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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DS-1622
for the current year.
Form DS-1622 Medical History and Examination for Children Age 11 and Younger
What Is Form DS-1622?
This is a legal form that was released by the U.S. Department of State on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DS-1622?
A: Form DS-1622 is the Medical History and Examination for Children Age 11 and Younger.
Q: Who needs to complete Form DS-1622?
A: Parents or legal guardians of children age 11 and younger need to complete Form DS-1622.
Q: What is the purpose of completing Form DS-1622?
A: The purpose of completing Form DS-1622 is to provide medical history and information about the child's health for visa or immigration purposes.
Q: Do I need to submit Form DS-1622 for my child's visa application?
A: Yes, Form DS-1622 is required to be submitted along with the child's visa application.
Q: What information is required on Form DS-1622?
A: Form DS-1622 requires information about the child's medical history, immunizations, and current health status.
Q: Are there any fees associated with Form DS-1622?
A: No, there are no fees associated with Form DS-1622.
Q: How should I fill out Form DS-1622?
A: Follow the instructions provided on the form to accurately fill out all the required information.
Q: Can I make changes to Form DS-1622 after it has been submitted?
A: No, once Form DS-1622 is submitted, changes cannot be made. It is important to review the form before submission.
Q: How long is Form DS-1622 valid for?
A: Form DS-1622 is valid for one year from the date of completion.
Form Details:
- Released on June 1, 2020;
- The latest available edition released by the U.S. Department of State;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DS-1622 by clicking the link below or browse more documents and templates provided by the U.S. Department of State.
Download Form DS-1622 Medical History and Examination for Children Age 11 and Younger
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