Get the free Minnesota Initial Refugee Health Assessment Form (PDF)

MINNESOTA INITIAL REFUGEE HEALTH ASSESSMENT FORMReturn completed form, preferably within 30 days of screening completion, to address on bottom of page 3. Name (last, first, middle): Date of Birth

How to fill out minnesota initial refugee health

How to fill out minnesota initial refugee health

1. To fill out Minnesota initial refugee health form, follow these steps:
2. Start by providing your personal information such as name, date of birth, gender, and contact details.
3. Next, fill in your refugee identification number or case number if applicable.
4. Provide information about your immigration status and any previous health screenings or treatments.
5. Indicate if you have any disabilities or special healthcare needs.
6. Answer questions about your medical history, including any chronic conditions or allergies.
7. Provide information about any vaccinations you have received.
8. Provide details about any medications you are currently taking.
9. If applicable, provide information about any recent surgeries or hospitalizations.
10. Finally, review the completed form for accuracy and sign it.
11. Ensure that you have all necessary supporting documents before filling out the form.

Who needs minnesota initial refugee health?

1. Minnesota initial refugee health is needed by individuals who have recently arrived in Minnesota as refugees.
2. This includes individuals who have been granted refugee or asylum status and are seeking healthcare services in Minnesota for the first time.
3. It is an important form to assess the initial health needs of refugees and facilitate their access to appropriate healthcare services.

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What is minnesota initial refugee health?

The Minnesota initial refugee health assessment is a comprehensive health screening program for refugees who have resettled in Minnesota.

Who is required to file minnesota initial refugee health?

Refugees who have resettled in Minnesota are required to undergo the initial refugee health screening.

How to fill out minnesota initial refugee health?

To fill out the initial refugee health assessment, refugees must visit a designated health facility for a comprehensive health screening.

What is the purpose of minnesota initial refugee health?

The purpose of the Minnesota initial refugee health assessment is to ensure that refugees have access to necessary medical care and to protect public health in the community.

What information must be reported on minnesota initial refugee health?

The initial refugee health assessment includes medical history, physical examination, laboratory tests, and vaccinations.