Health Assessments Tools and Resources – more


Technical Instructions for Panel Physicians detail the requirements for overseas medical screening of refugees. The instructions are written by the CDC Division of Global Migration and Quarantine (DGMQ).

The Technical Instructions include the following sections:

  • Introduction and Background
  • Medical History and Physical Examination
  • Tuberculosis
    • For countries using 1991 Technical Instructions for TB
    • For countries using 2007 Technical Instructions for TB
  • Syphilis
  • Chancroid, Gonorrhea, Granuloma Inguinale, and Lymphogranuloma Venereum
  • Hansen’s Disease
  • Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders
  • Other Physical or Mental Abnormality, Disease, or Disability
  • Communicable Diseases of Public Health Concern
  • Vaccination

Medical Examination Forms are issued by the Department of State. Sample copies are not available but the forms are summarized here:

  • DS-2053
  • DS-2054
  • DS-3024
  • DS-3030
  • DS-3025
  • DS-3026

Guidelines for the U.S. Domestic Medical Examination for Newly Arriving Refugees are being developed by CDC to assist State public health departments and medical professionals/clinicians in determining the best tests to perform based on evidence during routine post-arrival medical screening of refugees. These guidelines are intended as recommendations rather than as mandates.

As of July 2011, the following guidelines are available:

  • General Guidelines
  • Guidelines for the History and Physical
  • HIV Infection Screening Guidelines
  • Tuberculosis Guidelines
  • Mental Health Screening Guidelines
  • Immunization Guidelines
  • Lead Screening Guidelines
  • Malaria Guidelines
  • Intestinal Parasite Guidelines
  • Sexually Transmitted Diseases Guidelines