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Instructions for Report of Medical Examination and
Vaccination Record
Department of Homeland Security
U.S. Citizenship and Immigration ServicesUSCIS
Form I693
OMB No. 16150033
Expires 03/31/2017What
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How to fill out report of medical examination

How to fill out report of medical examination
01
Obtain the medical examination report form from the relevant authority or organization.
02
Fill in your personal information such as name, date of birth, and contact details.
03
Provide information about your medical history, including any past illnesses or surgeries.
04
Include details about your current medications or any allergies you may have.
05
Answer specific questions about your overall health, such as any symptoms you are experiencing or any recent changes in your health status.
06
If required, provide details about any specific medical tests or procedures you have undergone.
07
Make sure to sign and date the report to authenticate it.
08
Submit the completed report to the designated authority or organization.
Who needs report of medical examination?
01
Various individuals and organizations may require a report of medical examination, including:
02
- Employers or companies as part of pre-employment screening process.
03
- Insurance companies for processing insurance claims.
04
- Government agencies or immigration authorities for visa or residency applications.
05
- Sports organizations for athletes participating in sports events.
06
- Schools or educational institutions for enrollment or participation in certain programs.
07
- Individuals seeking medical clearance for specific activities or procedures.
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What is report of medical examination?
A report of medical examination is a document that summarizes the results of a physical assessment conducted by a healthcare provider.
Who is required to file report of medical examination?
Individuals who are applying for a specific job or insurance policy may be required to file a report of medical examination.
How to fill out report of medical examination?
To fill out a report of medical examination, the individual must visit a healthcare provider for a physical examination and have the provider complete the necessary paperwork.
What is the purpose of report of medical examination?
The purpose of a report of medical examination is to document the individual's health status to determine their eligibility for a job or insurance coverage.
What information must be reported on report of medical examination?
The report must include details such as the individual's medical history, current health status, and any findings from the physical examination.
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