Get the free Refugee Health Assessment Form

NEW YORK STATE DEPARTMENT OF HEALTH Refugee Health Program ESP, Corning Tower, Room 575 Albany, NY 122370669Refugee Health Assessment FormInstructions: Send the completed form, with the original signature

How to fill out refugee health assessment form

How to fill out refugee health assessment form

1. Obtain the refugee health assessment form from a designated health care provider or organization.
2. Fill out your personal information including name, date of birth, and contact information.
3. Provide information about your medical history, including any past illnesses or injuries.
4. Answer questions about any current health concerns or symptoms you may be experiencing.
5. Make sure to disclose any medications you are currently taking or have taken in the past.
6. If applicable, provide information about any vaccinations or immunizations you have received.
7. Complete any additional sections or questions as required by the form.
8. Review your completed form for accuracy and completeness before submitting it to the designated health care provider.

Who needs refugee health assessment form?

1. Individuals who are seeking refugee status or asylum in a new country.
2. Refugees who have been granted resettlement in a new country.
3. Any individual who is required by immigration authorities to undergo a refugee health assessment as part of the resettlement process.

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What is refugee health assessment form?

The refugee health assessment form is a document used to evaluate the health status of refugees upon their arrival in a new country. It helps identify health issues and provides the necessary information for medical care and integration into the community.

Who is required to file refugee health assessment form?

Individuals seeking refugee status or resettlement in a new country are required to file the refugee health assessment form as part of their application process.

How to fill out refugee health assessment form?

To fill out the refugee health assessment form, applicants must provide personal information, medical history, and any health-related concerns. It is important to ensure all sections are completed accurately and honestly.

What is the purpose of refugee health assessment form?

The purpose of the refugee health assessment form is to assess the health needs of refugees, ensure they receive appropriate medical care, and protect public health by identifying any communicable diseases.

What information must be reported on refugee health assessment form?

Information that must be reported includes personal identification details, medical history, vaccination status, current health conditions, and any medications taken by the refugee.