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How to fill out the DS-1843 online
The DS-1843 is an essential form used by the U.S. Department of State to assess the medical history and findings of individuals aged 12 and older. This guide provides step-by-step instructions to help you complete this form accurately and efficiently online.
Follow the steps to successfully complete the DS-1843 form
- Click ‘Get Form’ button to access the DS-1843 and open it in your preferred editor for online filling.
- Begin with Section I, which requires demographic information. Fill in the name of the examinee, date of birth, and other personal details as indicated. Ensure accuracy, as this information is vital for processing.
- Proceed to Section II, where you will answer medical history questions. Answer each question truthfully; any 'Yes' responses require additional explanations, which can be noted in the provided spaces.
- Complete Section III, listing all current medications. Include prescriptions, over-the-counter medications, and any supplements, along with their dosages and frequencies.
- In Section IV, document any hospitalizations, surgeries, or medical evacuations. Provide specific details such as the name of the hospital, the illness or operation, and the date.
- Sign the form in Section V. It's critical to confirm that you have read and understood the declaration regarding accuracy and the consequences of falsification.
- Refer to Section VI for submission instructions. Ensure all fields are filled out, and gather any necessary laboratory tests and medical reports to attach to your submission.
- Once you have completed the form and gathered the required documents, save your changes. You can then choose to download, print, or share the completed DS-1843 form as needed.
Complete your DS-1843 form online to ensure a smooth medical clearance process.
DS-1843: Medical History and Examination For Individuals Age 12 and Older. DS-1622: Medical History and Examination For Children Age 11 and Younger.
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