Health Declaration for Aliyah Visa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in section A. Fill in your last name, first name, and date of birth. Select your gender and provide the approximate date of Aliyah.
3. Move to section B, where you will answer questions regarding your medical condition. Indicate if you are in good physical health and capable of fulfilling daily tasks independently.
4. For each illness listed, select 'Yes' or 'No'. If applicable, provide details about when you contracted the illness and your last treatment date.
5. If you take any medications, list them along with their purpose and daily dosage in the designated fields.
6. Complete the disability section if relevant, detailing the type of disability and any ongoing treatment required.
7. Answer questions regarding mental health and substance use as applicable, providing necessary details.
8. Finally, review all entries for accuracy before signing and dating the declaration at the end of the form.

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