I-693A Vaccination Supplement questions

[peterg222 0]

I'm trying to put together my AOS forms & I think I'm nearly there, apart from the vaccination supplement.

I have a DS-3025 Vaccination Documentation Worksheet from Knightsbridge Doctors in London, which was part of my medical back in April 06 for the K-1 Visa.

I realise that some people just send in the DS-3025 as part of AOS, but from what I've read it seems a bit risky, as you might get an RFE.

So I thought I'd play it safe and try to get it transferred over to the I-693A by a certified Civil Surgeon, although I realise that prices vary considerably.

I just called the doctors in Mount Holly, NJ, only to be told it would cost over $300(+ lab costs!), as I needed various shots & lab tests.

I thought what was required for the visa would be very similar to what is required for AOS, & it would be a simple transfer of information from one form to the other, but the lady on the phone didn't seem to think so.

She said I needed a HIV test, 3 Hep B vaccines (which my form says "Not age appropriate" & why 3?), a second MMR (as I've only had one) & Varicella lab test (as I had it as a child & therefore assume I need to be checked if immune).

The only vaccine I was actually up to date on is Td, which I had 9 years ago, but will be needing another within a year anyway.

Can anyone shed some light on this, as I'm rather confused.

Does anyone know what vaccines are required for the I-693A Vaccination Supplement & AOS?

Obviously I'm going to try the other doctors in my area (there are 2 about 10miles away).

TIA

Edited December 8, 2006 by peterg222

[hanster 0]

I had to get the medical exam done in Morgantown, WV and it cost me $399. They took blood sample for HIV and Syphilis tests, in addition they did a TB skin test. I think this part was $250 and then they said i needed a chicken pox vaccine since I never had it and that cost $149.

[abejita76 0]

Hey there,

We experienced something similar, but finally found someone who knew what he was doing. My fiance had his medical apt and vaccination worksheet filled out by the MD in Costa Rica, but unfortunately he had an older version of the vaccination form. I called around and found a civil surgeon who had dealt with immigration issues in the past, and got an appointment (cost us ~$75).

The doc didn't do an exam - he didn't need to - that was already completed for the K1 visa, and given to USCIS. And because the MD had a vaccination form already filled out, he just transferred them to the new one and signed off, perfectly legit per USCIS regulations.

Be sure to call around to more than one place, and stress that this isn't for the medical, just to transfer vaccination info. I had people try to tell me similar stories about the requirements.

Hope that helps! See below for more detailed info on the vaccines, etc.

Melissa

1. If you had 1 MMR, technically you can get a waiver for this (see below), but either the titer or booster should be pretty cheap. Also see below for varicella (both from USCIS website http://www.uscis.gov/propub/ProPubVAP.jsp?...bd2ce9280cb979b).

• Mumps, Measles, Rubella (MMR) : ... Grant all adjustment of status applicants who have already received the first dose, a waiver for the second dose. [section 212(g)(2)(B) or 209© of the Act, as applicable.] Note, however, that the civil surgeon is less likely to encounter applicants that have already received the first dose. This waiver of the second dose based on shortages applies to medical examinations which were performed between the dates of January 1, 2002, and May 31, 2002, inclusive.

• Varicella : Note that, per the guidance received from CDC, varicella is the only vaccine that can be verified by means of an oral history. All other vaccinations must be verified either through the submission of certificates verifying the date the vaccine was administered, or by undergoing a laboratory test for immunity.

2. Regarding the Hepatitis B vaccine, that is something the civil surgeon can state is not medically necessary, and as such, waive the requirement (no forms required). From the same website as above:

• Section 212(g)(2)(B) of the Act which authorizes the granting of a waiver when the civil surgeon certifies, according to HHS regulations, that it is not medically appropriate for the applicant to have one or more of the required vaccinations;

As far as getting the vaccination supplement signed-off, see the following USCIS website (http://www.uscis.gov/propub/ProPubVAP.jsp?...d51aff2ef801c95).

(A) Adjustment of Status and Immigrant Visa Applicants . All adjustment of status and immigrant visa applications filed on or after September 30, 1996, must be sufficient to establish compliance with the vaccination requirements under section 212(a)(1)(A)(ii) of the Act or eligibility for a waiver. The waiver provisions and application procedures are addressed in Chapter 41.3 of this field manual.

(K) Vaccination Requirements for K and V Nonimmigrants Adjusting Status to That of Lawful Permanent Resident under Section 245 of the Act . In certain instances, K and V nonimmigrants are not required to repeat the original medical examination that was performed to obtain that nonimmigrant classification. See Chapter 23.3(d)(2). When this is the case, only the vaccination sign-off is required. The vaccination sign-off must have been done by a designated civil surgeon. If the applicant obtained a K or V nonimmigrant visa overseas, the medical exam report completed by the panel physician overseas, Form DS-2053 and accompanying worksheets, should already be in the alien's A-File, if it was surrendered at the port-of-entry with the visa packet. Note that, in completing the vaccination sign-off, the designated civil surgeon may accept the vaccination supplement to Form DS-2053 completed by the panel physician overseas and proof of additional vaccines received following the applicant's admission to the United States. If the applicant was granted a change of status to V in the United States under section 214(o) of the Act, the medical exam report completed by the civil surgeon should be in the A-file created at the time that the change of status was initially granted. The applicant will need to return to the civil surge on for the vaccination sign-off. If, however, the requirements of Chapter 23.3(d)(2) have not been met, a new medical examination is required, including the vaccination assessment specified under section 212(a)(1)(A)(ii) of the Act.