AOS Medical

[roxanne23 0]

Hi, my fiance and I just married. We are about to file his AOS. He had a history of TB, and was already treated. Also, his medical vaccination sheet from St. Lukes was completed; however, on some of the vaccine they had placed reasons why my husband was not ble to get the vaccine such as "not age appropriate" and "not routinely available" and "insufficient time intervals"...he wasn't able to get some of the vaccine bcuz it was contraindicated with his TB history and also because they didn't have some available; however, the Vaccine form was completed correctly.

To my knowledge, you don't have to undergo another medical examination as long as you file AOS within one year of the medical correct? Also, we had a government personnel contact us and told us we also had to undergo a sputum exam here, so we were seen by a doctor with a local public heatlh clinic. We are having our clearance on Feb 10; however.

Can I just file my AOS with the vaccine form and without a medical from a civil surgeon?

[Hank_ 9,174]

Hi, my fiance and I just married. We are about to file his AOS. He had a history of TB, and was already treated. Also, his medical vaccination sheet from St. Lukes was completed; however, on some of the vaccine they had placed reasons why my husband was not ble to get the vaccine such as "not age appropriate" and "not routinely available" and "insufficient time intervals"...he wasn't able to get some of the vaccine bcuz it was contraindicated with his TB history and also because they didn't have some available; however, the Vaccine form was completed correctly.

To my knowledge, you don't have to undergo another medical examination as long as you file AOS within one year of the medical correct? Also, we had a government personnel contact us and told us we also had to undergo a sputum exam here, so we were seen by a doctor with a local public heatlh clinic. We are having our clearance on Feb 10; however.

Can I just file my AOS with the vaccine form and without a medical from a civil surgeon?

According the the I-485 instructions you do not need another medical if you file your AOS within a year of the medical at St. Luke's. Read section 7c, page 4 of the instructions.

[Al422 221]

Don't let civil surgeons tell you that you need a new med exam. Many don't know that you don't need it, and others don't want to know it so they can make money on the new exam.

I could not convince my CS's office they were wrong, and when I asked where they got their info from, they said "immigration". But when I asked where in immigration, they could not tell me, Obviouysly they were making stuff up, so I said to just do the vaccine supplment and don't worry about it.

[Greenbaum 12,259]

Only if your DS-3025 is marked “incomplete” is a I-693 required to be completed. If it is marked as such (incomplete) you are 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.

You do not need the medical exam tests repeated if your medical was done within a year of filing for AOS.

You can use the I-693 instructions, Page 5 #3 > http://www.uscis.gov...QA-11-13-12.pdf

[roxanne23 0]

Thanks for your advice

The medical vaccination sheet is incomplete...and when i called for an appointment they said to see a civil surgeon you must pay the fee, so either way my husband has to undergo the fees

[Al422 221]

Only if your DS-3025 is marked “incomplete” is a I-693 required to be completed. If it is marked as such (incomplete) you are 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.

You do not need the medical exam tests repeated if your medical was done within a year of filing for AOS.

You can use the I-693 instructions, Page 5 #3 > http://www.uscis.gov...QA-11-13-12.pdf

My understanding too, our situation, and exactly what we did.

[tommybear 12]

Only if your DS-3025 is marked incomplete is a I-693 required to be completed. If it is marked as such (incomplete) you are 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.

You do not need the medical exam tests repeated if your medical was done within a year of filing for AOS.

You can use the I-693 instructions, Page 5 #3 > http://www.uscis.gov...QA-11-13-12.pdf

How will you know if it's complete or incomplete? My DS 3025 wasn't check at the bottom part so I'm not sure if I still need to see a surgeon. When I had my interview, I haven't had the tetanus vaccine because it was not available that time and the doctor told me that I could just have it here. Am I still required to do that vaccines here and see a surgeon? Thanks

[Hank_ 9,174]

Only if your DS-3025 is marked “incomplete” is a I-693 required to be completed. If it is marked as such (incomplete) you are 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.

You do not need the medical exam tests repeated if your medical was done within a year of filing for AOS.

You can use the I-693 instructions, Page 5 #3 > http://www.uscis.gov...QA-11-13-12.pdf

The instructions for the I-485 regarding the K1 clearly state that if the medical was completed within the past year one need only attach a copy of the DS-3025, there is no language about completeness or other wise of the vaccination record. One must never assume.

Edited February 24, 2015 by Hank_

[Greenbaum 12,259]

The instructions for the I-485 regarding the K1 clearly state that if the medical was completed within the past year one need only attach a copy of the DS-3025, there is no language about completeness or other wise of the vaccination record. One must never assume.

​When you submit the DS-3025 they will look for the required shots and if they find them documented, it's okay. If you get and RFE it's not a big deal on AOS. But if you get an RFE, it's not because you didn't send the I-693, it's because your DS-3025 was not completed properly. I agree, If you've got a totally proper DS-3025, you don't need a civil surgeon. That's where we agree Hank. So.....

If one has received all the needed shots recorded on the DS-3025 visa exam vaccination sheet and it is properly filled out then skip the civil surgeon and I-693 entirely. As you well know you can get approved on the DS-3025. And I said that in my original statement. Many, many, many people do this.

This what adults need:

• MMR
• Tdap or Td or DTP (within last 10 years)
• Varicella (or the DS-3025 marked VH because you had the chickenpox disease)
• Flu shot - only if the exam was during flu season (Oct 1-Mar 31) Doesn't matter that it's flu season now if the exam was before Oct 1.

All of those must be on the DS-3025. If you got some shots later or the DS-3025 is missing anything, then see a civil surgeon.

They have to look for these things on the DS-3025:

• The shots listed above.
• The rest marked not medically appropriate or age appropriate or time interval. (waiver things)
• Results marked - "Incomplete, eligible for blanket waiver"
• Doctor signed and dated it IMPORTANT:

If you got all the needed shots recorded on the DS-3025 visa exam vaccination sheet and it is properly filled out then skip the civil surgeon and I-693 entirely. You can get approved on the DS-3025. Many, many, many people do this.

We are saying the same thing but I am painting the entire picture and you are giving the cliff notes. Both will work, but without first looking over your DS-3025 to insure it's complete before sending it hence avoiding an RFE. Just an extra step.

Edited February 24, 2015 by Greenbaum

[Hank_ 9,174]

Don't know about the flu shot being required, my asawa didn't get it and was interviewed 11 Mar (medical the week before), we never bothered with it when we arrived home, USCIS never said anything either.

And as for tetanus which was asked about, doubt there would be issue with that either, even though I am big on keeping the tetanus shot up to date personally.

[luckytwo15 13]

Hi, my fiance and I just married. We are about to file his AOS. He had a history of TB, and was already treated. Also, his medical vaccination sheet from St. Lukes was completed; however, on some of the vaccine they had placed reasons why my husband was not ble to get the vaccine such as "not age appropriate" and "not routinely available" and "insufficient time intervals"...he wasn't able to get some of the vaccine bcuz it was contraindicated with his TB history and also because they didn't have some available; however, the Vaccine form was completed correctly.

To my knowledge, you don't have to undergo another medical examination as long as you file AOS within one year of the medical correct? Also, we had a government personnel contact us and told us we also had to undergo a sputum exam here, so we were seen by a doctor with a local public heatlh clinic. We are having our clearance on Feb 10; however.

Can I just file my AOS with the vaccine form and without a medical from a civil surgeon?

Fiancée had history of TB as well, in fact we did the 7 months of DOT in SLEC. She had the routine three x-rays over those months. The SLEC doctor said all her x-rays are the same and that there was no change since the very first x-ray that showed the little scar. He assured us that no change is quite normal and not a factor in the treatment. I'm thinking why do the additional x-rays then if they don't matter ... but that's a whole different topic.

So now we have this cd with three x-rays as we approach our marriage and AOS. Anyone ever going to ask us for that SLEC cd or is it a beer coaster?

We arrived in the USA nearly 2 weeks ago. How long was it after your arrival that the government person contacted you?

Edited February 25, 2015 by luckytwo15

[Greenbaum 12,259]

Hank_, on 24 Feb 2015 - 4:54 PM, said:Hank_, on 24 Feb 2015 - 4:54 PM, said:Hank_, on 24 Feb 2015 - 4:54 PM, said:

Don't know about the flu shot being required, my asawa didn't get it and was interviewed 11 Mar (medical the week before), we never bothered with it when we arrived home, USCIS never said anything either.

And as for tetanus which was asked about, doubt there would be issue with that either, even though I am big on keeping the tetanus shot up to date personally.

Well your more familiar with the process and what others have faced so I would venture to say not even those who judicate most of these documents miss things which cause those trying to second guess them find a curve ball was thrown at them.

If you think you have had all your shots, I just recommend sending in the paperwork and see where the chips fall. I like that you recommend attaching the I-485 instructions, Page 4 #7 C.

We did the CS transposing because at the time this whole do we need the CS or not thing was still up in the air. Cost us about $60 each and we had no problems and my wife got sleep which meant that I got sleep.

Edited February 25, 2015 by Greenbaum

[Greenbaum 12,259]

tommybear, on 24 Feb 2015 - 1:50 PM, said:

How will you know if it's complete or incomplete? My DS 3025 wasn't check at the bottom part so I'm not sure if I still need to see a surgeon. When I had my interview, I haven't had the tetanus vaccine because it was not available that time and the doctor told me that I could just have it here. Am I still required to do that vaccines here and see a surgeon? Thanks

tommybear.... you have two choices and I can't tell you which one to do so your on your own.

First choice. Send the I-3025 in with the missing tetanus vaccine and see if you fly under the radar and they miss it and approve you for your AOS. If not they send you a RFE, you go to your county health clinic or use your health insurance with your private Dr. and get the tetanus shot, then see a CS and have a I-693 completed and send it back in by following the instructions contained in the RFE.

Second choice. Go to your county health clinic or use your health insurance and get the teanus shot, take the receipt for the tetanus shot and see a CS and have a I-693 completed. If you call around you can find a CS that will transpose your I-3025 with the tetanus shot being completed (proof is the receipt from your private Dr. or the County Dr.) to the I-693 and you send it in with the AOS package. Cost shouldn't run you more than $60 to $100.

It's your call.

[Greenbaum 12,259]

roxanne23, on 29 Jan 2015 - 06:15 AM, said:

Hi, my fiance and I just married. We are about to file his AOS. He had a history of TB, and was already treated. Also, his medical vaccination sheet from St. Lukes was completed; however, on some of the vaccine they had placed reasons why my husband was not ble to get the vaccine such as "not age appropriate" and "not routinely available" and "insufficient time intervals"...he wasn't able to get some of the vaccine bcuz it was contraindicated with his TB history and also because they didn't have some available; however, the Vaccine form was completed correctly.

To my knowledge, you don't have to undergo another medical examination as long as you file AOS within one year of the medical correct? Also, we had a government personnel contact us and told us we also had to undergo a sputum exam here, so we were seen by a doctor with a local public heatlh clinic. We are having our clearance on Feb 10; however.

Can I just file my AOS with the vaccine form and without a medical from a civil surgeon?

Vol makes some good points as he has had your same experience.

Let me answer a couple of your questions. Yes you do not need another medical exam as long as you will file for your AOS within the year of your last visit to SLEC (final sign off). You do not need to have another medical unless it is recommended by that "government personnel who contact us" requires it. If he is not aware of the requirements I would proceed with your I-3025 with the I-485 instructions, Page 4 #7 C highlighted and attached.

You may stand to get an RFE but it shouldn't slow you down much more than 2 weeks. Please keep us informed of your progress through this forum thread you started. We would like to learn how you handled this.

[Hank_ 9,174]

Well your more familiar with the process and what others have faced so I would venture to say not even those who judicate most of these documents miss things which cause those trying to second guess them find a curve ball was thrown at them.

If you think you have had all your shots, I just recommend sending in the paperwork and see where the chips fall. I like that you recommend attaching the I-485 instructions, Page 4 #7 C.

We did the CS transposing because at the time this whole do we need the CS or not thing was still up in the air. Cost us about $60 each and we had no problems and my wife got sleep which meant that I got sleep.

Was never really up in the air, years ago some nimrod had an issue processing his AOS reported back here that you NEED the I-693.... *poof* it was added to the list. Then I come along, read the actual instructions, see that the I-693 is not required, email USCIS and even ask about this, get a reply stating that in most cases the vaccination record is all that is required... most cases - there are those with specific medical cases that must seek a CS, but I believe those are instructed to do this anyway when they arrive (from reading on here there are those with TB issues that many times are required to be examined once in the U.S.).

I was "chatting" with one couple on AOS a few months back, he followed the I-485 instructions and also follow my suggestion (attaching a copy). Then they were required to attend an interview, so he brought is folder with copies of everything along, the adjudicator doing the interview with them said they are required to have the I-693 with that he reaches into his folder pulls out page 4 and points to section 7c ... adjudicator read it, got quiet, then excuses himself to "check on this", came back a short time later stating that "everything is fine, the I-693" is NOT required" ... the AOS was approved. There is living proof the adjudicators don't have a clue regarding processing AOS correctly for the K1.