WebCDC 75.17: “Notice of Arrival of Alien with Tuberculosis”; DS-2053: “Medical ... form DS-2053: Medical Examination for Immigrant or Refugee Application. Learn more. Chapter 4 - Review of Medical Examination Documentation... (Form DS-2053) or the Medical Examination for Immigrant or Refugee Applicant (2007 TB Technical Instructions) (Form ... WebDepartment of State Medical Examination for Immigrant or Refugee Applicant form (DS-2053 or DS-2054), Vaccination Documentation Worksheet (DS-3025), Medical History …
HOW DO I USE THIS FORM? - Passports and Visas.com
WebFor Use with DS-2053 To Be Completed by Panel Physician Only 1. Immunization Record ... Exam Date (mm-dd-yyyy) Birth Date (mm-dd-yyyy) Passport Number Alien (Case) Number Page 1 of 2. We ask for the information on this form in the case of applicants for immigrant visas to determine medical eligibility WebMar 7, 2024 · • A printed blank copy of Forms DS-2053, DS-3026, DS-3024 and DS-3025, which are available online. ... The basic medical exam fee is Rials Omani 75.000 for applicants 15 years and older, and Rials Omani 15.000 for applicants under 15 years of age. Any follow-up tests and vaccinations will be charged separately. A list of vaccination fees … bunk style boat trailers
U. S. Department of State MEDICAL EXAMINATION FOR …
WebDec 10, 2024 · Drug abuse and drug addiction are current substance-use disorders or substance-induced disorders of a controlled substance listed in Section 202 of the … WebMEDICAL EXAMINATION INSTRUCTIONS All visa applicants regardless of age need a medical examination. You must contact the examination facility listed below to schedule an appointment. The physician will not conduct an examination until you present your passport, the enclosed DS-2053, DS-3024, DS-3025, DS-3026, 1 photo and your … WebDS-2053 09-2007 OMB No. 1405-0113 ESTIMATED BURDEN: 10 minutes (See Page 2 - Back of Form) (Formerly OF-157) No Treated If treated, therapy: ... form is designed to record the result of the medical examination required by INA 221(d), which determines whether an applicant has a medical condition that bunks workstation full size loft bed