The Refugee Health Program serves refugees and others who often have limited or no English proficiency and have often undergone extreme and/or ongoing trauma. The DMS must be administered by providers in a culturally competent manner, incorporating trauma-informed care principles, and must include consistent and effective language interpretation and translation whenever necessary. Healthcare centers administering the DMS through the Refugee Health Program are required to: Provide the Domestic Medical Screening in full according to the Centers for Disease Control and Prevention’s (CDC) guidelines, which includes these key components: o Identifying health conditions that threaten their well-being, o Following-up and providing referrals on medical issues identified in the overseas or DMS, o Identifying persons with communicable diseases of potential public health significance or risk, and o Performing a comprehensive physical, labs, and other screenings o Referring clients to primary care providers or specialists within or outside of the healthcare center for ongoing health care.