Reference: U.S.A. Visa Applicant | St. Luke's Medical Center Extension Clinic (slec.ph)
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Medical Examination for U.S.A. Visa Applicants
REQUIRED DOCUMENTS
EACH APPLICANT MUST PRESENT THE FOLLOWING:
Medical Examination Appointment Confirmation Email from SLEC
Valid passport – original and two (2) photocopies of biographic data page
(Use short bond paper. Do not reduce or enlarge the image)
4 pieces 2”x2” visa photos (refer to U.S. Visa Photo Requirements for specifications)
Vaccination records – original and two (2) photocopies, including the COVID-19 vaccine certificate, if vaccinated
Visa Interview Appointment Letter – one (1) photocopy
Letter with Case Number – one (1) photocopy
DS 260 Confirmation (Regular Immigrant) / DS 160 (K Visa)
Old chest x-ray films, if available
(Should have been taken at least 3 months ago and must clearly show (1) the patient’s complete name, (2) date of x-ray and (3) name of the facility/clinic.)
For minors (ages 17 and below) who are not accompanied by their parents:
Authorization Letter or Special Power of Attorney (SPA) authorizing the companion to sign documents in behalf of the parent
Parent’s government-issued ID – 2 photocopies per applicant
Companion’s government-issued ID – original and 2 photocopies per applicant
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Whenever applicable, please bring the following:
Note: The following documents are for information purposes only and will not replace the required test.
SELF-REPORTED VACCINES WILL NOT BE HONORED.
Your vaccination documentation will only be honored if it contains the following details:
The medical certificate should contain the following information:
Old chest x-ray films taken 3 months prior to the medical examination, or older
Original COVID-19 Vaccination card and photocopy
Immunization record, Original and 5 photocopies
personal copy (e.g. baby book)or copy of medical chart indicating received vaccines
complete date of receipt of vaccination
must include signature (license number, if applicable) of doctor or health worker who administered vaccine
Medical certificate regarding a previously-treated or currently managed clinically significant illness, Original and 5 photocopies
Medical Treatment
name of medication (brand and/or generic name)
dosage
duration and dates of treatment
surgical procedure done
complete final diagnosis
outcome of treatment or treatment plans and prognosis, if available