OMB control number

Electronic Medical Examination for Visa or Immigration Benefit (eMedical)

OMB 1405-0230 · STATE/AFA.

OMB 1405-0230

The DS-7794 is used to record the medical information necessary to determine whether an alien seeking entry to the United States has a medical condition affecting his or her eligibility for a visa or immigration benefit.

The latest form for Electronic Medical Examination for Visa or Immigration Benefit (eMedical) expires 2029-04-30 and can be found here.

OMB Details

Electronic Medical Examination for Visa Applicant

Federal Enterprise Architecture: International Affairs and Commerce - Foreign Affairs

Form DS-7794Electronic Medical Examination for Visa ApplicantFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.