Get Ds 2053

Filling out the Ds 2053 form accurately is crucial for immigrant and refugee applicants undergoing a medical examination. This guide provides clear, step-by-step instructions to help users complete the form online effectively.

Follow the steps to fill out the Ds 2053 form accurately.

1. Press the ‘Get Form’ button to obtain the Ds 2053 form and open it in your preferred online editor.
2. Begin by entering your name in the format: Last, First, Middle Initial. Ensure that it matches your identification documents.
3. Attach a recent photograph. Ensure that the photo meets the requirements specified for official documents.
4. Input your birth date in the format of month-day-year (mm-dd-yyyy).
5. Indicate your sex by selecting the appropriate checkbox.
6. Enter your birthplace, specifying the city and country.
7. Provide details regarding your prior country of residence, if applicable.
8. Indicate your current country of residence.
9. List the U.S. Consul where you will be submitting the form.
10. Enter your passport number and alien (case) number, if assigned.
11. Provide the date of your prior medical examination, if you have one.
12. Fill in the date of your current medical examination.
13. Specify the expiration date of the exam based on the classification of conditions. Use mm-dd-yyyy format.
14. Indicate the place where the examination took place, including the city and country.
15. Complete details regarding the panel physician and the radiology services used.
16. Check all applicable conditions in the classification section. Be thorough while selecting Class A or Class B conditions.
17. Complete the laboratory findings section, including any test results for syphilis, HIV, and required treatments.
18. Respond to the immunizations section based on your vaccination history and request any necessary waivers.
19. Sign the application at the designated spots to certify the information provided and confirm your understanding of the medical examination process.
20. Finally, save your changes, download the completed form, and print it for your records before submission.

Start completing your Ds 2053 form online today to ensure a smooth application process.