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Brigitte&Luke

RFE, new physical, medical issues

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Hello everyone,

I hope someone can calm me down a bit and may have been in a similar position.

I came to the US on a K1 this April and we filed for AOS in October. I had a medical done in my home country in December 2015, so about a year ago.

Yesterday I received a RFE asking for a Vaccination Supplement to Form I-693. That means I should only need the vaccinations part right? I already got a flu shot for this year a couple of weeks ago, so I do have all vaccinations required.

Unfortunately, I couldnt find a single civil surgeon in the Kansas City area who'd do the vaccination transcription only, so I probably will have to do a complete new medical, the cheapest $150 :(

The "concern" I have right now is following: I am taking escitalopram for anxiety and I also have several scars from self-harming when I was a teenager. Could those two things be a possible problem at the new physical or have any impact on receiving my Green Card now? I passed the medical in my home country, but I was super panicky back then that these things would be an issue.

Anyone know if I should get a statement from my family doctor as to why I'm taking the medication and that I am no risk to myself/others?

Thank you so much in advance!

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Your medical exam is mostly for shots, blood test, urine test (and poop test) if required. It's not a psych evaluation and no one is going to question the marks in your body. I don't imagine you are going there to strip naked for them to see.

Speak to your doctor about the test and the drugs you're taking to determine if the shots are necessary and possibly hand you a note to take to the testing physician. If your docto counters the shots, be sure to get it in writing and attach a copy to send by NVC. They will most likely ask if about any drugs you're currently taking. So be honest and only answer what was asked. Good luck!

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Hello everyone,

I hope someone can calm me down a bit and may have been in a similar position.

I came to the US on a K1 this April and we filed for AOS in October. I had a medical done in my home country in December 2015, so about a year ago.

Yesterday I received a RFE asking for a Vaccination Supplement to Form I-693. That means I should only need the vaccinations part right? I already got a flu shot for this year a couple of weeks ago, so I do have all vaccinations required.

Unfortunately, I couldnt find a single civil surgeon in the Kansas City area who'd do the vaccination transcription only, so I probably will have to do a complete new medical, the cheapest $150 :(

The "concern" I have right now is following: I am taking escitalopram for anxiety and I also have several scars from self-harming when I was a teenager. Could those two things be a possible problem at the new physical or have any impact on receiving my Green Card now? I passed the medical in my home country, but I was super panicky back then that these things would be an issue.

Anyone know if I should get a statement from my family doctor as to why I'm taking the medication and that I am no risk to myself/others?

Thank you so much in advance!

This might be a weird suggestion, but you may have to think about going outside of KC to find one. Some of us have had to drive a few hours to other cities just to find a competent civil surgeon that will do what the RFE requests. The RFE requests the vaccination supplement only, and that's what you need to give them. Have you looked through this thread yet? http://www.visajourney.com/forums/topic/231026-civil-surgeons-who-dont-rip-you-off/ There might be someone of use there. Do you have your DS3025 copy and a record for your flu shot? The civil surgeon will need to have a look at that, and then you will both complete a few pages (not all) of the I-693. It takes all of ten minutes for a competent CS to do, and even if you have to travel a distance you could consider it a money and stress saving road trip. :)

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Thank you everyone for your responses!! I don't have a copy of the DS3025, it was never given to me, so I don't really know if it was completed or not.

I might have to search for civil surgeons that are a bit of a drive away, I've gone through the list from the link above and called the CVs from the USCIS website as well. Just so frustrating that no one here would do the transcript only :(

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Thank you everyone for your responses!! I don't have a copy of the DS3025, it was never given to me, so I don't really know if it was completed or not.

I might have to search for civil surgeons that are a bit of a drive away, I've gone through the list from the link above and called the CVs from the USCIS website as well. Just so frustrating that no one here would do the transcript only :(

Well that is going to be the looming problem then. Because you don't have the DS3025 copy, unless you have recorded proof that you received the required vaccinations prior-to your medical, or during your medical, or any time after your medical there's no way to prove you have the shots for the CS to recertify. Do you have any evidence of receiving vaccines in your personal records that you could show the CS?

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I have that yes, I have this little yellow book where doctors keep track of all vaccines I got since my birth and thankfully he put it in last year at my medical in Munich. I also have those in my records at the family doctor I go to here in KC, including flu shot, so that shouldn't be the problem. I can take a copy of it with me. I just worry that me taking anxiety medication and my scars might be a problem if I have to do a full medical again over here, I know there's a section about mental disorders and that stuff in the I-693.

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Thank you everyone for your responses!! I don't have a copy of the DS3025, it was never given to me, so I don't really know if it was completed or not.

I might have to search for civil surgeons that are a bit of a drive away, I've gone through the list from the link above and called the CVs from the USCIS website as well. Just so frustrating that no one here would do the transcr

I have read the instructions prior to sending my application. It says that you need to complete part 1 (your info), 2 (interpretor's info), 4 (civil surgeon name and address) , and 7 (vaccination record) of the form I-693 (the medical form).

Something that may help you significantly is when I called the office of the civil surgeon in my area, the staff will say we don't do it or we have never done it. I went there to the office towards the end of his office hours without an appointment. I requested to speak with the civil surgeon directly for less than 5 minutes. I spoke with him. He said has never seen anything like that before initially. I showed him the instructions of the application which applies to our situation. He accepted. He did it and only charged us for one vaccination that was missing and gave us the vaccine. Please note that will require some formal paper stating that you have completed your vaccination (or partially completed your vaccination). He will complete whatever is missing and should charge you only for that.

I hope that helps. Don't listen to the staff. Just request to speak to the surgeon. Make sure you still be nice otherwise the staff will completely block you and not give you a chance to speak with the civil surgeon. Take the instruction with you.

I hope that helps.

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Your medical exam is mostly for shots, blood test, urine test (and poop test) if required. It's not a psych evaluation and no one is going to question the marks in your body. I don't imagine you are going there to strip naked for them to see.

Speak to your doctor about the test and the drugs you're taking to determine if the shots are necessary and possibly hand you a note to take to the testing physician. If your docto counters the shots, be sure to get it in writing and attach a copy to send by NVC. They will most likely ask if about any drugs you're currently taking. So be honest and only answer what was asked. Good luck!

This is not true. People have been denied because of self harm scars, please don't just make things up if you don't know what you are talking about, it's potentially very damaging for people who come here for information.

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This is not true. People have been denied because of self harm scars, please don't just make things up if you don't know what you are talking about, it's potentially very damaging for people who come here for information.

Since you know it all, how have you contributed to this question? I answered based on my experience. What exactly is your solution to this question?

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Okay- lets take it easy here- everyone is free to contribute to the thread what they can. Its good to make corrections to incorrect info, but lets all remain polite.
----------

Not everyone gets a copy of their DS3025. Its suppose to be in your sealed envelope. Sometimes its not, sometimes its filled out wrong, sometimes its just lost. All of which are horrible things to happen since you paid for the medical and reasonably expect it to be done properly and make its way where its gotta be.

But these things happen. With out a copy- you will never know if it was wrong- and you dont have it to resubmit. So you must get a new vac supplement part and if you cant- then the whole medical.

Luke- Try to find someone for just the vac part. People have suggested a few good ideas. 150 for the whole exam doesnt sound that bad cost wise if you have to do it all.

You did pass the medical once, so Im not sure why you are so anxious but you are on an anti-depressant- so you have anxiety! lol :) Taking a med like that or having old self harm scars can cause an issue. But its a super minor issue. I will break it down for you. The Dr will examine you. If he finds something that leads him to believe you are a danger to yourself or others he will have to refer you to a psych eval where its basically a 1/2hr to 45 min therapy session with a psych dr who will evaluate you and get a feel for you. The psych Dr will then report back to the regular Dr with an 'all good' you are no risk, or a 'oh my' you are deeply troubled and actively self harming.

To avoid being sent to a psych dr you can bring a statement from your Dr about your medication as well as any old records you may have (if any) about the previous self harm. The better the case you make to the Dr about 'yourself' the less likely it is they will refer you to psych. It does not appear the first time around you went for a psych eval right? Were you on meds then? Did they ask about your scars then? Try to remember what you previously stated and how you behaved because however it was was apparently suitable enough for them to be satisfied you were not needed to undergo further evaluation. Just be confident in yourself, and if the Dr acts like he has no choice but to send you to psych - then fine, so be it. Perhaps thats their policy. Just another hoop to jump through because a psych dr wont deny you based on old scars and an anti-depressant- you have to actually be at risk to have this be an issue, and you are not.

(one final thing i can suggest is attempting to contact the place that did your original medical to see if they will give you now a copy of the ds3025 you never got. However most who try this are ignored or flat out told no. You may be able to get the copy- but it could be blank or filled out wrong- which just puts you back in the same mess of needing it redone anyway, and you have limited time for the RFE)

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