i-693 question

[bluestone99 0]

Hi, I have a question. My wife had a medical exam in Ukraine before coming to America almost 3 months ago. I am getting ready to file for her green card but I am confused on if I have to file the i-693? The instructions I found said it would need to partially filled out but she does not have to have a full exam? I found a local civil surgeon and asked over the phone what we would need and they said that they did not know either. Any help would be greatly appreciated. Thanks!

[Operator 1,927]

Read page 4 here.

No need for another exam. The CS needs to verify and sign off on the vaccinations.

***Edit***

You still need to file the I-693, signed by the CS. The instructions to the doc are there as well.

Edited March 7, 2013 by Operator

[zanda 0]

Hi, I have a question. My wife had a medical exam in Ukraine before coming to America almost 3 months ago. I am getting ready to file for her green card but I am confused on if I have to file the i-693? The instructions I found said it would need to partially filled out but she does not have to have a full exam? I found a local civil surgeon and asked over the phone what we would need and they said that they did not know either. Any help would be greatly appreciated. Thanks!

She definitely doesn't need to do the medical examination.

Does she have DS 3025 ? the vaccines from your doctor in Ukraine ?

If yes and the form DS 3025 says "Complete" just send that form DS 3025 instead of I 693 in your AOS

If yes and the form DS 3025 says "In complete" then you take that to the CS. There they will administer the vaccines needed and from the form I 693 you will need page 1 and page 5 (the vaccination assessment) filled out by the CS.

[Nich-Nick 3,354]

Hi, I have a question. My wife had a medical exam in Ukraine before coming to America almost 3 months ago. I am getting ready to file for her green card but I am confused on if I have to file the i-693? The instructions I found said it would need to partially filled out but she does not have to have a full exam? I found a local civil surgeon and asked over the phone what we would need and they said that they did not know either. Any help would be greatly appreciated. Thanks!

Do I need a medical exam?

What if I am a K nonimmigrant visa holder and already had a medical exam overseas?

If you were admitted as a:

A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e); or as a

B. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen; and

C. You received a medical examination prior to admission, then:

1. You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination, and the medical examination did not reveal a Class A medical condition, or if you did have a Class A medical condition, you received a waiver of inadmissibility and have complied with the terms and conditions on the waiver.

From the I-693 instructions page 4, Section III. 2, c, 2

Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025)

was not properly completed and included as part of the original overseas medical examination report,

you will have to have the vaccination report completed by a designated civil surgeon. In this case, you are required to submit the vaccination record and page 1 of Form I-693.

Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?

Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old). 

1. Shots marked with a date (at least one of a series) 

•MMR 

•Td or Tdap or DT or DTP or DtaP (One no longer than 10 years ago, ie.have a booster)

•Varicella or VH written by it if you had chickenpox

•Influenza (during flu season)** see note below because you are most likely okay without it.

2. Everything else marked not age appropriate,  insufficient time interval, not flu season...things that allow a waiver.

3. RESULTS section filled in with "incomplete" and "may be eligible for blanket waiver" ticked or "complete" (but complete is rare).

4. Signed and dated by the doctor

If it's not completed EXACTLY like that then see a civil surgeon for the I-693. If it is complete, send a photocopy of your DS-3025. Almost isn't good enough. It needs to be filled out properly.

The USCIS is supposed to have your K1 medical files, but sometimes lose them or fail to match them up with your AOS. Do not get another exam unless you get an RFE that says they do not have results of your medical. It means they lost them, but you are probably stuck with paying for a new exam. Those kinds of RFE's are not about the immunizations or the form I-693; they are because USCIS failed to match up your other medical exam results with your AOS application.

**Note on flu shot: Flu shots are required for adults of all ages (changed Nov 2010) if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.

What if I only had one dose of MMR and it's marked "insufficient time interval"? Do I need to another dose and must I see a civil surgeon before AOS?

NO you do not need to see a civil surgeon unless USCIS loses the whole medical file you turned in at POE. If you were up to date the day that DS-3025 was signed, then you're okay without getting 2nd or 3rd doses. You can get them for your health, or you can not get them ever. It was not medically appropriate for you to get dose 2 on top of dose 1. There's a time interval for doses. So you get a waiver for "insufficient time interval" if that is marked on your DS-3025.  

If you are one of the unlucky ones with a lost medical, then you will have to get a full medical again. By then, enough time would have passed for dose 2 so expect the CS to say you need  it. Hopefully it won't come to that. 

If you just chose not to get a second dose that was due (because it was more than 4 weeks since dose 1) then you wouldn't have that "insufficient time interval" waiver marked on your DS-3025.  It was medically fine to have the second dose and you didn't. You aren't complete and have no waiver excuse.

What if I don't have a DS-3025?

If you are positive that you got the needed shots, then actually mailing in a DS-3025 photocopy is not necessary. The original form is with your other medical results and was turned over to USCIS at POE. That's actually the one that counts because it remained in the "chain of custody" so you didn't have an opportunity to alter it. The photocopy isn't really an official copy and is more for a reminder that you got complete at your visa exam. Of course without having a copy, you don't have the opportunity to see if the rest of the form was completed correctly.

[bluestone99 0]

Thank you all, we see the civil surgeon tomorrow.