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Communicable diseases of public health significance are defined in 42 CFR 34.2(b) and include, but are not limited to:

A. Class A tuberculosis condition (as defined by Health and Human Services (HHS) regulations);

B. Chancroid;

C. Gonorrhea;

D. Granuloma inguinale;

E. Lymphogranuloma venereum;

F. Syphilis, infectious stage;

G. Leprosy, infectious; or

H. Any other communicable disease as determined by the U.S. Secretary of HHS and as defined at 42 CFR 34.2(b).

The application may be approved if:

A. You are the spouse, parent, unmarried son or daughter; unmarried minor lawfully adopted child of a U.S. citizen,

an alien lawfully admitted for permanent residence, or of an alien who has been issued an immigrant visa, or if

you are the fiancé(e) of a U.S. citizen or the fiancé(e)’s child; or

B. You are a VAWA self-petitioner.

If you have a Class A Tuberculosis Condition (as defined by HHS regulations), you and the physician at the local health

department in the area where you plan to reside must complete Part 11. Statement for Applicants With a Class A

Tuberculosis Condition (As Defined By HHS Regulations).

2. You are Seeking a Waiver Under INA Section 212(g)(2)(C) of the Vaccination Requirement

You must file this application if you seek an exemption from the vaccination requirement because vaccinations are

against your religious beliefs or moral convictions. You must establish with evidence that:

A. You are opposed to vaccinations in any form;

B. Your objection is based on religious beliefs or moral convictions; and

C. Your belief or conviction is sincere.

3. You are Seeking a Waiver Under INA Section 212(g)(3) for Inadmissibility Due to Physical or Mental Disorder

and Associated Harmful Behavior

You must file this application if you seek a waiver of inadmissibility based on a physical or mental disorder with

associated harmful behavior. Harmful behavior is behavior that poses, may pose, or has posed a threat to the

property, safety, or welfare of you or others. You also must submit this application if you seek a waiver to overcome

inadmissibility based on a history of a physical or mental disorder with behavior associated with the disorder that has

posed a threat to the property, safety, or welfare of you or others, and that is likely to recur or to lead to other harmful

behavior.

In addition to this application, you must submit a complete medical history and a report that addresses the following:

A. Your physical or mental disorder and the behavior associated with the disorder that poses, has posed, or may pose

in the future a threat to your property, safety, or welfare or the property, safety, or welfare of others. The report

should also provide details of any hospitalization, institutional care, or any other treatment you may have received

in connection with your disorder;

B. Findings regarding your current physical condition, including, if applicable, reports of chest X-rays and a

serologic test, if you are 15 years of age or older, and other pertinent diagnostic tests;

Form I-601 Instructions 08/21/17 N

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Instructions For Form I-601 - Application For Waiver Of Grounds Of Inadmissibility - Department Of Homeland Security - U.s. Citizenship And Immigration Services Page 10