Get Dos Ds-4147 2014-2025

The DoS DS-4147 is an essential form for confirming your medical clearance status and worldwide availability for entry into the Foreign Service. This guide provides clear and supportive instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete the DoS DS-4147.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Fill in the date in the format mm-dd-yyyy. This indicates the date the form is being completed.
3. Input the 'To' field. This is typically addressed to HR/REE, indicating the recipient of the confirmation.
4. Provide the 'From' field. Enter your name here as the sender of the confirmation.
5. Write your name where it says 'I confirm that I have...' to affirm your confirmation of no changes in physical or mental health.
6. Complete the 'Date of Birth' field with your birth date in mm-dd-yyyy format.
7. Print your name again in the 'Printed Name' section as part of the confirmation process.
8. Sign the form in the designated 'Signature' area, confirming the information you have provided.
9. Enter today's date again in the 'Date' section (mm-dd-yyyy) to validate the signature.
10. If applicable, if there have been significant changes in your medical status, follow the instructions to notify MedClearances@state.gov.
11. Once all fields are completed, save your changes, download, print, or share the form as needed.

Complete your DoS DS-4147 online today to ensure your medical clearance status is recorded.