Medical?

[CharliesAngel13 7]

Can anyone tell me from experience what the "medical" entails? Ive read its just for immunizations, not sure if theres more to it then that.. My fiance is from Nigeria, does location change the requirments? Is there a physical involved or any STD testing done at this medical?

[NigeriaorBust 4,087]

Medical will make sure that required, age and sex appropriate vaccines are at least started for a K series or completed for a CR/IR. A K series applicant may want to complete the entire series there as they are cheaper than doing them before AOS in the US. The person is also examined for any illness that excludes them such as active TB. It is little more than what you would consider a basic nedical exam although most people here have had shots as children. The doctors will also note any physical impedimate that may require attention so the petitioner can show that they are capable of providing medical care throug pre existing insurance.

[CharliesAngel13 7]

Ok thank you... I hope he has his records of shots

[dwheels76 5,468]

Also something that started back in October if they are over 40 EKG. Medical is N12,000 and shits around N16,500. If needed EKG N10,000.

[NigeriaorBust 4,087]

Also something that started back in October if they are over 40 EKG. Medical is N12,000 and shits around N16,500. If needed EKG N10,000.

Now I know you are excited about your interview coming up but what a typo

[CharliesAngel13 7]

Ok thank u... Hes not 40 so that wont apply... Is there STD tests dun as well and if so, if they have documentation already for that proving everythings negative can it b used or is it new current tests required? He just had those dun, required for work, about 2 weeks ago.. I told him save the results but wasnt sure if he had to be tested again at the medical.. And N12,000 isnt to bad for the cost

[NigeriaorBust 4,087]

All medical testing must be done at an approved contract facility, even when filing inside the US you must use their doctors and the tests are done there. HIV was the only STD that used to deny you a visa but that has changed. Things that make you medically excludable ( until they are treated if treatable) are defined below

The relevant regulation’s definition expressly lists eight diseases as a “communicable disease of public health

significance”: chancroid, gonorrhea, granuloma inguinale, infectious leprosy, lymphogranuloma

venereum, active tuberculosis,28 and infectious syphilis.29 However, this list is neither exclusive

nor exhaustive, because the regulatory definition also includes other diseases incorporated by

reference to a Presidential executive order.30 The relevant executive order lists cholera;

diphtheria; infectious tuberculosis; plague; smallpox; yellow fever; viral hemorrhagic fevers

(Lassa, Marburg, Ebola, Crimean-Congo, South American, and others not yet isolated or named);

severe acute respiratory syndrome (SARS); and “nfluenza caused by novel or reemergent

influenza viruses that are causing, or have the potential to cause, a pandemic.”

[dwheels76 5,468]

Now I know you are excited about your interview coming up but what a typo

OMG am I . How this site make me cuss. LOL

I swear thats shots and if they are 40 years old not 40 EKG. Sweet heavens. I need a nap. Been updating interview thread all day. LOL Thanks. I am so embarrassed sorry CharliesAngel13

[CharliesAngel13 7]

Lol i understood.... Thanks for the heads up... And according to all this my man should b good to go.... Medical wont b a problem.. Not that i was worried but more so curious.. Thanks guys!

[vbtwo 54]

Here's the explanation of the medical and what they test for from the Ukrainian embassy site. I assume it should be similar in other countries, but it might not be exactly the same, so do not take this as fact for your country (if it's not Ukraine). Warning: wall of text incoming.

The medical examination consists of the following components: Tuberculin Skin Test for all children ages 2-14,

chest X-Ray for adults ages 14 and older, blood test for syphilis for adults only, general physical examination, and

vaccinations.

The medical screening for tuberculosis of those applying for U.S. immigration is an essential component of the

medical evaluation. According to CDC (Centers for Disease Control and Prevention) guidelines, any applicant for

whom the clinical suspicion of tuberculosis is high enough to warrant treatment for tuberculosis disease, regardless

of laboratory results, is considered to have tuberculosis disease and is Class A for Tuberculosis (inadmissible to

United States health condition).

All adult applicants ages 14 and older that have a chest X-Ray with findings suggestive of tuberculosis, have signs

and symptoms of tuberculosis should provide three sputum specimens to undergo microscopy for Acid Fast Bacilli

(AFB), as well as culture for Mycobacteria Tuberculosis. The results of chest X-Ray readings are available the

same day.

All applicants 2-14 years of age should have a Tuberculin Skin Test (TST). The results of TST reaction will be

measured in 48-72 hours. If the TST is ≥10 mm or if the applicant has signs and symptoms of tuberculosis, a chest

X-Ray should be performed. Applicants who have a chest X-Ray suggestive of tuberculosis, signs and symptoms

of tuberculosis should provide three sputum specimens to undergo microscopy for AFB, as well as culture for

Mycobacteria Tuberculosis. Applicants 2-14 years of age with a documented previous history of tuberculosis

disease should have a chest X-Ray, even if their TST <10 mm.

Many applicants may have previously received the BCG (Bacille Calmette-Guérin) vaccination. Prior receipt of

BCG does not change the screening requirements or the required actions based on those results.

Applicants 10 years of age or younger who require sputum cultures, regardless of HIV infection status, may travel

to the United States immediately after sputum smear analysis, while culture results are pending. Sputum smear

results are normally available within three days of last specimen collection. Sputum cultures require a minimum of

8 weeks to complete.

All applicants 2 years of age and younger must have a physical examination and history provided by a parent.

Those applicants who have signs or symptoms suggestive of tuberculosis should have a Tuberculin Skin Test. If

the TST is ≥10 mm a chest X-Ray should be performed. Applicants who have a chest X-Ray suggestive of

tuberculosis, signs and symptoms of tuberculosis should provide three sputum specimens to undergo microscopy

for AFB, as well as culture for Mycobacteria Tuberculosis.

Women who are pregnant and are required to have a chest X-Ray to immigrate may chose to postpone the chest XRay until after delivery, but prior to immigration. Pregnant women must provide written consent for the chest XRay. Pregnant women receiving chest radiographs will be provided abdominal and pelvic protection with doublelayer, wrap-around lead shields.

Applicants with HIV infection will have three sputum specimens sent to the laboratory for AFB microscopy and

culture. These applicants will not be cleared for travel until the results of the laboratory investigation are available.

Laboratory examination for tuberculosis disease will consist of at least three sputum specimens, which will

undergo microscopy for AFB as well as culture for Mycobacteria Tuberculosis. Specimens reported as negative

will be cultured for a minimum of 6 weeks, with a final report available within 8 weeks of collection. Positive

Mycobacteria Tuberculosis cultures will undergo Drug Susceptibility Testing (DST) for first-line TB medications.

DST results will be available within 10 weeks of sputum collection. Positive cultures that are resistant to first-line

TB drugs will undergo drug susceptibility testing on second-line tuberculosis medications.

The medical evaluation is complete when all required aspects of the medical examination have been completed,

including a final report of culture results, and the applicant can be assigned a Tuberculosis Classification. Travel

clearances are valid for 6 months from the time the evaluation is complete for applicants who have no Tuberculosis

Classification and who do not have HIV infection. Travel clearances are valid for 3 months from the time the

evaluation is complete for applicants who have any kind of Tuberculosis Classification or who have HIV infection.

Applicants who do not travel within the clearance period will need to restart the tuberculosis screening process.

Any applicant diagnosed with pulmonary or laryngeal tuberculosis who needs treatment will not be cleared for

travel until completion of successful treatment.

All applicants with pulmonary or laryngeal tuberculosis disease who need treatment will need to complete a

minimum of 180 days of Directly Observed Therapy (DOT) prior to U.S. immigration. Applicants with positive

sputum smears or positive cultures who do not want to be treated will not travel to the United States. Panel

physicians will notify the Consulate of any Tuberculosis disease applicants refusing tuberculosis treatment at a

designated DOT facility approved by CDC. Panel physicians will also notify the appropriate public health officials

in Ukraine when they diagnose an applicant with tuberculosis disease.

Applicants diagnosed with tuberculosis disease by panel physicians, who are not treated at the designated DOT

facilities approved by CDC, but receive treatment at other health care facilities will not be cleared for travel to the

United States. These applicants will need to repeat their medical screening examination 1 year after treatment was

completed.

In exceptional medical situations, applicants undergoing pulmonary tuberculosis treatment may petition for a Class

A waiver. Form I-601 must be completed. These petitions are reviewed by the Department of Homeland Security

(DHS) on an individual basis and considered in situations with extenuating medical circumstances, and also sent to

CDC for review. CDC reviews the application and provides an opinion regarding the case. DHS then has the final

authority to adjudicate the waiver request.

[J J Moose 3]

Just a heads up- when my spouse had the medical done in Ghana, the clinic did not give us a copy of the test results and that makes things trickier when you get to the US and need to file your AOS paperwork to get a green card. Print off a copy of DS 2035 and at the bottom of "Vaccination Documentation Worksheet" it says "Give Copy to Applicant." If they try to not give you a copy, show them this sheet and tell them that are required to as part of the medical. Do not leave without a copy. We tried coming back for a copy, and the clinic gave us the run around and wouldn't make us a copy. It was really frustrating.

If you do not get a copy of this sheet of paper, then when your fiance gets here, they may end up having to get all those vaccinations again for a US civil surgeon to complete the I-693 which is needed for a green card, since you have no proof of their previous vaccination record. Also bring along any other vaccination records they may have. Obviously, getting double vaccinations is unnecessary and expensive so save yourself the hassle.

[CharliesAngel13 7]

Ok great... Thank u for all the help guys!!! much appreciated!!

[Laurka 65]

Just out of curiosity: why do you seek such info here on this international forum, when the first thing for one to do is to consult their local embassy's website. http://travel.state.gov/pdf/medical/LGS-MED-ENGL-0002-1201.pdf Only then, if in doubt, look for answers here.