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Form DS-1843

  1. Language English
  2. Country USA
  3. Department Department of State
Form DS-1843

Medical History and Examination for Individuals Age 12 and Over

This form, DS-1843, is a medical examination questionnaire used by the US Department of State for individuals seeking medical clearance for overseas assignments or travel. The form includes sections for personal information, medical history, laboratory results, and clinical evaluation. Positive responses to medical history questions must be explained with a written statement and dated. Required lab tests include hematology, chemistry, serology, lipid profile (for those over 50), ECG (for those over 50 or as indicated), tuberculin skin test, and chest X-ray (if TST is >10mm, positive IGRA, or clinically indicated). The form must be signed by the medical examiner and submitted with copies of all laboratory reports in English.

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ABOUT

Department of State (DOS) Forms

Form DS-1843 is one of application forms that are used by the United States Department of State (DOS) to collect information and process various services related to international travel, visas, passports, and consular services. The DOS is responsible for managing U.S. foreign policy, international relations, and providing services to U.S. citizens and foreign nationals.

Here are some examples of Department of State forms:

Passport Application Forms: These forms are used to apply for a U.S. passport, which is an official document issued by the government that allows individuals to travel internationally. Passport application forms collect personal information, details about citizenship, identity, and other required information.

Nonimmigrant Visa Application Forms: The DOS oversees the issuance of nonimmigrant visas, which allow foreign nationals to temporarily visit the United States for various purposes such as tourism, business, study, or work. Nonimmigrant visa application forms, such as the DS-160, DS-156, or DS-260, are used to gather information about the applicant's personal details, travel history, purpose of travel, and other relevant information.

Immigrant Visa Application Forms: For individuals seeking to immigrate to the United States, immigrant visa application forms are used. These forms collect detailed information about the applicant's personal history, family members, employment history, and other relevant information. Examples include the DS-260 form for family-based immigration or the DS-230 form for diversity visa lottery winners.

Consular Report of Birth Abroad (CRBA) Form: This form is used to document the birth of a U.S. citizen child abroad to U.S. citizen parents. It collects information about the child, parents, and supporting documentation.

Affidavit of Support Forms: When sponsoring an immigrant to the United States, a U.S. citizen or lawful permanent resident may need to submit an Affidavit of Support form. This form, such as the I-864 or I-134, is used to demonstrate the financial ability to support the intending immigrant and prevent them from becoming a public charge.

Consular Services Forms: The DOS provides various consular services to U.S. citizens and foreign nationals, such as notarial services, requests for emergency assistance, or renunciation of U.S. citizenship. Specific forms are used for these services, including forms DS-11, DS-3053, or DS-4079, depending on the nature of the service requested.

It's important to note that the specific forms used by the U.S. Department of State can change over time, and different services may require different forms. It's advisable to visit the official website of the U.S. Department of State or consult with the nearest U.S. embassy or consulate for the most up-to-date and accurate information regarding the specific forms required for various services.

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