Get the free Medical Examination Report

This document is a medical examination report used to determine the fitness of commercial drivers. It includes sections for driver's information, health history, vision, hearing, blood pressure, laboratory

How to fill out medical examination report

How to fill out Medical Examination Report

1. Begin with the patient's personal information: full name, date of birth, and contact details.
2. Fill in the examining physician's information, including name, title, and contact information.
3. Provide the reason for the medical examination in the appropriate section.
4. Conduct a thorough medical history assessment, including past illnesses, surgeries, and current medications.
5. Record vital signs: temperature, blood pressure, heart rate, and respiratory rate.
6. Complete a physical examination, noting any significant findings in relevant sections.
7. Ensure all test results (laboratory tests, imaging studies) are included as attachments if applicable.
8. Review and sign the report, ensuring all sections are filled out accurately.
9. Provide a copy of the completed report to the patient and retain one for medical records.

Who needs Medical Examination Report?

1. Individuals applying for jobs that require a medical clearance.
2. Students enrolling in school programs that require a health examination.
3. Athletes needing medical clearance for participation in sports.
4. Immigrants or expatriates undergoing medical assessments for visa applications.
5. Insurance applicants requiring a medical evaluation as part of the underwriting process.

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 thorough medical evaluation of an individual's health status, typically used for immigration, employment, or insurance purposes.

Who is required to file Medical Examination Report?

Individuals applying for certain visas, immigration status, or specific jobs may be required to file a Medical Examination Report as part of the application process.

How to fill out Medical Examination Report?

To fill out a Medical Examination Report, individuals must visit a designated medical professional, who will conduct a medical examination and complete the report according to the requirements set by the requesting authority.

What is the purpose of Medical Examination Report?

The purpose of a Medical Examination Report is to assess the physical and mental health of an individual to ensure they meet health standards required for immigration, employment, or insurance eligibility.

What information must be reported on Medical Examination Report?

The Medical Examination Report must include the individual's medical history, results of physical examinations, laboratory test results, vaccination records, and any diagnosed medical conditions.