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The DS-3025 form is an essential document for applicants seeking a U.S. visa, particularly in relation to vaccination requirements. Designed for use by panel physicians, this form captures critical information about an individual's vaccination history and medical status. It includes fields for personal details like surnames, given names, birth dates, and the exam date. The form guides physicians in recording vaccinations received and any applicable waivers needed by the applicant. Each type of vaccine must be documented, whether administered or declined, with specific codes indicating medical appropriateness or contraindications. For designated refugees, additional requirements may apply. Completing the DS-3025 is not just a procedural step; it serves to ensure that individuals meet public health standards prior to entering the United States. This form also contains a confidentiality statement, emphasizing the importance of privacy regarding the information it holds, which is protected under U.S. law. Failure to submit a fully completed form can lead to delays or denial of visa applications, making it a vital piece of the immigration process.

Form Sample

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Department of State

 

 

 

 

 

 

 

 

 

OMB No. 1405-0113

 

 

Photo

 

 

 

 

VACCINATION DOCUMENTATION WORKSHEET

EXPIRATION DATE: XX/XX/XXXX

 

 

 

 

 

ESTIMATED BURDEN: 20 minutes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To Be Completed by Panel Physician Only

 

 

 

 

(See Page 2 of 2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For US Vaccination Requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GIVE COPY TO APPLICANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surnames

 

 

 

 

 

Given Names

 

 

 

Birth Date (mm-dd-yyyy)

 

Exam Date (mm-dd-yyyy)

 

Blanket Waiver(s)

 

 

 

 

 

 

 

I

 

 

 

 

 

I

 

 

 

 

 

 

 

I

 

 

 

 

I

 

 

 

 

 

 

 

To Be Requested

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

If Vaccination Not

 

 

 

 

 

 

 

Document Type

 

 

 

 

 

 

Document Number

 

Case or Alien Number

 

 

 

 

Medically

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appropriate.

 

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Vaccination Record

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccine

 

 

 

For Designated

 

Test for

 

 

ndicate reason

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Given By

 

 

 

Refugees Only:

 

Immunity

 

 

 

 

 

Vaccine History Transferred From a Written Record

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Panel

 

 

Additional Vaccine

 

Positive

 

 

 

 

 

 

 

List Chronologically from Left to Right. Provide date as mm-dd-yyyy

 

 

 

 

 

 

 

Mark all that apply

 

 

 

 

 

Site

 

 

Given by Panel Site*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(see legend):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

Refugee/V93 Declines

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccine

 

 

 

 

 

 

I Date

 

I

Date

 

 

Date

 

I

Date

I Date

 

I Date

T Date

I

 

Date

1A, B, C*, D, -F, H

 

Diphtheria, tetanus, pertussis

 

 

 

 

 

 

 

 

 

 

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t

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□

DTP, DTaP

 

 

 

 

I

 

I

 

 

 

I

 

 

I

 

I

 

 

 

 

 

 

 

I

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Td

 

 

 

 

 

 

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Polio

 

 

 

 

 

 

 

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OPV

 

 

 

 

 

 

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IPV

 

 

 

 

 

 

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Measles, mumps, rubella

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Mumps

 

 

 

 

 

 

 

 

 

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-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rubella

 

 

 

 

 

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T

 

 

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T

 

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I

 

 

 

 

 

 

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I□

RotaTeq (RV5)

 

 

I

 

I

 

 

 

I

 

I

 

 

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I

 

 

 

 

 

 

 

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-

~Rotavirus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

~□Hepatitis A

 

 

 

 

 

 

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T

 

 

 

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-

 

 

 

Rotarix (RV1)

 

 

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-

 

Hib

 

 

 

 

 

 

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T

 

 

 

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-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hepatitis B

 

 

 

 

 

T

T

 

 

T

T

 

T

 

I

 

 

 

 

 

 

 

I

 

 

Meningococcal

 

 

 

 

1

 

1

 

 

 

1

 

1

 

 

1

 

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MenACWY Conjugate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(specify brand in remarks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Varicella

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

l□

 

 

 

 

 

 

 

i

 

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i

 

 

 

 

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-

 

Vaccine

□

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Varicella History

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pneumococcal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□

 

PCV 10

 

 

 

 

 

 

I

 

I

 

 

 

I

 

 

 

 

I

 

I

 

 

 

 

 

 

 

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I

 

 

□

PCV 13

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

□

PPSV 23

 

 

 

 

 

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I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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I

 

 

 

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Influenza

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

I

 

I

 

 

 

I

 

 

 

 

I

I

 

 

 

 

 

 

 

I

-

 

 

 

 

 

 

 

 

 

 

I

 

I

 

 

 

I

 

 

 

 

I

 

I

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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I

 

 

 

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I

J

 

 

 

 

 

 

I

 

 

Blanket waiver legend: A Not age appropriate B Insufficient time interval to complete series C* Contraindications (C1-C6, see below) D Not available in-country

 

 

F Flu vaccine not available H Known chronic hepatitis B virus infection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contraindications (record in blanketwaiver column): C1 Current pregnancy; C2 Immune compromised; C3 Historyof severe allergic reaction to vaccine or vaccine

 

 

component; C4 Other severe reaction to vaccine; C5 Current moderate to severe illness; C6 Other, specifyin remarks

 

 

 

 

 

 

 

 

_I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DS-3025

 

 

 

 

 

 

 

 

 

 

 

 

 

Please complete Page 2

 

 

 

 

 

 

 

 

 

 

 

 

Page 1 of 2

03-2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AILA Doc. No. 20102334. (Posted 10/26/20)

2. Vaccination Documentation (Mark one)

□

Immigrant Visa or Parolee applicant completed vaccination requirements

□ K Visa applicant voluntarily completed voccination requirements

□ Immigrant Visa applicant refused vaccination (Class A)

□ Immigrant Visa applicant requested Adoptee Exemption

□ Immigrant Visa applicant requests Individual Waiver based on religious or moral convictions

□ Refugee or follow to join Asylee/Refugee (V92/93) applicant not required to meet vaccination requirements □ K Visa applicant electing not to be vaccinated at this examination

□ Other NIV applicant not required to meet vaccination requirements

3. Panel Physician Name (printed)

I attest that I reviewed the vaccine history, ordered vaccinations, completed or supervised completion of this form, and have an agreement with the Department of State.

Panel Physician signature

Date (mm-dd-yyyy)

4. Remarks

Panel Physician Initials

Date (mm-dd-yyyy)

PAPERWORK REDUCTION ACT AND CONFIDENTIALITY STATEMENTS

PAPERWORK REDUCTION ACT STATEMENT

Public reporting burden for this collection of information is estimated to average 60 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: [email protected]

CONFIDENTIALITY STATEMENT

INA Section 222(f) provides that visa issuance and refusal records shall be considered confidential and shall be used only for the formulation, amendment, administration, or enforcement of the immigrant, nationality, and other laws of the United States. The U.S. Department of State uses the information provided on this form primarily to determine an individual’s eligibility for a U.S. visa. Certified copies of visa records may be made available to a court which certifies that the information contained in such records is needed in a case pending before the court. The information provided may also be released to federal agencies for law enforcement, counter terrorism and homeland security purposes; to Congress and courts within their sphere of jurisdiction; and to other federal agencies who may need the information to administer or enforce U.S. laws. Although furnishing this information is voluntary, individuals who fail to submit this form or who do not provide all the requested information may be denied a U.S. visa or cause processing delays.

DS-3025

Page 2 of 2

AILA Doc. No. 20102334. (Posted 10/26/20)

⇩ PDF

Document Specifications

Fact Name Description
Form Purpose The DS-3025 form serves as a vaccination documentation worksheet, required for individuals applying for a U.S. visa. This ensures compliance with U.S. vaccination requirements.
Governing Law The use of this form is governed by the Immigration and Nationality Act (INA) Section 212, which outlines the health-related grounds for inadmissibility.
Who Completes It Only a panel physician designated by the U.S. government can complete the DS-3025 form. This ensures that all health assessments are performed by qualified individuals.
Key Information Collected This form requests the applicant's vaccination history, including specific vaccines administered, dates of administration, and any potential contraindications.
Information on Waivers The form allows for requests for blanket waivers, should the applicant be unable to meet the vaccination requirements for specific reasons outlined in the form.
Confidentiality The information submitted on the DS-3025 is confidential and is protected under INA Section 222(f), ensuring privacy in the visa application process.
Document Control Number The form features an OMB control number (1405-0113) indicating it has been approved for use and complies with federal regulations.
Applicant Responsibility Applicants are advised to receive a copy of the completed DS-3025 for their records, as this document is integral to their visa processing.

Steps to Filling Out Ds 3025

After gathering the necessary documents and preparing for the appointment with a panel physician, completing the DS-3025 form accurately is the next crucial step. This document collects vaccination history and certain details that are essential for U.S. immigration requirements.

  1. Start by entering the Surnames of the individual at the top of the form.
  2. In the next field, write down the Given Names of the individual.
  3. Provide the Document Number, which typically pertains to the individual’s visa or other identification.
  4. Insert the individual's Birth Date in the format mm-dd-yyyy.
  5. Record the Exam Date using the same mm-dd-yyyy format.
  6. If applicable, indicate any Blanket Waiver(s) to be requested for vaccination exemptions.
  7. Fill out the Case or Alien Number as required.
  8. Chronologically list the Vaccine History from existing records, providing the relevant dates as mm-dd-yyyy. Include the name of the vaccine given by the panel physician in the corresponding columns.
  9. For the vaccines administered, check the applicable boxes including options such as Diphtheria, Tetanus, Pertussis, Polio, and others as necessary.
  10. Mark any reasons under Medically Appropriate that apply to the individual. Use the provided legends, marking the letter that corresponds to the reason.
  11. Indicate the Vaccination Documentation selecting one option that fits the individual’s situation, such as a K Visa applicant or an immigrant visa applicant.
  12. Enter the Panel Physician Name, ensuring it is printed clearly.
  13. Have the Panel Physician sign and date the form, listing the date as mm-dd-yyyy.
  14. Add any Remarks, if necessary, and secure the Panel Physician's initials and date.

More About Ds 3025

What is the DS-3025 form?

The DS-3025 form, also known as the Vaccination Documentation Worksheet, is used by panel physicians to document the vaccination history of individuals applying for U.S. visas. This form plays a crucial role in ensuring that applicants meet the vaccination requirements established by the Centers for Disease Control and Prevention (CDC) for immigration purposes. It must be filled out accurately and comprehensively to facilitate visa processing.

Who needs to complete the DS-3025 form?

The DS-3025 form is primarily completed by panel physicians who evaluate applicants for U.S. visas. Immigrant visa applicants, refugees, and certain non-immigrant visa applicants must present this document to confirm their vaccination status. In cases where vaccinations were not received, the form will indicate any waivers that are applicable.

What information is required on the DS-3025?

This form requires detailed information such as the applicant's name, birth date, document type, and vaccination history. Panel physicians must record the specific vaccines received, including dates and details of any contraindications. If an applicant is unable to complete certain vaccinations due to medical reasons or other waivers, this must also be documented on the form.

What happens if an individual refuses vaccinations?

If an applicant refuses vaccinations, the DS-3025 form has specific sections that can indicate this refusal. It’s important to note that refusal may classify the applicant as having a Class A medical condition, potentially affecting their eligibility for a visa. Applying for an exemption based on religious or moral convictions is also an option which can be noted in the form.

How is the DS-3025 form submitted?

The completed DS-3025 form must be given to the applicant, who then includes it with their visa application package. The form should not be submitted separately. It is crucial that the panel physician ensures the information is accurate and aligns with the vaccination requirements established by health authorities.

What happens if the DS-3025 form is incomplete?

Submitting an incomplete DS-3025 form may lead to delays in processing or even denial of a visa application. It’s vital for both the applicant and the panel physician to work together to ensure that all necessary information is filled out thoroughly. Incomplete information may raise concerns about the applicant’s vaccination status.

Are there any confidentiality concerns regarding the DS-3025?

Yes, the information contained in the DS-3025 form is considered confidential according to the Immigration and Nationality Act (INA). It is used primarily for visa eligibility determination. There are strict regulations governing the use and dissemination of this information, ensuring that it is only accessed and shared within specific legal contexts, such as law enforcement or federal agency requirements.

Common mistakes

  1. Incomplete Personal Information: One common mistake is failing to fill out all required personal details, such as surnames, given names, document type, and birth date.

  2. Incorrect Dates: Applicants may miswrite or overlook the date format (mm-dd-yyyy) for vaccination records or exam dates, leading to potential confusion.

  3. Neglecting To Request Waivers: If vaccinations are not completed, individuals sometimes forget to specify any blanket waivers needed for their case.

  4. Vaccine History Documentation Errors: It's crucial to list vaccines chronologically. Mistakes in this section, such as incorrect dates or missing vaccine types, can cause significant issues.

  5. Missing Signature and Initials: Finally, some applicants fail to ensure that the panel physician's name is printed and their signature is present, along with the required initials and date on the form.

Documents used along the form

The DS-3025 form is an important document concerning vaccination requirements for visa applicants. In various situations, several other forms and documents may accompany the DS-3025 to ensure a complete and accurate application process. Below are some of those important documents.

  • DS-260: Immigrant Visa Electronic Application - This form is used by individuals applying for immigrant visas. It collects essential information about the applicant, including personal details and background information.
  • DS-2019: Certificate of Eligibility for Exchange Visitor Status - Used primarily for individuals participating in exchange programs, this form outlines the visitor's eligibility status and the duration of their stay in the U.S.
  • I-864: Affidavit of Support - This document is typically required to demonstrate that the sponsor can financially support the visa applicant. It ensures the applicant will not become a public charge.
  • I-693: Report of Medical Examination and Vaccination Record - This form is submitted to document the results of the medical examination undertaken as part of the immigration process. It is often essential for establishing compliance with health requirements.
  • Form N-400: Application for Naturalization - This form is used by immigrants applying for U.S. citizenship. It collects information regarding the applicant's residence, marital status, and background, among other things.
  • I-551: Permanent Resident Card (Green Card) - Issued to immigrants as proof of their permanent resident status, this card is often needed to verify the holder's eligibility for various services and benefits.
  • DS-156: Nonimmigrant Visa Application - This application is for nonimmigrant visas and gathers information related to an individual's intentions for traveling to the U.S. and their background.

Assembling the necessary documentation can be overwhelming, but understanding each form's purpose can ease the process. It’s essential to ensure completeness and accuracy in all applications, as missing or incomplete documentation can lead to delays or complications in the visa process.

Similar forms

The DS-3025 form, primarily used for documenting vaccination history for visa applicants, shares similarities with the I-693 form. Facilitated by U.S. Citizenship and Immigration Services (USCIS), the I-693 form is a report of medical examination and vaccination record. Both documents play pivotal roles in ensuring that foreign nationals meet health requirements for visa eligibility. They require detailed vaccine history, attestation by a medical professional, and serve as proof of compliance with vaccination mandates established by U.S. immigration authorities.

Another document analogous to the DS-3025 is the Form I-601, Application for Waiver of Grounds of Inadmissibility. While the DS-3025 pertains to vaccination records, the I-601 allows applicants to request a waiver for specific reasons that may make them inadmissible under U.S. immigration law. Both forms necessitate specific medical or personal information and involve careful review by immigration authorities to assess eligibility and compliance with U.S. laws.

The DS-3025 also resembles the Form DS-260, which is the Online Immigrant Visa and Alien Registration Application. This form collects comprehensive information from applicants seeking immigrant visas and addresses vital details similar to those found in the DS-3025 about health provisions, including vaccinations. Both forms are vital components of the visa application process, and each plays a role in determining the applicant's readiness for entry into the United States.

Similarly, the Affirmation of Vaccination, often required by various states, has functional parallels with the DS-3025. This affirmation focuses on validating that an individual has received the necessary vaccinations before entry into school or other public amenities. Like the DS-3025, it emphasizes vaccination history and typically requires confirmation by a qualified medical provider, ensuring public health standards are met.

The International Adoption Home Study Report is another document that shares characteristics with the DS-3025, particularly in cases involving immigrant visas for adopted children. This report includes health evaluations, including vaccination records, and is crucial for verifying that children meet health requirements set by U.S. immigration authorities. Both documents aim to safeguard public health and ensure compliance with U.S. immigration regulations.

Additionally, state health department immunization records share similarities with the DS-3025. Both types of documentation serve the same purpose: validating vaccination histories for health and legal compliance. State health records typically include detailed vaccination history, and like the DS-3025, they require accurate record-keeping and professional endorsement, fulfilling the public’s need for health verification.

The DS-3025 form is also comparable to the Form I-864, Affidavit of Support, which is submitted by sponsors of immigrants to ensure that the applicant will not become a public charge. While the central focus is different—financial support vs. health compliance—both forms are crucial in the immigrant visa process and rely on additional documentation to substantiate claims made within them.

Lastly, the Health Certificate required by some travel authorities mirrors the DS-3025 regarding the necessity of ensuring public health safety. Health certificates document an individual's vaccination status and general health condition for travel, similar to how the DS-3025 provides assurance to U.S. authorities about an applicant's adherence to health requirements. Both documents are integral in the movement of individuals across borders, underpinning the importance of vaccination records in public health policy.

Dos and Don'ts

Filling out the DS-3025 form can feel overwhelming, but following certain guidelines can make the process smoother. Here’s a list of six key dos and don'ts to keep in mind:

  • Do ensure that all personal information is accurate, including names, birth dates, and document numbers.
  • Do provide a complete vaccination history, detailing each vaccine chronologically.
  • Do consult with a panel physician to verify and sign the form, confirming all details are correct.
  • Do check for any necessary blanket waivers if certain vaccinations are not applicable.
  • Don't leave any sections blank; incomplete forms can delay processing.
  • Don't forget to keep a copy of the completed form for your own records.

Misconceptions

  • Misconception 1: The DS-3025 form is only for immigrant visa applicants. Many believe that this form is exclusively for individuals seeking immigrant visas. However, it is also applicable to other categories, including K Visa applicants and refugees, who may have specific vaccination requirements or exemptions.
  • Misconception 2: Completing the DS-3025 form guarantees visa approval. Some individuals think that simply filling out this form correctly will ensure their visa is granted. In reality, the form is only one part of the overall visa application process, and eligibility decisions depend on a variety of factors beyond vaccination records.
  • Misconception 3: All vaccinations are mandatory regardless of personal circumstances. People often assume that every vaccine listed on the form must be received. Nevertheless, there are circumstances—such as age, medical conditions, or religious beliefs—that may exempt an individual from certain vaccinations.
  • Misconception 4: The DS-3025 form can be completed without a panel physician. Some may think they can fill out the form themselves or have it completed by someone who is not a qualified panel physician. This is incorrect, as the form must be completed by an authorized professional who ensures all documentation adheres to the requirements specified by the U.S. Department of State.
  • Misconception 5: Once the DS-3025 form is submitted, the information cannot be updated. Individuals might believe that the information provided is final and cannot be changed. In fact, applicants can update their vaccination records if necessary, but they must ensure that any updates are made before their visa application is finalized.

Key takeaways

1. Purpose of the Form: The DS-3025 is used to document vaccination information necessary for U.S. visa applicants.

2. Completion by Panel Physician: Only a designated panel physician can fill out this form, ensuring accurate assessments of vaccination history and requirements.

3. Personal Information Requirement: Applicants must provide complete details including surnames, given names, document type, and other personal identifiers.

4. Vaccination Records: All vaccination history should be recorded chronologically, including the date each vaccine was administered and the vaccination provider.

5. Blanket Waivers: If an applicant cannot receive a vaccine, the panel physician may request a blanket waiver. The reasons for waivers must be noted in the appropriate section.

6. Medically Appropriate Indications: It’s essential to indicate if a vaccination is not appropriate due to medical reasons. Common reasons include pregnancy or a history of severe allergic reactions.

7. Signatures Required: The panel physician must sign the form, confirming they have reviewed the applicant’s vaccine history and supervised the completion of the form.

8. Confidentiality Assurance: The information provided on this form is confidential and is used primarily to assess eligibility for a U.S. visa. Non-compliance or incomplete information may lead to visa denial or delays.