These forms must be completed by a physician or a nurse.
Form 3A
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Question 1: All items in this line must be completed. You do not need your blood type to submit your application.
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Questions 2-9: Make sure all boxes are checked and that your information is clear and detailed. Include allergy or asthma information where indicated.
Form 3B
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Question 10-15: All questions must be answered. Don't forget to list any medications or restrictions in activity.
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Question 16: Immunizations must be written onto this form and cannot be provided in an attached document.
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All signatures are required on this form.
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Please have your doctor's office stamp this form at the bottom of the page.
Form 3C
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This form is only necessary if your doctor answered 'yes' to form 3b questions 11 or 12. If so, please ask your physician or therapist to complete the Form 3C.
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In addition to the form, you must also provide a statement regarding your condition, your full treatment history, and how you plan to adjust while abroad. A similar statement from your parents is also beneficial. Please refer to our Medical Evaluation Policy to determine if are in accordance with our standards for mental, physical and emotional health.