Electronic Medical Examination for Visa Applicant

OMB 1405-0230

The eMedical system serves as a conduit from panel physicians to submit medical exam information to the Department and CDC. The medical forms are essential for determining the eligibility of aliens seeking immigrant or nonimmigrant visas to enter the United States.

The latest form for Electronic Medical Examination for Visa Applicant expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DS-7794 Electronic Medical Examination for Visa Applicant Form and Instruction
Form DS-7794 Electronic Medical Examination for Visa Applicant Form
(004) Tab 3 -- Legal Authorities 30 Day PRA -- eMedical.docx Supplementary Document
Emergency Approval -- OIRA Letter -- Afghan Parolees.docx Supplementary Document
Legal Authorities.docx Supplementary Document
(003) Tab 2 -- Supporting Statement 30 Day PRA -- eMedical.docx Supporting Statement A
Electronic Medical Examination for Visa Applicant Form and Instruction
Electronic Medical Examination for Visa Applicant Form

All Historical Document Collections

202207-1405-005 Approved with change	Revision of a currently approved collection	2022-07-21
202201-1405-001 Approved without change	Revision of a currently approved collection	2022-01-06
202112-1405-011 Approved with change	Revision of a currently approved collection	2021-12-20
202010-1405-005	Revision of a currently approved collection	2020-10-23
201712-1405-003 Approved with change	New collection (Request for a new OMB Control Number)	2017-12-15