Ds 2053-2025

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The medical examination will include a medical history review, physical examination, chest X-ray and blood tests for syphilis. The physical examination will at least include examination of the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes and skin.
INA Section 412(b)(4)(B) requires that the United States Government provide for the identification of refugees who have been determined to have medical conditions affecting the public health and requiring treatment. Form DS-2053, Medical Examination for Immigrant or Refugee Applicant (1991 Technical Instructions);
If an immigrant visa is issued or refugee status granted, you will convey this form to U.S. Department of Homeland Security (DHS) for disclosure to the Centers for Disease Control and Prevention and to the U.S. Public Health Service. Failure to provide this information may delay or prevent the processing of your case.