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Medical Report Blank Form

Medical Report Blank Form

Use a blank medical report template to make your document workflow more streamlined.

With driver. Yes No Yes No Yes No Any illness or injury in last 5 years? Lung disease, emphysema, asthma, chronic bronchitis Fainting, dizziness Head/Brain injuries, disorders or illnesses Kidney disease, dialysis Sleep disorders, pauses in breathing while Liver disease asleep, daytime sleepiness, loud snoring Seizures, epilepsy medication Eye disorders or impaired vision (except corrective lenses) Ear disorders, loss of hearing or balance Heart disease or heart attack; other...
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Instructions and help about Medical Report Blank Form

laws dot-com legal forms guide the form I - 693 known as the medical examination and vaccination report is typically required for all applicants filing for an adjustment of status to that of a lawful permanent resident form I - 693 is used to report the result of a medical examination to the United States Citizenship and Immigration Services the examination is required by the United States federal government to establish that an applicant is not inadmissible to the country on public health grounds a full list of medical conditions or health grounds that would impede an individual from receiving permanent residents can be found in section 212 of the Immigration and Nationality Act once your medical examination is completed the coordinating civil surgeon is required by law to give you the applicant the completed form I - 693 in a sealed envelope be sure to not accept the form if the envelope is not sealed it is important to note that you the applicant and not the civil surgeon is require

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