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INITIAL REFUGEE HEALTH ASSESSMENT FORM: GUIDELINES FOR COMPLETION Connecticut Department of Public Health Refugee and Immigrant Health Program January 2013 Prepared by Alison Stratton, Ph.D. State

How to fill out initial refugee health assessment

How to fill out the initial refugee health assessment:

1. Obtain the necessary forms: Contact the appropriate refugee health organization or government agency to request the initial refugee health assessment forms. These forms may vary depending on the country or region.
2. Gather personal information: Provide personal details such as name, date of birth, gender, nationality, and contact information. This information helps identify the individual and ensure accurate record-keeping.
3. Medical history: Fill out the sections related to medical history, including any previous illnesses, injuries, or surgeries. It is important to provide as much detail as possible to assist healthcare providers in understanding the individual's health background.
4. Immunization record: Provide information about the immunizations the individual has received. This includes the dates of vaccination and the specific vaccines administered. If there are any missing immunizations, healthcare professionals may recommend additional vaccinations as part of the refugee health assessment.
5. Current medications: List any current medications being taken and their dosages. It is essential to provide an accurate and comprehensive list to avoid potential drug interactions or complications with future treatments.
6. Chronic conditions: Indicate any chronic health conditions the individual may have, such as diabetes, hypertension, or asthma. This information helps healthcare providers provide appropriate care and support for ongoing management of these conditions.
7. Mental health history: Answer questions related to mental health history, including any past or current diagnoses, treatment received, or medications used for mental health conditions. This information allows healthcare professionals to address any mental health needs during the refugee health assessment.
8. Additional information: Fill out any other sections or questions in the initial refugee health assessment form that may be specific to the individual or required by the organization conducting the assessment.

Who needs initial refugee health assessment?

1. Refugees: Individuals who have fled their country of origin due to fear of persecution, war, or violence and have been granted refugee status by the receiving country may require an initial refugee health assessment. This assessment helps identify and address any health issues important for their resettlement and ongoing healthcare needs.
2. Asylum seekers: Individuals who have applied for asylum and are awaiting a decision from the receiving country may also undergo an initial refugee health assessment. This assessment helps determine their health needs and ensures they are not a public health risk.
3. Resettlement agencies: Resettlement agencies, such as non-governmental organizations or government entities, often facilitate the initial refugee health assessment process. They collaborate with healthcare providers to ensure refugees receive necessary medical screenings and care upon arrival in the receiving country.
4. Healthcare professionals: Healthcare professionals involved in refugee healthcare, including doctors, nurses, and public health workers, may require access to the results of the initial refugee health assessment to provide appropriate medical care and support to refugees.

Overall, the initial refugee health assessment plays a vital role in identifying and addressing the healthcare needs of refugees and assisting in their successful resettlement and integration into new communities.

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What is initial refugee health assessment?

Initial refugee health assessment is a comprehensive medical examination conducted on newly arrived refugees to identify any health issues and provide necessary medical care.

Who is required to file initial refugee health assessment?

The initial refugee health assessment must be conducted by designated medical practitioners or healthcare providers upon the arrival of refugees.

How to fill out initial refugee health assessment?

Initial refugee health assessment is filled out by gathering medical history, conducting physical exams, and performing necessary tests to assess the health status of refugees.

What is the purpose of initial refugee health assessment?

The purpose of initial refugee health assessment is to ensure early detection and treatment of health issues, prevent the spread of infectious diseases, and promote overall well-being of refugees.

What information must be reported on initial refugee health assessment?

Information such as medical history, physical exam findings, laboratory test results, vaccine records, and any recommended treatments are reported on initial refugee health assessment.