Form Ds 3025 - Only sign once all vaccinations have been administered a Immunization record vaccine history transferred from a written record (list chronologically from left to right) Department of state uses the facts you provide on this form primarily to determine your classification and eligibility for a u.s. State and local health departments can access documentation of the overseas medical exam [1,2] as reported on the following u.s. A copy of this form must be provided to the applicant for use as his or her vaccination record in the united states. Individuals who fail to submit this form or who do not provide all the requested information may be denied a u.s. Iom also requires additional justification of any service rendered that exceeds the fee agreed with the us embassy or was not coordinated with iom in advance.
Iom also requires additional justification of any service rendered that exceeds the fee agreed with the us embassy or was not coordinated with iom in advance. A copy of this form must be provided to the applicant for use as his or her vaccination record in the united states. Immunization record vaccine history transferred from a written record (list chronologically from left to right) State and local health departments can access documentation of the overseas medical exam [1,2] as reported on the following u.s. Only sign once all vaccinations have been administered a Department of state uses the facts you provide on this form primarily to determine your classification and eligibility for a u.s. Individuals who fail to submit this form or who do not provide all the requested information may be denied a u.s.