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Get Participant Medical History And Examination Form

To submit a completed Medical History and Examination Form. The attached form should be completed and returned to: Institute of International Education Council for International Exchange of Scholars 1400 K Street N.W., Suite 700 Washington, D.C. 20005 Tel.: (202) 686-4000 You should complete Part I prior to the medical examination. Part II, the "Health History" and Part III, Medical Examination must be completed by a qualified, licensed doctor or physician no more than six months before.

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