DS-1622 Medical History and Examination for Foreign Service (For Children 11 Years and Under) (PDF format)
The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.
The site is secure.
A lock () or https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.