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This document serves as a guide for clinicians to perform a comprehensive medical evaluation for newly arriving refugees in the United States, including suggested screening tests and evaluations for
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How to fill out summary checklist for form
How to fill out Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees
01
Gather all necessary personal information for each refugee, including names, dates of birth, and any medical history.
02
Obtain the Domestic Medical Examination forms from the relevant immigration or health department.
03
Review the questions listed in the Summary Checklist to ensure you have all required documentation and information.
04
Fill in the Checklist by entering the necessary details for each refugee in the designated fields.
05
Check for completeness by comparing the information entered against the required items on the Checklist.
06
Sign and date the Summary Checklist to verify that the information provided is accurate and complete.
07
Submit the completed Summary Checklist along with the Domestic Medical Examination forms as part of the refugee's application process.
Who needs Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
01
Newly arriving refugees who are undergoing the Domestic Medical Examination as part of their immigration process.
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People Also Ask about
What is the health screening for immigrants?
TestAge Range Hepatitis C < 18 years HIV All Lead (blood) <16 years and women who are pregnant or lactating Malaria blood smear or PCR (see Malaria chapter) All9 more rows • Apr 23, 2025
Are immigrants screened for diseases?
These health assessments include a medical history and physical examination, screening for infectious and chronic diseases, vaccinations, mental health screening, and provide an opportunity to follow up on conditions identified during the pre-travel health assessment and to identify new medical conditions (see Post-
What kind of medical test is done for immigration?
SCREENING TESTAGE HIV >13 years 3 Malaria All Parasite serology Schistosomiasis Strongyloidiasis Soil-transmitted helminths All STI Chlamydia Gonorrhea Syphilis Others (as indicated) 15–65 years (<15 if sexually active, if concerns about congenital infection, or if concerns about sexual trauma in any age group)6 more rows
What type of screening did immigrants have to go through?
The United States has long screened immigrants for serious communicable diseases and should continue to do so.
What are the tests for refugees?
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.
What is the domestic medical screening for refugees?
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.
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What is Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
The Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees is a form used to ensure that all necessary medical evaluations and screenings are completed for refugees arriving in the United States.
Who is required to file Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
The summary checklist must be filed by the healthcare provider conducting the medical examinations for newly arriving refugees.
How to fill out Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
To fill out the checklist, healthcare providers should obtain information on the refugee's medical history, vaccination records, and the results of any medical examinations and screenings performed, then document this information accurately on the form.
What is the purpose of Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
The purpose of the checklist is to ensure that newly arriving refugees have undergone the required medical screenings and that their health concerns are identified and addressed timely.
What information must be reported on Summary Checklist for the Domestic Medical Examination for Newly Arriving Refugees?
The information reported must include personal details of the refugee, results of medical exams, immunization status, and any additional health concerns or follow-up recommendations.
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