2054 2022
MEDICAL EXAMINATION FOR IMMIGRANT OR REFUGEE
(3) Immunizations (See Vaccination Form, check all boxes that apply) Not required for refugee applicants. DS-2054. Page 2 of 3. Test Name. Date(s) Run. Negative.
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Class D - World History and History of Europe, Asia, Africa,
DT1991-2054. Cape Province. Cape of Good Hope. DT2075-2145. Orange Free State. Oranje Vrystaat. DT2181-2278. KwaZulu-Natal. Natal. DT2291-2378. Transvaal. South
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Immigrant Refugee Medicine Agenda Items not covered
What medical screenings have been done? Panel Physician Exam, Form DS-2054. What remains? Civil Surgeon Exam in the US, Form I-
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