Get Medical History And Examination Form Instructions - Flta Fulbrightonline

The Medical History and Examination Form is a critical component of your application for study in the United States. Completing this form accurately and thoroughly ensures that your health status is understood by the relevant authorities, assisting in the evaluation of your application.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by filling out the Medical History section (Part I) of the form in English. Ensure that all information provided is accurate and reflects your current health status.
3. Fill in your name, date of birth, and sex. Make sure to type or print legibly.
4. Provide your place of origin or permanent residence along with your current address.
5. If you know your grant location, please include the university or city and state.
6. Answer the health questions indicating 'YES' or 'NO'. If 'YES' is selected, provide a detailed explanation in the designated space.
7. For items concerning your medical history, be thorough in describing any significant illnesses, operations, or current medications.
8. Complete the emergency contact section by providing details for two individuals who can be reached if necessary.
9. Certify that the information you provided is true and complete by signing the form.
10. After reviewing your information, save your changes. You may choose to download, print, or share the completed form as needed.

Complete the required documents online to ensure a smooth application process.