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Patient care summary from home country

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Hello everyone,
I am in the process for a K1 visa and have my medical in London (Knightsbridge Doctors) in 2 weeks.

I am from Italy and have lived in the UK for almost 3 years now. I have all the documents necessary for my medical. I recently got from my GP the patient care summary too (AS THIS IS A NEW REQUIREMENT STARTING FROM 2017) but I was wondering whether I need my medical records from Italy too, it's not specified anywhere!


Follows the list of documents that were specified in the confirmation email sent by Knightsbridge Doctors.
I suspect that this is a generic email for British citizens? But what if a British citizen lived abroad for a few years and then applies for a US visa through his consulate in the UK though?


You are required to bring the following for each applicant having a medical examination:

If you do not have these documents we will not be able to send your medical to the US Embassy and this will cause you a delay.


  1. Original Passport or UK Driving Licence (photo card not paper licence)

               We do NOT accept copies of ID

  1. 4 X Identical Passport style photos - UK or US size

(we accept UK or US sized photographs)

  1. ACRO Police certificate (or a copy) dated within the last 12 months for anyone 16 years of age & over (if your police certificate is more than one page long please advise Knightsbridge Doctors ahead of your medical as you may need additional time with the Doctor. If you fail to tell us ahead of time you may be asked to come back to go over this at an additional fee).
  1. Vaccination records - Please provide a vaccination record for the panel to look over on the day to advise if any further vaccines are needed.

Please bring Red Books, if available.


Please visit the above link to see which vaccines are required for each age group.

  1. Completed medical questionnaire which can be found at; https://uk.usembassy.gov/wp-content/uploads/sites/16/2017/05/USA-MEDICAL-QUESTIONNAIRE_IV.pdf
  1. A Letter/Email from the embassy/NVC to confirm your case number and visa category
  1.  Summary of you medical history from GP (NOT full medical records) & reports covering any medical conditions, disabilities, and prior serious illnesses you have been treated for or anything ongoing. This has been a requirement since March 2017 and are aware it may not yet be added to the checklist online or on the US EMBASSY LONDON website.

Ask your GP for a Patient Summary/Care Summary.

  1. If you wear glasses or contact lenses please bring them along to the appointment
  1. If you have any significant/ongoing/previous medical conditions please ensure that you bring a report from your GP/Specialist/Consultant regarding this; including, medication, prognosis, management etc.

* If your medical notes are very extensive (more than 10 pages) please inform Knightsbridge Doctors before you come for your medical. This required extra time with the doctor to go through your notes. If you do not inform us of this, you will be charged for an appointment slot for the doctor to read these notes.

Please follow this link; https://uk.usembassy.gov/visas/family-immigration/medical-examination/ where you can find all forms required at your medical from the US Embassy website. 


Thanks for your help! :)

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My general rule of thumb is to give them what they ask for and try not to second guess.


This was not available when I went through the process and if it had been would only have shown the vaccinations I had for the medical.


Like you say many people  going through the process will have had gaps for one reason or another, mine were because I had no need to go to the Doctor, others might be because they went Private or were living elsewhere. This seems a NHS only thing and no doubt incomplete.



“If you know the enemy and know yourself, you need not fear the result of a hundred battles. If you know yourself but not the enemy, for every victory gained you will also suffer a defeat. If you know neither the enemy nor yourself, you will succumb in every battle.”

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Follows the conversation that I just had with an online immigration lawyer:


I am Italian and I have been living in the UK for almost 3 years
Last summer my fiancee filed for a fiance' petitiont to the US immigration, as part for the K1 visa process. We got NOA1 and NOA2.
As expected, I booked an appointment for a medical examination with a physician in London. This is a requirement for the next step that is the interview at the US embassy in London.
The physician sent me a confirmation email with a list of documents that I need to bring on the day of the examination. The confirmation email states that I need to get a Patient Care Summary from my GP and bring it to the medical examination.
This is a new requirementand is not present on the Embassy website in the list of necessary documents to bring to the medical examination since this new requirement was introduced only in April 2017 and the UK embassy website is not up to date. 
It is not specified by the physician whether the candidate has to bring to the medical interview the medical records obtained from other countries where he lived or in my case from his/her home country.
So the question is: am I obliged to bring to my medical examination (at Knightsbridge Doctors in London) my medical records from my home country? As said above this is not specified in their requirements. They only ask for the UK patient care summary in their list of required documents.

If they have not asked for such medical records, then you are not required to provide them. Don't confuse medical records with police clearance letters. You should be fine with just the medical records from the UK.
I am not confusing medical records with criminal records. It is required to bring the police records (ACRO) to the medical interview and I already got those both from the UK and from Italy. They are both expressely required for the interview at the consulate but the list of required documents for the medical examination only quotes the UK one. That's why I believe that's only a generic list usually provided to British citizens and does not account for other cases like mine.
It sounds odd that they don't need the history from your home contry. 
Bear with me, I could have been an alcoholic, an addict, have had serious mental problems then moved to the UK for 6 months and applied for a US visa there. My Patient Care Summary would be clean and the US Immigration never know of them. It seems strange.
On the other side it's also true that I would have to provide medical proofs for all the countries I lived in (and could be many) and get records from private doctors too that would not be visible to their checks either.
Is your answer backed by experience with other cases of foreigners living in the UK that went through a US visa process?

I understand. I only mentioned criminal records because the U.S. requires criminal records from ALL places where the Beneficiary has lived longer than 6 months. The only reason that I could think of that you are asking if that was the case for medical records was because I believed you might have been assuming that for medical records it is the same as criminal records and it is not. My answer is based on the law. Why would you assume that they want medical records from Italy if they are not specifically asking for them?

Because one of their main goals is to check whether you are eligible to get into the US and without full medical history how can they do that. It's true though that they don't even want the full medical history from the UK, only the summary but it's also true that for the UK they can also double check every answer you gave checking on the NHS system - UK medical system.

I understand, but you can hide previous criminal records that could make a person inadmissible. You can't do that in a current medical examination. I'm not a medical doctor, but that's the thinking. So just submit the medical from the UK. Don't overthink this if they aren't asking for more.

Well a person could be an alcoholic, addict or psycopath and not have any criminal records. I'm just a little concern that they'll ask my medical history from Italy and cause even more delays to my visa process..

I understand, but that is screened with a CURRENT medical examination. Do not over worry.

Yes, I'm probably (definetively) overthinking but I don't want surprises :)
No, drug tests are not performed by default. They are performed only if there's history of it in the medical records or if the physician gets the impression that the candidate is lying..
(I have nothing to hide, just concerned about delays)
True, that they can spot alcohol abuse from the blood exams and (maybe) psychotic behaviour during the interview. Is that reliable enough though?
I hope you're right and those documents from Italy are not needed. Thanks for your help :)

Here you can find the full list of required documents: https://expatriates.stackexcha…
This is the medical questionnaire I have to fill prior to the medical examination: https://uk.usembassy.gov/wp-co…
As required by that form I have to add an attachment explaining why I have been hospitalised.
1. car accident, Italy
2. head trauma with temporary amnesia, Italy
3. kidney stones, UK
Could they not ask for my Italian medical history given that I have to report those 2 hospitalisations in Italy?

They could ask if they feel that there might be something in there that would make you inadmissible to the U.S. Here is a link so that you understand more:
Let me know if you need anything else

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Got my medical examination yesterday. They did not seem to care about documentation from my home country. They did not take my background check (translated) certificate from Italy and were in doubt whether they needed the (translated) "proof of good health certificate" that I managed to get from my last doctor in Italy. I insisted because I knew I had to report 2 hospitalisations on the questionnaire and didn't have further documentation on those with me.
All went smoothly. Last step, interview at the Embassy, is next week. Fingers crossed.

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Didn't find the answer you were looking for? Ask our VJ Immigration Lawyers.

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