Verify Post Health/Medical Information - US Department of State: Fill out & sign online

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Click ‘Get Form’ to open the Verify Post Health/Medical Information form in the editor.
Begin by filling out Section I, which requires your personal information. Enter your name, date of birth, and contact details accurately.
Proceed to answer the medical history questions in Section II. Be honest and thorough, as this information is crucial for your medical clearance.
In Section III, list any hospitalizations or operations you have had. Include dates and details for clarity.
Complete Section IV by providing explanations for any 'yes' answers from Section II. Attach additional sheets if necessary.
Ensure all sections are filled out completely before signing at the end of the form. Review your entries for accuracy.
Finally, submit your completed form via email or fax as instructed in Section IX to ensure it reaches the Medical Records department.

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