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Home » Under Secretary for Management » Office of Medical Services » Medical Clearances » Medical Clearance Forms

Medical Clearance Forms

Please use only the enclosed Medical Clearance forms. Do not use out-dated forms.

DS-1622: Medical History and Examination for Foreign Service for Children 11 Years and Younger
DS-3057: Medical Clearance Update
DS-1689: Waiver of Medical Claim
DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel
DS-6563: Release of Medical Information
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