Do i still need to see a Civil Surgeon in the US for AOS?

[rascalcat 28]

I am not sure if i need to see a Civil Surgeon in the US for when i do my AOS.

I have the DS-3025 Vaccination Documentation Worksheet that the Civil Surgeon in London gave me after my K-1 medical examination. It is marked "Vaccination History Incomplete". Also "Applicant may be eligible for blanket waiver(s) because vaccination(s) not medically appropriate (as Tdap is not due next for 10 years, and a lot of vaccinations were not age appropriate).

During the K-1 medical examination i was given my 1st MMR booster, and was given a certificate of immunization for this. She told me to make an appointment at my own doctors surgery the following month, for my 2nd MMR booster. I did this and had the 2nd shot. After i had this, the Practice Nurse that administered it wrote my name, D.O.B,, and that i received MMR booster. She also wrote the date i received it, and the batch number and expiry date of the MMR booster i had. She then signed it. So i am totally up to date with everything and i do not need any more shots.

Question is, do i need to submit photocopies of the certificate for the 1st MMR booster i was given by the K-1 Civil Surgeon, and the Headed paper with the nurses signature on for the 2nd booster. Are these official enough? As the doctor at the k-1 medical did put down that i had the 1st MMR booster on the DS-3025 form, but ticked the "insufficient time interval" box for the 2nd MMR shot, as i obviously couldnt get the 2nd shot until a month after, so there is nothing on the DS-3025 stating that i had it a month later. All i have from the nurse giving me the 2nd booster is that headed paper she wrote on and signed.

Do i need to submit a copy of this in the AOS application?

Will i need to eventually bring the original to my AOS interview?

I also read on this site on the AOS tips, that you are still required to complete certain portions of the I-693 and have a Civil Surgeon certify the form (and seal it in an envelope). Specifically, you will complete Part 1 (Information about you) of the I-693 and provide both the form and your DS-3025 (if you have it, proving your vaccination history) and any proof of required vaccinations that were completed prior to entering the US.

So does this mean i will need to book an appointment with a Civil Surgeon in the US?

If so, will the Civil Surgeon need to give me the 2nd MMR booster again, or will the headed paper from my doctors surgery with the nurse`s writing and signature (who administered the 2nd MMR booster) be ok?

[Nich-Nick 3,354]

You are good for AOS only if everything was recorded and signed off by the Panel Physician at Knightsbridge.

If 4 weeks had not passed from your first MMR, then the second would be waived and indicated in the waiver column "insufficient time interval". If that waiver is marked, then your DS-3025 is sufficient without another shot or a Civil Surgeon. Since Dose 1 was on the day of the medical, it was medically inappropriate for you to have DOSE 2 the same day. Your waiver should have been marked by Knightsbridge. (Edit: I re-read your post and see it was marked so you are good to go. You didn't need the extra shot for immigration or AOS. )

Here's my long version of AOS and the I-693-----

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.

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.

(Above is is from the I-693 instructions page 5.)

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 (two are required but if you have "insufficient time interval" checked, then you get a waiver)

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.

Edited August 25, 2013 by Nich-Nick

[foreignrelations 1]

Just wanted to note that in our case, my husband's DS-3025 was filled out as Nich-Nick specifies but he still got an RFE for the I-693 vaccination form, so flukes can happen. The difficult part for us was finding a civil surgeon who would do just the vaccination form without a full physical.

[rascalcat 28]

Thanks! That took a lot of uncertainty off my mind. Really simplified everything.

Dont know what i would do without VisaJourney. I think i would be going out of my mind!!

Edited August 25, 2013 by rascalcat

[des1867 6]

My wife has just gotten a letter from the USCIS titled Notice of Intent to Deny. They are asking for the same thing. Vaccination Records (documentation of immunization).

I have read your post and my wife is filing for AOS under a K-1 Visa. Everything that you indicated in your list is complete on her DS-3025 form so it seems that this notice of intent to deny is an unnecessary delay in her AOS application.

I have called the civil surgeon in our area and have made an appointment. What choice do I have? But the instructions on the Letter of Intent to Deny states that the I-693 form medical examination record does not need to be completed, but the vaccination record must be completed by a civil surgeon who has been designated by the USCIS.

Now below this it states that the medical exam must be conducted as directed in the instructions to Form I-693 and in the Centers for Disease Control's Technical Instructions.

The only thing that was not checked on her DS-3025 form that she received in the Philippines was for Rotovirus. I believe this is what is missing for her to get this letter of intent to deny. If you have any further thoughts on this, please let me know.

[Nich-Nick 3,354]

My thoughts---

It sounds like they sent an RFE and maybe you didn't respond. If no response is received in the allotted time, then they can't approve so their only choice is to deny. You would not get a denial as the first contact.

I have seen two DS-3025 forms posted from the PhilIppines that I don't think we're filled out properly. Some waiver boxes were not checked. Maybe her adjudicator thought the same thing. Anyway, I would see a civil surgeon and do whatever the USCIS asks for. I don't really know the steps one must take when the get a Notice of Intent to Deny, so somebody else who studies up on that will have to help you with that.

[Bugs 455]

You are good for AOS only if everything was recorded and signed off by the Panel Physician at Knightsbridge.

If 4 weeks had not passed from your first MMR, then the second would be waived and indicated in the waiver column "insufficient time interval". If that waiver is marked, then your DS-3025 is sufficient without another shot or a Civil Surgeon. Since Dose 1 was on the day of the medical, it was medically inappropriate for you to have DOSE 2 the same day. Your waiver should have been marked by Knightsbridge. (Edit: I re-read your post and see it was marked so you are good to go. You didn't need the extra shot for immigration or AOS. )

Here's my long version of AOS and the I-693-----

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.

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.

(Above is is from the I-693 instructions page 5.)

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 (two are required but if you have "insufficient time interval" checked, then you get a waiver)

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.

Everything seems to be marked properly on the DS-3025 except Rotavirus is left blank - will this be a problem?

[KayDeeCee 4,893]

Everything seems to be marked properly on the DS-3025 except Rotavirus is left blank - will this be a problem?

Yes, it has been proven to be a problem for others that had their exams in Manila. You should probably find a civil surgeon and get the I-693 for AOS.

[Bugs 455]

Yes, it has been proven to be a problem for others that had their exams in Manila. You should probably find a civil surgeon and get the I-693 for AOS.

SLEC really ought to be alerted about this, as a simple omission of a checkmark for a vaccine that is clearly only for kids costs us a few hundred additional dollars as a result. Edited November 20, 2013 by Leon & Mylen

[janet&adonis 57]

You are good for AOS only if everything was recorded and signed off by the Panel Physician at Knightsbridge.

If 4 weeks had not passed from your first MMR, then the second would be waived and indicated in the waiver column "insufficient time interval". If that waiver is marked, then your DS-3025 is sufficient without another shot or a Civil Surgeon. Since Dose 1 was on the day of the medical, it was medically inappropriate for you to have DOSE 2 the same day. Your waiver should have been marked by Knightsbridge. (Edit: I re-read your post and see it was marked so you are good to go. You didn't need the extra shot for immigration or AOS. )

Here's my long version of AOS and the I-693-----

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.

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.

(Above is is from the I-693 instructions page 5.)

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 (two are required but if you have "insufficient time interval" checked, then you get a waiver)

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.

Ive been searching for an answer about my husbands ds3025

Everything described above is right, except under TD and MMR they are marked not routinely available. He had varicella and influenza given by panel. All other vaccines are marked not age appropriate. It says vaccine incomplete, may be eligable for waiver. Will we still need a civil surgeon?

[KayDeeCee 4,893]

Being marked not routinely available means they were not given. You need to get Tdap/TD and MMR and see a civil surgeon to have your vaccinations transcribed onto an I-693.

[sweet cakes 326]

Ive been searching for an answer about my husbands ds3025

Everything described above is right, except under TD and MMR they are marked not routinely available. He had varicella and influenza given by panel. All other vaccines are marked not age appropriate. It says vaccine incomplete, may be eligable for waiver. Will we still need a civil surgeon?

Agreed with Kay. Your husband's vaccination is not complete, and would need to see a civil surgeon (CS) for that.

You can go through this thread to look for CS in your area that won't rip you off: http://www.visajourn...nt-rip-you-off/

If you can't find any CS in that link at your area, here's the uscis CS locator: https://egov.uscis.g...office_type=CIV

You would have to call around to look for a CS that is willing to transcribe the vaccination record onto an I-693 and can give your husband's missing vaccine/s. Be careful as some will insist that you do a complete medical, which is unnecessary and pricey.

Edited May 8, 2014 by sweet cakes