This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled. Do I need a medical exam? What if I