Afghanistan,
Health Assessment Form. Overview FAQ. About this template. A health assessment form is a questionnaire that allows medical and healthcare professionals to gather data about individuals.
Relationship Health and Safety screening. RHS screening is a method to identify individuals who are experiencing relationship conflict or IPV risk.

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Refugee Health Assessment Forms are documents used to collect health information from individuals who have been granted refugee status to ensure they receive appropriate medical care and support.
Individuals who have been granted refugee status and are seeking resettlement or access to healthcare services are required to file Refugee Health Assessment Forms.
To fill out Refugee Health Assessment Forms, individuals should provide accurate personal information, medical history, and details regarding any current health concerns, typically assisted by healthcare providers or legal representatives.
The purpose of Refugee Health Assessment Forms is to assess the health status of refugees, identify any immediate health needs, and facilitate access to medical services and public health resources.
The information that must be reported on Refugee Health Assessment Forms includes personal identification data, medical history, vaccination status, current health issues, and any prior treatments or hospitalizations.
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