Form DS-1622 Medical History and Examination for Children 11 Years and Younger

What Is Form DS-1622?

This is a legal form that was released by the U.S. Department of State on March 1, 2023 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 a medical history and examination form specifically for children 11 years and younger.

Q: Who should complete Form DS-1622?
A: Parents or legal guardians should complete Form DS-1622 for children 11 years and younger.

Q: What is the purpose of Form DS-1622?
A: The purpose of Form DS-1622 is to provide medical information about children traveling to the United States.

Q: When should Form DS-1622 be completed?
A: Form DS-1622 should be completed before the child's visa interview at a U.S. embassy or consulate.

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 completing Form DS-1622.

Q: Can Form DS-1622 be submitted electronically?
A: No, Form DS-1622 cannot be submitted electronically. It must be submitted in person or by mail.

Q: What should I do with the completed Form DS-1622?
A: The completed Form DS-1622 should be brought to the child's visa interview or sent by mail to the appropriate U.S. embassy or consulate.