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Vaccines Before AoS - help

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Hi everyone,

I just got married on the K-1 Fiancee visa and we are now applying for Adjustment of Status. My wife completed her physical exam and tests, but was unable to get most of the required vaccinations because of a medical condition in her home country, and it looks like we have to get them here in the USA. The civil surgeons I called want to charge huge amounts of money for a physical, tests, and overpriced vaccines, so I'm looking for an alternative.

  1. My wife says her sealed medical packet documenting her medical exam overseas was taken from her by immigration. It seems the civil surgeons here will want to perform an unnecessary physical and tests. Without proof, how can we convince them that she only needs the vaccines? She was given a Vaccination Documentation Worksheet, is that enough?
  2. The vaccines at the civil surgeon's office are overpriced, and the local public health department offers them at a cheaper price. Is it possible to have them done there, bring the documentation to the civil surgeon, and just have the doctor sign off on the vaccine form?
  3. According to the website (http://www.uscis.gov/news/questions-and-answers/vaccination-requirements), it looks like the required vaccines include measles, mumps, rubella, polio, tetanus, diphtheria, pertussis, Hep B, HiB and seasonal flu. It also requires "Any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices." What does this mean?

I would appreciate any information on any of these questions, thank you all in advance.

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Hi everyone,

I just got married on the K-1 Fiancee visa and we are now applying for Adjustment of Status. My wife completed her physical exam and tests, but was unable to get most of the required vaccinations because of a medical condition in her home country, and it looks like we have to get them here in the USA. The civil surgeons I called want to charge huge amounts of money for a physical, tests, and overpriced vaccines, so I'm looking for an alternative.

  1. My wife says her sealed medical packet documenting her medical exam overseas was taken from her by immigration. It seems the civil surgeons here will want to perform an unnecessary physical and tests. Without proof, how can we convince them that she only needs the vaccines? She was given a Vaccination Documentation Worksheet, is that enough?
  2. The vaccines at the civil surgeon's office are overpriced, and the local public health department offers them at a cheaper price. Is it possible to have them done there, bring the documentation to the civil surgeon, and just have the doctor sign off on the vaccine form?
  3. According to the website (http://www.uscis.gov/news/questions-and-answers/vaccination-requirements), it looks like the required vaccines include measles, mumps, rubella, polio, tetanus, diphtheria, pertussis, Hep B, HiB and seasonal flu. It also requires "Any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices." What does this mean?

I would appreciate any information on any of these questions, thank you all in advance.

1. The DS-3025 will be enough if she has all required vaccinations properly marked off.

2. You can get the shots anywhere. You would only need the civil surgeon to transcribe those shots to an I-693 Form.

3. You are close, but you didn't go far enough to see the vaccinations requirements based on age. For most adults you only need MMR, Tdap and Varicella. You can view the vaccination requirements by age here: http://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1

I would also suggest reading this post with very helpful information in regards to the DS-3025: http://www.visajourney.com/forums/topic/551080-immunizations-ds-3025-or-i-693/


K-1
NOA1: 04/08/2014; NOA2: 04/21/2014; Visa interview, approved: 07/15/2014; POE: 07/25/2014; Marriage: 09/05/2014

 

AOS

NOA1:  09/12/2014;  Biometrics:  10/06/2014;  EAD/AP Received:  11/26/2014;

Interview Waiver Letter:  01/02/2015;  RFE:  07/09/2015;

Permanent Residency Granted:  07/27/2015;  Green card Received:  08/22/2015

 

ROC

05/23/2017 -- Mailed ROC application

05/24/2017 -- NOA1 date

05/30/2017 -- NOA1 received in the mail

06/05/2017 -- Biometrics letter received

06/13/2017 -- Biometrics appointment

09/05/2018 -- Approved without interview!

09/13/2018 -- 10 Yr Green card Received

 

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Hi everyone,

I just got married on the K-1 Fiancee visa and we are now applying for Adjustment of Status. My wife completed her physical exam and tests, but was unable to get most of the required vaccinations because of a medical condition in her home country, and it looks like we have to get them here in the USA. The civil surgeons I called want to charge huge amounts of money for a physical, tests, and overpriced vaccines, so I'm looking for an alternative.

  1. My wife says her sealed medical packet documenting her medical exam overseas was taken from her by immigration. It seems the civil surgeons here will want to perform an unnecessary physical and tests. Without proof, how can we convince them that she only needs the vaccines? She was given a Vaccination Documentation Worksheet, is that enough?
  2. The vaccines at the civil surgeon's office are overpriced, and the local public health department offers them at a cheaper price. Is it possible to have them done there, bring the documentation to the civil surgeon, and just have the doctor sign off on the vaccine form?
  3. According to the website (http://www.uscis.gov/news/questions-and-answers/vaccination-requirements), it looks like the required vaccines include measles, mumps, rubella, polio, tetanus, diphtheria, pertussis, Hep B, HiB and seasonal flu. It also requires "Any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices." What does this mean?

I would appreciate any information on any of these questions, thank you all in advance.

Just wanted to say that most of those you pointed out are combined shots, for about 90% of the people there's only three shots needed, I won't repost the site given in the last comment just wanted you to see that

measles, mumps, rubella is------ 1 MMR shot

tetanus, diphtheria, pertussis is------ 1 Tdap shot

varicella is required

Flu is seasonal

All others more than likely aren't required due to age.

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If you are concerned about getting any shots, if needed, you might want to go to the local health department and see what they say about any immunizations/vaccinations that might be needed based on her age. This is what I had my gal do and all she got was the MMR shot and something else, I forget. And, she used the documentation provided by the health department with the CS for her medical documentation for the AOS. And, for my gal, getting the shots at the health department was much cheaper, however, she had to get in line with others and it took several weeks to get the appointment where the CS could probably do it sooner. It's a personal choice.

Best of luck!

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Remember that if you get your shots at a local health department office, they still must be transcribed by a Civil Surgeon. Unfortunately there does not seem to be any specific rules dictating pricing or level of exams performed. My wife did not get her shots at her medical exam either. We found a Civil Surgeon that understood her medical exam from 2 months earlier was still valid and that all she needed were vaccines. I suggest you call a number of civil surgeons until you find one willing to transcribe the vaccinations at a cost that is acceptable to you.

To be honest, I considered the cost of the CS and vaccines just one more expense on the Journey and did not worry about it much. I was more concerned with getting it completed than searching for a bargain.

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Mrs. T-B. had brought her official vaccination record from her doctor in Ecuador. Here, she needed two shots, which we got at the County Health Department. The nurse actually transcribed those shots onto the bottom of the Ecuador record, and stamped it officially. That was neat, efficient, and thoughtful.

The shots were (I think) $20 each, or perhaps even $10 each. We got to the Health Department about 20 minutes before it opened, and only two patrons were ahead of us. I would choose to do it this way again.


06-04-2007 = TSC stamps postal return-receipt for I-129f.

06-11-2007 = NOA1 date (unknown to me).

07-20-2007 = Phoned Immigration Officer; got WAC#; where's NOA1?

09-25-2007 = Touch (first-ever).

09-28-2007 = NOA1, 23 days after their 45-day promise to send it (grrrr).

10-20 & 11-14-2007 = Phoned ImmOffs; "still pending."

12-11-2007 = 180 days; file is "between workstations, may be early Jan."; touches 12/11 & 12/12.

12-18-2007 = Call; file is with Division 9 ofcr. (bckgrnd check); e-prompt to shake it; touch.

12-19-2007 = NOA2 by e-mail & web, dated 12-18-07 (187 days; 201 per VJ); in mail 12/24/07.

01-09-2008 = File from USCIS to NVC, 1-4-08; NVC creates file, 1/15/08; to consulate 1/16/08.

01-23-2008 = Consulate gets file; outdated Packet 4 mailed to fiancee 1/27/08; rec'd 3/3/08.

04-29-2008 = Fiancee's 4-min. consular interview, 8:30 a.m.; much evidence brought but not allowed to be presented (consul: "More proof! Second interview! Bring your fiance!").

05-05-2008 = Infuriating $12 call to non-English-speaking consulate appointment-setter.

05-06-2008 = Better $12 call to English-speaker; "joint" interview date 6/30/08 (my selection).

06-30-2008 = Stokes Interrogations w/Ecuadorian (not USC); "wait 2 weeks; we'll mail her."

07-2008 = Daily calls to DOS: "currently processing"; 8/05 = Phoned consulate, got Section Chief; wrote him.

08-07-08 = E-mail from consulate, promising to issue visa "as soon as we get her passport" (on 8/12, per DHL).

08-27-08 = Phoned consulate (they "couldn't find" our file); visa DHL'd 8/28; in hand 9/1; through POE on 10/9 with NO hassles(!).

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