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This document is a Medical Examination Report used to determine the fitness of commercial drivers. It includes sections for driver information, health history, vision and hearing tests, blood pressure

How to fill out medical examination report

How to fill out Medical Examination Report

1. Obtain the Medical Examination Report template from the relevant authority or organization.
2. Fill in personal information such as name, date of birth, and contact details at the top of the report.
3. Provide the purpose of the examination (e.g., employment, immigration, etc.).
4. Complete the medical history section, including past illnesses, surgeries, and medications.
5. Record the results of the physical examination, including height, weight, blood pressure, and any abnormal findings.
6. Include laboratory test results if required, such as blood tests or X-rays.
7. Sign and date the report at the bottom to certify the accuracy of the information provided.
8. Submit the completed report to the requesting office or organization.

Who needs Medical Examination Report?

1. Individuals applying for jobs that require a medical evaluation.
2. Immigrants who need to meet health requirements for visa applications.
3. Individuals seeking insurance coverage that mandates a medical examination.
4. Students requiring health clearances for school or college enrollment.
5. Athletes needing a medical check-up for participation in sports events.

People Also Ask about

What happens after I-693 is submitted?

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. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.

What is a medical examination report?

A medical examination is an evaluation conducted by a healthcare professional to assess a person's physical health. This process usually includes a review of the patient's medical history, a physical examination, and sometimes laboratory tests or imaging studies.

What is the form I-693 medical exam report?

Form I-693 is used to report results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The examination is required to establish that you are not inadmissible to the United States on public health grounds.

What does a medical examination consist of?

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

What may cause you to fail an immigration medical exam?

A failure to present documentation of having received vaccinations against vaccine-preventable diseases; Present or past physical or mental disorder with associated harmful behavior or harmful behavior that is likely to recur; and. Drug abuse or addiction.

Who is required to submit form I-693?

Who must submit Form I-693? Most applicants filing for adjustment of status to become a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Certain other applicants may also be required to submit Form I-693 completed by a civil surgeon.

How much does Form I-693 cost?

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.

For pdfFiller’s FAQs

What is Medical Examination Report?

A Medical Examination Report is a document that provides a comprehensive assessment of an individual's health status, typically required for various purposes such as immigration, employment, or insurance.

Who is required to file Medical Examination Report?

Individuals applying for immigration, specific jobs that require medical evaluation, or certain insurance policies are often required to file a Medical Examination Report.

How to fill out Medical Examination Report?

To fill out a Medical Examination Report, an individual must undergo a physical examination by a licensed medical provider, who will then complete the necessary sections of the report, including medical history and physical findings.

What is the purpose of Medical Examination Report?

The purpose of the Medical Examination Report is to assess the overall health of an individual and to ensure that they meet the medical standards required for specific applications like immigration or employment.

What information must be reported on Medical Examination Report?

The Medical Examination Report must generally include personal identification details, medical history, results of physical examinations, immunization records, and any relevant laboratory test results.