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FA FORM NO. 11 Revised 2013 FOREIGN SERVICE OF THE PHILIPPINES Philippine Embassy, Brussels, Belgium MEDICAL EXAMINATION OF VISA APPLICANTS Place PHOTO 1×1 inchesDateAt the request of the Philippine
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How to fill out dfa medical examination form

01
To fill out the DFA medical examination form, you should follow these steps:
02
Begin by identifying the patient's personal information, including their full name, date of birth, and gender.
03
Provide the patient's contact details such as their address, telephone number, and email address.
04
Specify the purpose of the medical examination by indicating whether it is for employment, visa application, or other reasons.
05
Fill in the medical history section accurately, listing any known allergies, chronic illnesses, or previous surgeries.
06
Record the patient's vital signs, including their blood pressure, heart rate, and temperature.
07
Include the details of any current medications the patient is taking, including the dosage and frequency.
08
Document any physical examination findings, such as abnormalities or restrictions in mobility.
09
Provide a comprehensive list of laboratory tests conducted, including blood tests, urine tests, and imaging results.
10
Enter the name and contact information of the medical practitioner performing the examination.
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Finally, review the completed form for any errors or omissions before submitting it to the relevant authority.

Who needs dfa medical examination form?

01
The DFA medical examination form is typically required by individuals who are applying for a visa or work permit.
02
Some common categories of people who may need to fill out this form include:
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- Foreign workers seeking employment abroad
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- Immigrants applying for permanent residency
05
- Students applying for study permits
06
- Individuals participating in international exchange programs
07
It is advisable to check the specific requirements of the country or institution you are applying to in order to determine if the DFA medical examination form is necessary.
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The dfa medical examination form is a document required by the Department of Foreign Affairs for individuals applying for a visa or traveling abroad.
Individuals applying for a visa or traveling abroad are required to file the dfa medical examination form.
The dfa medical examination form must be filled out accurately and completely, providing all requested information and supporting documents.
The purpose of the dfa medical examination form is to ensure that individuals traveling abroad are medically fit and do not pose a health risk to others.
Information such as medical history, current health status, and results of medical tests must be reported on the dfa medical examination form.
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