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U.S. Office of Refugee Resettlement Proposes Changes to Health Assessment and Intervention Forms, Including Data Sharing

There is no final new rule at this stage. ORR is proposing revisions to the existing forms and information-collection arrangements, subject to the public comment and federal review process. Under the proposal, the two public health investigation forms would become one expanded Onsite Health Intervention Form. The combined form would document responses to communicable disease exposure, triage with a licensed healthcare professional and medication-related standing orders. The Mental Health Assessment Form would be updated to remove some repeated documentation and improve the recording of health conditions and care needs. The proposed changes include additional documentation of disabilities and accommodations, laboratory tests and imaging, and clearer options for recording mental status examination findings. The form would also include a provider acknowledgement and signature section authorising record sharing with ORR. The most significant data-sharing proposal concerns children who have healthcare needs and are identified by DHS for repatriation. In those circumstances, ORR proposes sharing relevant information from the health assessment process with DHS. The listed information includes: The child's identifying information, including name, alien number and date of birth. Active diagnoses or health concerns that require management. Allergies. Current medications and dosages. Isolation or quarantine requirements. Health-related accommodations, including the need for durable medical equipment. Health-related travel restrictions. ORR states that the purpose of sharing this information is to help ensure children receive healthcare services and accommodations recommended by their treating healthcare providers. The proposal does not establish that all health records of all children in ORR custody would routinely be transferred to DHS. The stated sharing circumstances concern relevant health information for children with healthcare needs who have been identified for repatriation.

๐Ÿ‡บ๐Ÿ‡ธ United States1 versionUpdated 5 Oct 2026

Recent changes in this category

United StatesBorder SecurityConsultationIssued 5 Oct 2026

U.S. Office of Refugee Resettlement Proposes Changes to Health Assessment and Intervention Forms, Including Data Sharing with DHS

What changed

The U.S. Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR) has proposed significant revisions to its health documentation forms for unaccompanied alien children, including consolidating existing forms and enhancing data quality. Crucially, the updated request also formalises the sharing of health information, such as active diagnoses, medications, and accommodations, with the Department of Homeland Security (DHS) when a child in ORR custody is identified for repatriation. These changes aim to improve continuity of care, reduce administrative burden, and align with ORR requirements, with public comments invited until 4 November 2026.

Published 5 Oct 2026Effective 5 Oct 2026Federal Register โ€” Immigration rules & notices