QUOTE(mateo @ Feb 14 2008, 05:04 PM)

Then how do people doing adjustments of status here in the US get them? I know there are people that get them here for the same purpose.
I find a simple NO hard to believe.
It is very simple actually..
If you are going to be getting a visa from a Dept. of State embassy abroad, you must go to one of the panel physicians in that country which the embassy is familar with.
If you are going to be getting adjustment of status for a Dept. of Homeland Security immigration office, you must go to one of the civil surgeons in the U.S. that USCIS has approved for this purpose.
Furthermore, the medical form submitted in connection with adjustment of status (Form I-693) is different from the form submitted in connection with a visa application (Form DS-2053). For visa processing, the consular officer is in fact also required to compare the signature of the physician on the form in the sealed envelope with the signature specimen filed with the embassy.
Bottom-line, you have to plan to visit the consulate's panel physician some time before the visa interview. Many people do it in the days immediately before the interview, but you should be able to do it up to 6 months in advance of the interview,
but only with the consulate's designated panel physician.