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This document serves as a report of medical history and a record of physical examination and immunizations required for students at East Stroudsburg University, including health insurance details
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How to fill out report of medical history
How to fill out Report of Medical History and Physical Examination – Immunization Record
01
Gather necessary personal information including name, date of birth, and address.
02
Complete the medical history section by detailing any past illnesses, surgeries, or hospitalizations.
03
List any current medications or treatments being received.
04
Provide information on family medical history, including any hereditary conditions.
05
Fill out the physical examination section with details on the patient's height, weight, and vital signs.
06
Document any allergies or adverse reactions to medications.
07
Record immunization history, including dates and types of vaccinations received.
08
Ensure all information is accurate and up to date before submission.
09
Sign and date the form as required by the institution or healthcare provider.
Who needs Report of Medical History and Physical Examination – Immunization Record?
01
Individuals seeking medical services or a new patient evaluation.
02
Students entering school or a daycare requiring immunization records.
03
Athletes needing medical clearance for participation in sports activities.
04
Individuals applying for a job in healthcare or similar fields that require a health examination.
05
Travelers needing vaccinations and health evaluations for travel requirements.
06
Patients scheduled for surgery or medical procedures.
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People Also Ask about
What is the medical record for I693?
Form I-693 reports results of an immigration medical examination to U.S. Citizenship and Immigration Services (USCIS). USCIS requires the examination to establish that applicants who are seeking immigration benefits are not inadmissible to the United States on health-related grounds.
What is the i693 report of immigration medical examination and vaccination record?
After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope.
Where can I get i693?
The cost of the I-693 medical exam varies depending on where you live and your specific needs. The exam fee typically ranges from $100 to $500, but may be more or less in some areas. It is important to keep in mind that any additional tests or services required will add to the overall cost.
What is proof of your immigration medical examination?
I-693, Report of Immigration Medical Examination and Vaccination Record. If you are applying for adjustment of status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on health-related grounds.
How long does it take to get a green card after I-693?
How Long Does It Take? StepTimeline Medical Exam Results 1–2 weeks (Manhattan Medical Arts) USCIS Review of I-693 2–12 months Green Card Approval & Mailing 1–2 months after approval Jan 21, 2025
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What is Report of Medical History and Physical Examination – Immunization Record?
The Report of Medical History and Physical Examination – Immunization Record is a document that provides a comprehensive history of an individual's medical background, physical examination findings, and vaccination status.
Who is required to file Report of Medical History and Physical Examination – Immunization Record?
Typically, the report is required to be filed by healthcare providers or institutions when evaluating individuals for employment, school enrollment, or specific medical procedures.
How to fill out Report of Medical History and Physical Examination – Immunization Record?
To fill out the report, one must provide personal information, complete sections on medical history, document the results of a physical examination, and list vaccinations received, including dates and types of vaccines.
What is the purpose of Report of Medical History and Physical Examination – Immunization Record?
The purpose of the report is to ensure that an individual meets health requirements for specific programs or activities by providing a detailed account of their health history and immunization status.
What information must be reported on Report of Medical History and Physical Examination – Immunization Record?
The report must include personal identification details, medical history, results of the physical examination, and a complete immunization record, detailing each vaccine received along with the respective dates.
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