U.S. Department of State

Form DS-3025. Vaccination Documentation Worksheet

Form DS-3025. Vaccination Documentation Worksheet

Form DS-3025 is a vaccination documentation worksheet used by the U.S. Department of State to collect and record information related to an individual's vaccination history. This form is primarily used for immigrants and visa applicants to determine their eligibility for entry into the United States. The form includes sections for listing various vaccinations, documenting contraindications, recording panel physician information, and indicating whether vaccination requirements have been met.

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