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second medical exam

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Does anyone know if there has to be a second medical exam once your fiance comes to the states? I read that if they had one overseas within a year, they don't need another, but I was just told by a USCIS approved Dr. that they will have another and it will cost $650. 

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Did they receive all the required vaccinations? Some people still require 1-2 shots and those have to be done and verified by a civil surgeon which, can be costly. 


Check the form DS-3025, should be checked as complete from original physical/medical, if it isn't then that may be why.

08/15/2014 : Met Online

06/30/2016 : I-129F Packet Sent

07/08/2016 : NOA 1 Received

08/25/2016 : NOA 2 Received (48 days)

11/08/2016 : Interview - APPROVED!

11/18/2016 : Visa in hand

11/23/2016 : POE - Dallas, Texas

From sending of I-129F petiton to POE - 146 days.


02/03/2017 - Married 


02/24/2017 - AOS packet sent

03/06/2017 - NOA1's received via text

03/31/2017 - Biometrics appointment Completed

06/01/2017 - EAD/AP Combo Card Received in mail

12/06/2017 - I-485 Approved

12/14/2017 - Green Card Received in mail - No Interview





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If AOS is submitted within 1 year of the medical exam, then no new medical is required.

That said, there are 2 caveats...

1) The IO can still request one if it is over a year old at the time of the interview. They are not required to do so when doing AOS from K-1, but they can and have requested it in some cases.

2) If your vaccinations are not complete, you need to resolve that. Many Civil Surgeons will refuse to sign off on the form without doing their own medical examination.



AOS (I-485 + I-131 + I-765):

9/25/17: sent forms to Chicago

9/27/17: received by USCIS

10/4/17: NOA1 electronic notification received

10/10/17: NOA1 hard copy received. Social Security card being issued in married name (3rd attempt!)

10/14/17: Biometrics appointment notice received

10/25/17: Biometrics

1/2/18: EAD + AP approved (no website update)

1/5/18: EAD + AP mailed

1/8/18: EAD + AP approval notice hardcopies received

1/10/18: EAD + AP received

9/5/18: Interview scheduled notice

10/17/18: Interview

10/24/18: Green card produced notice

10/25/18: Formal approval

10/31/18: Green card received





12/1/17: sent

12/14/17: NOA1 hard copy received

3/10/17: RFE (IMB verification)

3/22/17: RFE response received

3/24/17: Approved!

3/30/17: NOA2 hard copy received



4/6/2017: Received

4/12/2017: Sent to Riyadh embassy

4/16/2017: Case received at Riyadh embassy

4/21/2017: Request case transfer to Manila, approved 4/24/2017



5/1/2017: Case received by Manila (1 week embassy transfer??? Lucky~)

7/13/2017: Interview: APPROVED!!!

7/19/2017: Visa in hand

8/15/2017: POE



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Given that the exam is less than a year old, it usually comes down to what your DS-3025 looked like when you submitted it. Was everything on it completeled at the foreign medical exam? And if everything was completeled, did the form accurately reflect this? 


The doctor my fiancé saw at Knightsbridge attempted to send him home with an uncompleted vaccine list trying to tell him he didn’t need certain vaccines that I knew he did. Luckily I was visiting him when he had his appointment and I was able to get them to complete and check everything off correctly, because we would have needed a second medical if not. I was told my attitude was “a bit boorish” but eh, it was important.


If you do end up needing a second medical in the U.S., you may be able to shop around for different prices. https://my.uscis.gov/findadoctor


I know when we looked there was one in my state that was at least $100 cheaper than another. You just may have to decide how far you are willing to drive for a better price.

Edited by MorganandMichael

**I am an experienced VJ user whose current job is completing and filing immigration paperwork for individuals. I also teach English as a Second Language and tutor for the U.S. Citizenship exam. I am here for anyone who needs help with anything, and I respond to any any all PMs.**


~Just a hopeful hopeless romantic~ Currently: My husband is an LPR, how it's time to help others.

"What's this CD thing?" "I am pretty sure that's your medical stuff" "Really? I was hoping that guy just slipped me his mixtape.."

"Eating all those Cheetos before getting fingerprints done probably wasn't the best idea... The look on the face of the lady who took them - just sheer disappointment"


K-1 Visa~
9/28/2015 - I-129f Packet Mailed to Texas Lockbox
10/1/2015 - NOA 1 Email - I-129f sent to California Service Center
10/8/2015 - NOA 1 Hard Copy
10/27/2015 - NOA 2
11/21/2015 - Packet 3 Received
1/08/2916 - Medical! Lots of jabs >.>
2/23/2016 - APPROVED!
6/20/2016 - POE
7/29/2016 - Married <3

9/9/2016 - AOS/AP/EAD packet mailed to Chicago Lockbox
9/11/2016 - Delivered to Chicago Lockbox
9/20/2016 - Received Text/Email NOA1
9/23/2016 - Hard Copy NOA1s
10/12/2016 - Biometrics Appointment
11/04/2016 - AP Status "Approved" EAD "Date of Birth Updated"
11/18/2016 - Received EAD/AP Combo Card!
12/23/2016 - Received Green Card


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