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Does my wife really need a new medical exam?

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Filed: K-1 Visa Country: China

My wife came from China to the US with me in July on a K-1 visa. We quickly got married and sent in all the paperwork.

For her visa interview in China she was required to undergo a medical exam. She passed the exam, got the visa and we came to the US.

Knowing that she only needed the I-693 vaccination supplement and not the entire I-693 for filing I-485, she appropriately got only the vaccination supplement done by the USCIS-designated civil surgeon.

But now, we've received an initial Permanent Residence/AOS interview date for about one month from now and the interview notice asks that she bring the following:

A completed medical examination (Form I-693) and vaccination supplement in a sealed envelope (unless already submitted).

So she has definitely submitted the vaccination supplement in a sealed envelope, but I was under the impression that an additional medical exam was not necessary.

Does anyone have any thoughts or advice on this? I suppose it would be safer to just get another one, though it would be nice to save the money for something else.

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Filed: Citizen (apr) Country: Colombia

I am assuming you have the Vaccination worksheet from the doctor that you saw for the K1 - he should have given you a copy. Its DS3025 - I only sent that with the I485; I didn't submit any I693. We just had our interview last Friday - no questions asked about vaccinates or I693! So, maybe you can do the same - if you do not get an RFE - you may be OK like we were. When I didn't get an RFE, I decided to go to the interview without the I693 or another medical exam etc. Good Luck

Edited by motu



March 2 Filed I-129 F

July 21 Interview in Bogota ** Approved ** Very Easy!


Oct 19 Mailed AOS Packet to Chicago


Feb 17 AOS interview in Denver. Biometrics also done today! (Interviewing officer ordered them.)

Apr 25 Green card received


Removal of conditions

March 17 Refiled using new I-751 form

April 16 Biometrics done

July 10 Green card production ordered



Jan 20 filed N400

Feb 04 NOA date

Feb 24 Biometrics

May 5 Interview - Centennial (Denver, Colorado) Passed

June 10 Oath Ceremony - Teikyo Loretto Heights, Denver, Colorado

July 7 Received Passport in 3 weeks

Shredded all immigration papers Have scanned images

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Well, the interview letter calls for you to bring the vaccination sheets in if not already submitted. So if you sent in your I-693 supplement along with your AOS package, they should already have it. Do you have a copy of the overseas vaccination supplement (DS-3025)? That could be something extra you can bring along, in case. I know when my husband got our I-693 supplement filled out, they gave us a copy of it as well.

Good luck! I think you'll be fine.

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That is the supplemental that you must go to a civil surgeon to get. Make sure you call around, the pricing can very by a huge amount! http://uscis.gov/graphics/exec/cs/Index.asp


United States & Republic of the Philippines

"Life is hard; it's harder if you're stupid." John Wayne

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Filed: K-3 Visa Country: Ukraine

This is strange and what worries me. I called USCIS just yesterday with a few questions about my wife's AOS. Wanted to make sure everything was correct before sending it in. One of my questions was about her medical. The USCIS person told me that as long as the medical exam she had was NOT over 1 year old by the time I file the AOS, she will not need another one. Also, my wife will not need a supplemental vaccination certificate either, to just submit the copy of her vaccinaction certificate she received from her medical exam prior to her visa interview. SO...it looks like from these posts it's a hit or miss thing.

<span style='color:purple'>Marriage : 2005-04-30</span>

<span style='color:red'> I-130

I-130 Sent : 2005-05-19

I-130 NOA1 : 2005-05-23

I-130 Approval : 2005-08-25 </span>

<span style='color:blue'> I-129F (<!--WORD2URL-01--><!--END WORD2URL-01-->K-3<!--WORD2URL-02--><!--END WORD2URL-02-->

I-129F Sent : 2005-07-23

I-129F NOA1 : 2005-07-27

I-129F Touched : 2005/8/10

I-129F Touched : 2005/8/17

I-129F Touched : 2005/8/23

I-129F NOA2 : 2005-08-23 </span>

<span style='color:green'><!--WORD2URL-01--><!--END WORD2URL-01-->NVC<!--WORD2URL-02--><!--END WORD2URL-02--> Received : 2005-08-24

<!--WORD2URL-01--><!--END WORD2URL-01-->NVC<!--WORD2URL-02--><!--END WORD2URL-02--> Left : 2005-08-26</span>

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Filed: K-1 Visa Country: China

Thanks for all the tips everyone.

Just to be clear, my wife DID NOT have any vaccinations or vaccination form DS-3025 done prior to her visa interview in China. All that was needed at that time was a medical exam, which was sealed and presented to the embassy. She did not need vaccinations in order to get the K-1 visa.

To apply for AOS, however, she DID need the vaccinations, which could be documented in "Supplemental Form to I-693." She got the vaccinations and supplemental form filled out by a USCIS-designated civil surgeon upon returning with me to the US. It was clear at the time that she didn't need to have the entire I-693 done because the medical exam she had in China covered that.

Anyway, I feel fairly confident that because she had the medical exam in China less than a year before her initial AOS interview date, she will not need an additional medical exam. I was worried because the interview notice seemed to ask specifically for the I-693 and I'm not sure if the exam she had in China amounted to the same thing as an I-693. I just got off the phone with a "customer service representative" at USCIS and she seemed to think we were ok.

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I'm in pretty much the same situation. My AOS interview is coming up, but it has now been over a year since my medical in London. However, when I applied for AOS, it was less than a year. The AOS instructions do state that K-1 fiances do not require a medical exam if the application for AOS is filed within a year of their embassy medical. I'm not sure whether by 'file' they mean applied for or approved/denied. My understanding of the word 'file' is sending in the application, in which case the POE had them weeks before I sent in my application. I spoke to an immigration officer on the helpline and he 'recommended' that I get a new medical, as results are only valid for 1 year and when the interview comes around, and the interviewing officer will be looking at an expired medical exam. I argued that it was less than a year old when I applied, and it wasn't my fault that it had taken so long for them to arrange an interview. He then said it was pretty much up to the officer at the interview as to whether or not I would need another medical.

In your case your wife shouldn't need another medical. On my AOS interview letter it makes no mention of the vaccination suppliment, it just says "I-693 Medical Exam Results (if not already submitted)". It also says to bring a letter from my employer and 2 ADIT photographs (which they no longer accept), which leads me to believe that the letters are generic and are not written for specific cases.

Edited by chiggins

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Filed: K-1 Visa Country: Thailand

I don't know the answer to this question either. My wife came to the US on a K1, she had the medical done in bangkok 12/04 or 1/05. After we submitted the AOS, we got an RFE asking for some medical something or other. The only thing I had was the supplement DS 3025, so I sent in the copy of that. Then we got our biometrics appointment, so I guess it sufficed.

But the interview is 3/22/06, so more than one year after the original medical. My letter said the same thing, to bring the I-693 if not already submitted. The website says that it needs to be within one year, but it also says that K1s do not need to do it again.

My wife has been seeing the doctor and has her next appointment on 2/28, so we'll ask him to fill it out. I don't think he's on the civil surgeons list, but it should suffice in case its asked for. But I am not expecting to be asked for it.

17 Aug 02 - Met at Dunking Donuts, Bangkok

Nov 04 - my mother and sister visit and meet ning and her family

03 Dec 04 - I move back to NY to find work. (find it!)

20 Jan 05 - I go to BKK for K1 interview

25 Jan 05 - ได้วีสาแล้ว!! Approved!

01 Feb 05 - fly back to NY on Kuwait Airways

18 Feb 05 - apply for SS#

22 Apr 05 - MARRIED!!!!!

28 Apr 05 - Sent Form I-485 to Chicago

01 May 05 - AOS received in Chicago

29 Sep 05 - Biometrics

24 Oct 05 - NOA - March 22 interview!

22 Mar 06 - AOS interview- approved?

22 May 06 - Welcome letter received! (mailed 15 May)

Greencard received

07 Feb 08 - I751 filed

12 Feb 08 - extension letter recieved


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Filed: Other Timeline

I had my medical exam done in August 2004, I applied for AOS in April 2005, and just had my interview last week. Somewherein the middle there, I rec'd an RFE telling me to have a medical exam, which I had already done and was not about to spend another $400+ to duplicate it. We called our State Senator (Dole, NC, R) and her office confirmed with USCIS that I had already completed the medical exam and submitted the forms at the POE in October 2004. If they didn't have them, then the error was USCIS and not mine, so I should not be subjected to a second medical exam. USCIS then "found" my file, and I did not need another exam.

My interview well well more than a year after my medical exam, but we were well within the year when we sent in the application, and that's the rule you should go by.

If you've already had a medical exam and its less than a year old when you apply for AOS, then you don't need another. If however your vaccinations were not complete at time of your medical exam, you will need to go to a sivil surgeon to have your vaccinations and appropriate forms filled out to send in with your AOS application.

The interview notice letter is telling you that if you have not yet submitted information about your medical exam AND/OR vaccinations, then you should bring it with you.

Edited by Reba

divorced - April 2010 moved back to Ontario May 2010 and surrendered green card


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Filed: AOS (apr) Country: Indonesia

This topic is interesting to discuss and learn...as dealing with medical exam seems to lead some of us in confusion. Well...my story goes like this...I had my medical exam for K1 visa in end of April'05 and applied AOS in mid of Dec'05. As to complete my AOS requirements about medical/I-693, I went to see a civil surgeon and we spend $ 250 for filling out the form and had bloodtest + X-ray again, even if, I had it already in my home country, but vaccination is still good according to USCIS civil surgeon. I'm wondering if I need to spend another $$$ just to complete to the next stage aka AOS interview, just to be safe of doing that???

I-129 F / K-1 Visa in 2005:

Jan 10 : Received NOA 1 from VSC

Jan 27 : Received approval e-mail

Feb 5 : Received NVC letter

Feb 9 : Received NOA letter

Mar 7 : Received packet for visa interview

Apr 25 : Medical exam

Apr 26 : Screened documents and interview approved

May 13 : Picked up visa

Sep 11 : Went to the US

Oct .... : Got SSN in maiden name

Nov 13 : Wedding Day!

AOS in 2005 till 2006 :

Dec 12 : Sent AOS + EAD

Dec 22 : Received NOA1 letter

Dec 28 : Got touched

Feb .... : Received SSN in married name

Feb 18 : Received Bio letter of AOS + EAD

Feb 23 : Appointment of biometrics of AOS + EAD

The rest is a waiting game :)

Feb 25 : Got touched AOS + EAD

Mar 1 : Received an e-mail stating EAD card will be sent

Mar 2 : Received an e-mail stating an approval letter is already sent

Mar 4 : Received EAD card in the mail

May 24 : AOS Interview

July 14 : Touched (said that the decision took 120 days)

July 19 : InfoPass Appointment & Passport got stamped for GC. What a surprise!

July 20 : Got a welcome letter from USCIS and that GC card would be mailed soon. What a surprise!

July 25 : Got a GC in the mailbox. Wow...what a real relief! My status is now clear:)

Deal with USCIS again in April 2008

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Filed: K-1 Visa Country: Russia

Can you print the vaccination supplemental? This is what needs to go with the application for the AOS/EAD- correct? I guess Im a bit confused on where to find the form if we do not need the full exam, just the supplemental- where do we find it at?

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Filed: K-1 Visa Country: China
Can you print the vaccination supplemental? This is what needs to go with the application for the AOS/EAD- correct? I guess Im a bit confused on where to find the form if we do not need the full exam, just the supplemental- where do we find it at?

I BELIEVE the USCIS-designated civil surgeon should have that, though he may not initially be aware of it and you might have to be insistent. I don't think you can download that supplemental form from the internet.

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Can you print the vaccination supplemental? This is what needs to go with the application for the AOS/EAD- correct? I guess Im a bit confused on where to find the form if we do not need the full exam, just the supplemental- where do we find it at?

here is the form, though the civil surgeon should have it

Appendix A. Supplemental Form To I-693

interesting reading from the CDC

"The fact that we are here today to debate raising America’s debt limit is a sign of leadership failure. It is a sign that the U.S. Government can’t pay its own bills. It is a sign that we now depend on ongoing financial assistance from foreign countries to finance our Government’s reckless fiscal policies."

Senator Barack Obama
Senate Floor Speech on Public Debt
March 16, 2006


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Filed: K-1 Visa Country: Germany

We recently filed our AOS and was told not to submit without the medical exam. One day we will all have the same information.

7/20/05 - Visa received in the mail

9/13/05 - Arrival to Texas FINALLY!!!

12/2/05 - Wedding

1/25/06 - AOS/EAD sent

1/26/06 - AOS/EAD received at USCIS

02/4/06 - NOA received for EAD

02/6/06 - NOA received for AOS

02/7/06 - ASC appt notice rcv'd

03/2/06 - Biometrics appt.

05/15/06 - AOS Approval (stamp in passport)

05/23/06 - Received Welcome letter

05/26/06 - Green Card arrived in mail yaaaahhooooo

08/10/06 - Hubby 1st job in US

05/15/08 - ??? what next

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<a href="http://daisypath.com/"><img src="http://dwdf.daisypath.com/TikiPic.php/PshYLK5.jpg" width="60" height="80" border="0" alt="Daisypath - Personal picture" /><img src="http://dwdf.daisypath.com/PshYm6.png" width="400" height="80" border="0" alt="Daisypath Wedding tickers" /></a>

April 25,06 started working.

Aug. 18,06 passed the colorado driving test

Sept. 28,06 got my own car

Aug. 28,12 7th year wedding anniversary

July 11,2011 became a Citizen of US

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