Get Medical Examination Form

Completing the Medical Examination Form online is a straightforward process that requires attention to detail. This guide will provide you with step-by-step instructions to help you accurately fill out the form and submit it with confidence.

Follow the steps to fill out the Medical Examination Form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant's personal information. This includes the applicant's name, age, sex, citizenship, and the date and place of the examination. Ensure that all information is accurate and clearly legible.
3. Attach a recent photo of the applicant in the designated section. Make sure the photo meets any specified requirements.
4. Select the appropriate classification for the applicant. Carefully review the classifications: Class A, Class B, Class C, or Class D, and encircle the correct option based on the applicant's medical evaluation.
5. Complete the medical history section by providing pertinent details about the applicant's medical background. Include any significant medical conditions and treatments.
6. Document the findings of the physical examination in the relevant section, ensuring to detail any observations that may be pertinent.
7. If applicable, attach the chest X-ray report for applicants aged 11 years and older. Ensure that the X-ray film conforms to the specified size of 14 x 17 inches.
8. Include the results of any laboratory examinations required, such as blood serology, urine, and stool tests. Ensure you attach all necessary laboratory reports.
9. Finalize the form with any additional remarks or necessary evaluations that may be relevant to the applicant's health status.
10. Print the completed form. Ensure the form is signed by the examining physician and includes their full name and address. Note that this form must be notarized if the physician is not accredited by the Consulate General.
11. Once all information is complete and accurate, save the changes to the form. You may then choose to download, print, or share the completed Medical Examination Form as needed.

Start completing your Medical Examination Form online today for a smooth submission process.