FINAL CONFIRMATION of MEDICAL CLEARANCE STATUS AND 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date in the specified format (mm-dd-yyyy) at the top of the form.
3. Fill in the 'To' and 'From' sections with the appropriate recipient and sender information, ensuring clarity.
4. In the confirmation statement, write your name where indicated to affirm that your health status remains unchanged.
5. Provide your date of birth in the designated field (mm-dd-yyyy) for identification purposes.
6. Sign and date the form at the bottom to validate your confirmation before submission.
7. If applicable, follow up with an email to MedClearances@state.gov if there have been any significant changes in your medical status.

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