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Medical examination / vaccination supplement (AOS)

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Filed: K-1 Visa Country: Germany

Good morning to everybody,

I have my AOS-Interview on April 18th in Louisville and am right now in the process of gathering all necessary documents. The invitation letter says to bring "a completed medical examination (Form I-693) and vaccination supplement in a sealed envelope (unless already submitted)".

When I came to the USA end of July 2005, I used a K1-Visa which I recieved just two weeks earlier. One of the conditions for a K1-Visa is to pass a medical examination in your home country. I had my examination at the beginning of April 2005 in Berlin, Germany. If I remember right, the doctor did also a check of my vaccination because I had to get a missing "shot" (MMR; against measles, mumps, rubella) before he said that everything is okay. Unfortunately I did not get a seperated statement about my vaccinations for my own documents; the doctor made only one statement for the embassy which he put in the sealed envelope. So I just assume that my "vaccination supplement" is already done and that I don't have to file a new one.

The immigration laws say in section 245.5 (AOS):

"A medical examination shall not be required of an applicant for adjustment of status who entered the United States as a nonimmigrant spouse, fiance, or fiancee of a United States citizen or the child of such an alien as defined in section 101(a)(15)(K) of the Act and § 214.2(k) of this chapter if the applicant was medically examined prior to, and as a condition of, the issuance of the nonimmigrant visa; provided that the medical examination must have occurred not more than 1 year prior the date of application for adjustment of status."

We filed for AOS in September 2005. In my understanding of the paragraph mentioned before, my medical examinations should be still good, although my interview is one year and 1 1/2 weeks after my medical examination. That's why because I filed for AOS already in September 2005, which is just 6 months after my medicals and the law says nothing about the approving/granting of AOS, but is just mentioning the "date of application". Is my interpretation of the law correct? :unsure:

I know that questions has been asked already several times in a similar way, but unfortunately I could not find an answer which is satisfactory for me. Sorry! Many thanks for any help you can give me! :yes:



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Filed: K-1 Visa Country: Canada

You do not need another medical exam because you submitted your paperwork within the 1 year of your K-1 medical exam.

You will, however, need a Vaccination Supplement for the interview. You can get one by calling the doctor that did your K-1 medical exam and getting them to send you a copy of the Vaccination worksheet. Once you have the worksheet, you can take it to a civil surgeon in the U.S. and get them to transfer the information from the worksheet to the Vaccination Supplement.

Call around to civil surgeons in your area to find the best prices as they vary from doctor to doctor. And some doctors won't do the supplement without a complete medical exam again. Find one that will do just the supplement without another exam. We paid $35.00 for completion of the supplement.

Good luck.


KURT & RAYMA (K-1 Visa)

Oct. 9/03... I-129F sent to NSC

June 10/04... K-1 Interview - APPROVED!!!!

July 31/04... Entered U.S.

Aug. 28/04... WEDDING DAY!!!!

Aug. 30/04... I-485, I-765 & I-131 sent to Seattle

Dec. 10/04... AOS Interview - APPROVED!!!!! (Passport stamped)

Sept. 9/06... I-751 sent to NSC

May 15/07... 10-Yr. PR Card arrives in the mail

Sept. 13/07... N-400 sent to NSC

Aug. 21/08... Interview - PASSED!!!!

Sept. 2/08... Oath Ceremony

Sept. 5/08... Sent in Voter Registration Card

Sept. 9/08... SSA office to change status to "U.S. citizen"

Oct. 8/08... Applied in person for U.S. Passport

Oct. 22/08... U.S. Passport received


KAELY (K-2 Visa)

Apr. 6/05... DS-230, Part I faxed to Vancouver Consulate

May 26/05... K-2 Interview - APPROVED!!!!

Sept. 5/05... Entered U.S.

Sept. 7/05... I-485 & I-131 sent to CLB

Feb. 22/06... AOS Interview - APPROVED!!!!! (Passport NOT stamped)

Dec. 4/07... I-751 sent to NSC

May 23/08... 10-Yr. PR Card arrives in the mail

Mar. 22/11.... N-400 sent to AZ

June 27/11..... Interview - PASSED!!!

July 12/11..... Oath Ceremony

We're NOT lawyers.... just your average folks who had to find their own way!!!!! Anything we post here is simply our own opinions/suggestions/experiences and should not be taken as LAW!!!!

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Filed: Citizen (apr) Country: Colombia

Hey Kaly:

Based on my interpretation - you do not need a medical or I693. I had not sent in an I693 with our AOS and when I did not receive a RFE and received the interview letter - I assumed everything is OK (as submitted by me now or prior to this e.g. during K1 process.) No questions about vaccination, I693 or medical were asked in the interview. I can suggest this - if you want to go ahead without another medical or I693 - do so. the worst that will happen is that they will ask you to submit one or both and will delay the process by a few weeks. If you are not willing to take that chance then you should be prepared to spend the time and money and get it done now. Good Luck



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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