Form ds-7794 Electronic Medical Examination for Visa or Immigration B

Inbox

Pre-exam: lookup

Pre-exam – Manual Entry

Pre-exam – Health case Details

Pre-exam – Manage photo

Pre-exam – Confirm Identity

All exams summary

501 – Medical Examination
Confirm Identity

Medical History

Basic questions

Detailed questions

Classification and Examiner declaration

502 – Chest X-Ray Examination
Pregnancy Declaration

Confirm Identity

Attach x-ray images

Findings

106 – Mental health report

603 – Investigation on current state of tuberculosis

607 – Continued anti-tuberculosis treatment

712 - Syphilis

713 - Gonorrhea

714 – Hansen’s Disease

719 - TB Screening

951 – Vaccinations
Level 1 Diseases

Level 2 Vaccines

Level 3 General: Dates and/or Contra-indications

Level 3 Varicella variation

Level 3 ‘Other’ variation