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Change to medical requirements will we need another medical before AOS?

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From uscis site effective 1st November 2018

 

USCIS Policy Manual Update

USCIS is revising policy guidance for the validity period of Form I-693, Report of Medical Examination and Vaccination Record

The updated policy, which goes into effect on Nov. 1, 2018, will require applicants to submit a Form I-693 that is signed by a civil surgeon no more than 60 days before filing the underlying application for an immigration benefit. The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. As such, USCIS is retaining the current maximum two-year validity period of Form I-693, but calculating it in a different manner to both enhance operational efficiencies and reduce the number of requests to applicants for an updated Form I-693.

USCIS officers use Form I-693, Report of Medical Examination and Vaccination Record, to determine whether an applicant for an immigration benefit in the United States is inadmissible under the health-related grounds of inadmissibility. By specifying that the Form I-693 must be signed no more than 60 days before the applicant files the underlying application for which Form I-693 is required, the validity of the form is more closely tied to the timing of the underlying application.

Additionally, requiring submission of a Form I-693 that was signed no more than 60 days before the date the underlying application was filed may, in some cases, maximize the period of time Form I-693 will be valid while the underlying application is under USCIS review. Officers will still have the discretion, as they have always had, to request a new Form I-693 if they have reason to believe an applicant may be inadmissible on the health-related grounds. Delays in adjudicating the underlying application will also be reduced if fewer requests for updated Forms I-693 are necessary.

Please see the Policy Alert (PDF) for more detailed information regarding this update and how USCIS will handle a Form I-693 submitted before Nov. 1, 2018. 

Visit the Policy Manual for Comment page for more information on stakeholder review and comments, which are due by Oct. 29, 2018.


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

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Feel free to move to processes and procedures 


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

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Ok so if we do need a second medical before filing AOS it raises the following questions:

1. Will medical reports submitted for the first medical still be valid for the second and if not what the heck do we do as any US doctor will not have access to our historic records.

2. Will they accept the vaccination records from our first medical as again any US doctor won’t have access to our historic records.


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

event.png

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1) The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. 

 

2) the vaccination records stay put for immigration purposes and for USCIS, the vaccination records should be with you and a US doctor if asked, you can hand them over to. It doesn't automatically go to any US-doctor if that was your question


8/7/2017                    NOA-1

3/1/2018                    NOA-2

3/15/2018                  NVC case received

3/22/2018                  NVC case assigned

3/23/2018                  Consulate ready

4/11/2018                  Medical

4/17/2018                  Visa Approved

4/24/2018                  Visa on hand

5/23/2018                  Point of Entry ATL

5/24/2018                  Marriage license, officiant and certificate / applied for SS#

5/31/2018                  AOS/AP/EAD

6/7/2018                    email notification of NOA-1

6/11/2018                  NOA-1 hard copies for AOS/EAD/AP

6/27/2018                  Biometrics for AOS/EAD

7/7/2018                    ready to be scheduled for interview

7/11/2018                  We are still reviewing your case and there are no updates at this time (email from USCIS)

8/22/2018                  We are still reviewing your case and there are no updates at this time (same email again)

9/5/2018                     We are still reviewing your case and there are no updates at this time (this is getting boring!!!)

10/3/2018                  We are still reviewing your case and there are no updates at this time (this is insanity, 4th time while some got GC)

10/17/2018                After 136 days of wait in HELL, finally EAD in production

10/21/2018                Card was mailed to me, and yes it said so on a Sunday night, while Vj-ing

10/22/2018                Card was picked up by the USPS

10/24/2018                EAD in hand. F%^&& finally

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1 minute ago, Alabamak1 said:

1) The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. 

 

2) the vaccination records stay put for immigration purposes and for USCIS, the vaccination records should be with you and a US doctor if asked, you can hand them over to. It doesn't automatically go to any US-doctor if that was your question

The biggest question is will we need another medical for AOS as per the text above saying the I-693 has to be signed no more than 60 days before filing. Clearly for most of us our k1 medical won’t be within 60 days of filing for AOS 


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

event.png

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3 minutes ago, AmandaandChayne said:

The biggest question is will we need another medical for AOS as per the text above saying the I-693 has to be signed no more than 60 days before filing. Clearly for most of us our k1 medical won’t be within 60 days of filing for AOS 

easy answer no, because for immigration purposes, your medical will be valid 2 years from the first time you do it . 

 

you first immigration pursuit is the K-1 visa

Edited by Alabamak1

8/7/2017                    NOA-1

3/1/2018                    NOA-2

3/15/2018                  NVC case received

3/22/2018                  NVC case assigned

3/23/2018                  Consulate ready

4/11/2018                  Medical

4/17/2018                  Visa Approved

4/24/2018                  Visa on hand

5/23/2018                  Point of Entry ATL

5/24/2018                  Marriage license, officiant and certificate / applied for SS#

5/31/2018                  AOS/AP/EAD

6/7/2018                    email notification of NOA-1

6/11/2018                  NOA-1 hard copies for AOS/EAD/AP

6/27/2018                  Biometrics for AOS/EAD

7/7/2018                    ready to be scheduled for interview

7/11/2018                  We are still reviewing your case and there are no updates at this time (email from USCIS)

8/22/2018                  We are still reviewing your case and there are no updates at this time (same email again)

9/5/2018                     We are still reviewing your case and there are no updates at this time (this is getting boring!!!)

10/3/2018                  We are still reviewing your case and there are no updates at this time (this is insanity, 4th time while some got GC)

10/17/2018                After 136 days of wait in HELL, finally EAD in production

10/21/2018                Card was mailed to me, and yes it said so on a Sunday night, while Vj-ing

10/22/2018                Card was picked up by the USPS

10/24/2018                EAD in hand. F%^&& finally

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9 minutes ago, Alabamak1 said:

easy answer no, because for immigration purposes, your medical will be valid 2 years from the first time you do it . 

 

you first immigration pursuit is the K-1 visa

Thank you one of my fellow beficiaries has had conflicting advice on another site but I thought this may be the case. Worth asking here 


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

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I got worried about this too, so I went and found it in the updated USCIS policy manual: https://www.uscis.gov/policymanual/HTML/PolicyManual-Volume8-PartB-Chapter4.html

 

Quote

Special rules may apply to certain foreign nationals who were examined overseas, including certain nonimmigrant fiancé(e)s or spouses of U.S. citizens (K visa), spouses of lawful permanent residents (V visa), refugees, and asylee dependents. Such foreign nationals usually do not need to repeat the full immigration medical exam in the United States for purposes of adjustment of status.

 

And: https://www.uscis.gov/policymanual/HTML/PolicyManual-Volume8-PartB-Chapter3.html#S-B

 

Quote

K and V nonimmigrants applying for adjustment of status are not required to repeat the medical examination if the application was filed within one year of the date of the original medical examination

 

So it looks like we probably won't need a second medical exam 😊

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2 hours ago, Alabamak1 said:

easy answer no, because for immigration purposes, your medical will be valid 2 years from the first time you do it

The medical for the visa is valid for 6 months, and when filing for AOS it is valid for 1 year. The visa validity is tied to the medical. So the closer your medical is to your visa issuance the greater the time to have before departure and entering your POE and visa expiration.

you first immigration pursuit is the K-1 visa

 


Spoiler

Adjustment of Status

AOS March 5, 2014 Submitted AOS with EAD/AP package to Chicago USICS

Delivered March 8, 2014 AOS packaged delivered to USCIS drop box

Accepted March 19, 2014 Text message with receipt numbers

Biometrics April 16, 2014 Biometrics completed

EAD May 23, 2014 Employment Authorization Document approved and went to card production

TD May 23, 2014 Travel Document approved and went for card production

Receipt EAD/AP May 30, 2014 Received combo card EAD/AP

Green Card Approved July 11, 2014 Approved, no interview. Went to card production.

Green Card received July 17, 2014 GC received without interview

Removal of Conditions

Mailed I-751 Dec 16, 2015 Submitted ROC (removal of conditions)

Received Dec 18, 2015 USPS notification of successful delivery

Check Cashed Dec 21, 2015 Check was cashed

NOA-1 Issued Dec 21, 2015 NOA-1 for ROC issued

NOA-1 Issued Dec 26, 2015 NOA-1 Received

Biometrics Appt. Jan 29, 2016 Biometrics Appointment Scheduled [Completed]

 

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3 hours ago, AmandaandChayne said:

The biggest question is will we need another medical for AOS as per the text above saying the I-693 has to be signed no more than 60 days before filing. Clearly for most of us our k1 medical won’t be within 60 days of filing for AOS 

Just so there is no confusion under these new procedures they do not change anything for the K-1 visa. You will still follow Embassy instructions and current Medical protocol and once in the US you will complete your AOS with the inclusion of the DS-3025, which for a K-1 trumps the I-693 requirement in most cases. Now, if for whatever reason your DS-3025 is not complete then you will need to see a Civil Surgeon to have them complete the vaccinations and to transpose the DS-3025 to the I-693 which will require a separate payment to the CS.


Spoiler

Adjustment of Status

AOS March 5, 2014 Submitted AOS with EAD/AP package to Chicago USICS

Delivered March 8, 2014 AOS packaged delivered to USCIS drop box

Accepted March 19, 2014 Text message with receipt numbers

Biometrics April 16, 2014 Biometrics completed

EAD May 23, 2014 Employment Authorization Document approved and went to card production

TD May 23, 2014 Travel Document approved and went for card production

Receipt EAD/AP May 30, 2014 Received combo card EAD/AP

Green Card Approved July 11, 2014 Approved, no interview. Went to card production.

Green Card received July 17, 2014 GC received without interview

Removal of Conditions

Mailed I-751 Dec 16, 2015 Submitted ROC (removal of conditions)

Received Dec 18, 2015 USPS notification of successful delivery

Check Cashed Dec 21, 2015 Check was cashed

NOA-1 Issued Dec 21, 2015 NOA-1 for ROC issued

NOA-1 Issued Dec 26, 2015 NOA-1 Received

Biometrics Appt. Jan 29, 2016 Biometrics Appointment Scheduled [Completed]

 

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USCIS Policy Manual Update

USCIS is revising policy guidance for the validity period of Form I-693, Report of Medical Examination and Vaccination Record.

The updated policy, which goes into effect on Nov. 1, 2018, will require applicants to submit a Form I-693 that is signed by a civil surgeon no more than 60 days before filing the underlying application for an immigration benefit. The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. As such, USCIS is retaining the current maximum two-year validity period of Form I-693, but calculating it in a different manner to both enhance operational efficiencies and reduce the number of requests to applicants for an updated Form I-693.

USCIS officers use Form I-693, Report of Medical Examination and Vaccination Record, to determine whether an applicant for an immigration benefit in the United States is inadmissible under the health-related grounds of inadmissibility. By specifying that the Form I-693 must be signed no more than 60 days before the applicant files the underlying application for which Form I-693 is required, the validity of the form is more closely tied to the timing of the underlying application.

Additionally, requiring submission of a Form I-693 that was signed no more than 60 days before the date the underlying application was filed may, in some cases, maximize the period of time Form I-693 will be valid while the underlying application is under USCIS review. Officers will still have the discretion, as they have always had, to request a new Form I-693 if they have reason to believe an applicant may be inadmissible on the health-related grounds. Delays in adjudicating the underlying application will also be reduced if fewer requests for updated Forms I-693 are necessary.

Please see the Policy Alert (PDF) for more detailed information regarding this update and how USCIS will handle a Form I-693 submitted before Nov. 1, 2018.

Visit the Policy Manual for Comment page for more information on stakeholder review and comments, which are due by Oct. 29, 2018.

 

This is from USCIS

Edited by Alabamak1

8/7/2017                    NOA-1

3/1/2018                    NOA-2

3/15/2018                  NVC case received

3/22/2018                  NVC case assigned

3/23/2018                  Consulate ready

4/11/2018                  Medical

4/17/2018                  Visa Approved

4/24/2018                  Visa on hand

5/23/2018                  Point of Entry ATL

5/24/2018                  Marriage license, officiant and certificate / applied for SS#

5/31/2018                  AOS/AP/EAD

6/7/2018                    email notification of NOA-1

6/11/2018                  NOA-1 hard copies for AOS/EAD/AP

6/27/2018                  Biometrics for AOS/EAD

7/7/2018                    ready to be scheduled for interview

7/11/2018                  We are still reviewing your case and there are no updates at this time (email from USCIS)

8/22/2018                  We are still reviewing your case and there are no updates at this time (same email again)

9/5/2018                     We are still reviewing your case and there are no updates at this time (this is getting boring!!!)

10/3/2018                  We are still reviewing your case and there are no updates at this time (this is insanity, 4th time while some got GC)

10/17/2018                After 136 days of wait in HELL, finally EAD in production

10/21/2018                Card was mailed to me, and yes it said so on a Sunday night, while Vj-ing

10/22/2018                Card was picked up by the USPS

10/24/2018                EAD in hand. F%^&& finally

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7 hours ago, AmandaandChayne said:

From uscis site effective 1st November 2018

 

 USCIS Policy Manual Update

USCIS is revising policy guidance for the validity period of Form I-693, Report of Medical Examination and Vaccination Record

 

Are you planning to do an I-693? If not (because you already had a visa medical exam) then the validity of an I-693 signature should not apply to you. There are many more other AOS applicants than those adjusting from K1. They will require an I-693 and will follow the rule change that that says the medical can't be older than 60 days when they submit it with AOS

 

BUT once again the K1 is not addressed in clarity so officers will interpret it differently. Get ready for more stories of what different officers tell K1s at interview. 

 

This change is because AOS is taking so long and so many people were given RFEs to repeat the medical. They think they will lessen the RFEs, but I think it adds to the vagueness a K1 adjustee experiences.

Edited by Wuozopo

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1 hour ago, Wuozopo said:

 

Are you planning to do an I-693? If not (because you already had a visa medical exam) then the validity of an I-693 signature should not apply to you. There are many more other AOS applicants than those adjusting from K1. They will require an I-693 and will follow the rule change that that says the medical can't be older than 60 days when they submit it with AOS

 

BUT once again the K1 is not addressed in clarity so officers will interpret it differently. Get ready for more stories of what different officers tell K1s at interview. 

 

This change is because AOS is taking so long and so many people were given RFEs to repeat the medical. They think they will lessen the RFEs, but I think it adds to the vagueness a K1 adjustee experiences.

I agree with your observations.

 

I would recommend that when you submit your AOS as a K-1 that you make copies of the new procedure (see below) especially outlining that there is not a need for the K-1 to submit (unless it doesn't meet the items that I have pointed out and what @Wuozopo mentions in their post). All should be fine without problems.

 

And: https://www.uscis.gov/policymanual/HTML/PolicyManual-Volume8-PartB-Chapter3.html#S-B

 

Quote

K and V nonimmigrants applying for adjustment of status are not required to repeat the medical examination if the application was filed within one year of the date of the original medical examination 

 


Spoiler

Adjustment of Status

AOS March 5, 2014 Submitted AOS with EAD/AP package to Chicago USICS

Delivered March 8, 2014 AOS packaged delivered to USCIS drop box

Accepted March 19, 2014 Text message with receipt numbers

Biometrics April 16, 2014 Biometrics completed

EAD May 23, 2014 Employment Authorization Document approved and went to card production

TD May 23, 2014 Travel Document approved and went for card production

Receipt EAD/AP May 30, 2014 Received combo card EAD/AP

Green Card Approved July 11, 2014 Approved, no interview. Went to card production.

Green Card received July 17, 2014 GC received without interview

Removal of Conditions

Mailed I-751 Dec 16, 2015 Submitted ROC (removal of conditions)

Received Dec 18, 2015 USPS notification of successful delivery

Check Cashed Dec 21, 2015 Check was cashed

NOA-1 Issued Dec 21, 2015 NOA-1 for ROC issued

NOA-1 Issued Dec 26, 2015 NOA-1 Received

Biometrics Appt. Jan 29, 2016 Biometrics Appointment Scheduled [Completed]

 

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In all cases, a Form I-693 signed by a civil surgeon more than 60 days before the applicant files the underlying benefit application is insufficient for evidentiary purposes as of the time of its submission to USCIS. The table below illustrates these scenarios.

 

Can someone please explain how this means we will not have to do another medical?

myself and a few others have interviews next week, sort of freaking out thinking we have to get POE...married..and AOS paperwork all done within 60 days of our medicals we have already had.

 

I know it said its valid for two years... but from my understanding that is only once AOS had been filed.

 

see below its saying our I-693 is not valid after 60 days

 

 

 

 

 

Form I-693 Submitted to USCIS On or After November 1, 2018

When did civil surgeon sign?

I-693 retains evidentiary value through

No more than 60 days before applicant filed underlying benefit application with USCIS

2 years from date civil surgeon signed I-693

After applicant filed benefit application with USCIS

2 years from date civil surgeon signed I-693

More than 60 days before applicant filed benefit application with USCIS

N/A – I-693 not valid at time applicant submits I-693 to USCIS

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3 hours ago, Amy & John said:

In all cases, a Form I-693 signed by a civil surgeon more than 60 days before the applicant files the underlying benefit application is insufficient for evidentiary purposes as of the time of its submission to USCIS. The table below illustrates these scenarios.

 

Can someone please explain how this means we will not have to do another medical?

myself and a few others have interviews next week, sort of freaking out thinking we have to get POE...married..and AOS paperwork all done within 60 days of our medicals we have already had.

 

I know it said its valid for two years... but from my understanding that is only once AOS had been filed.

 

see below its saying our I-693 is not valid after 60 days

 

 

 

 

 

Form I-693 Submitted to USCIS On or After November 1, 2018

When did civil surgeon sign?

I-693 retains evidentiary value through

No more than 60 days before applicant filed underlying benefit application with USCIS

2 years from date civil surgeon signed I-693

After applicant filed benefit application with USCIS

2 years from date civil surgeon signed I-693

More than 60 days before applicant filed benefit application with USCIS

N/A – I-693 not valid at time applicant submits I-693 to USCIS

See in the above messages that K visa don't have to have the medical redone. No need to panic its in the USCIS policy manual that we wont have to have them redone.


Late 2016: Met playing Clash of Kings the West

Feb 2017: Started online "dating"

May 2017: Met in Orlando

July 2017: Arkansas and Seminole (1 night) visit

October 2017: Washington DC visit.

December 2017: Seminole OKC home visit and Amanda  met Chayne's kids and dad.

January 2018:  York England visit Chayne met Amanda's son.

April 2018: London/Paris/York visit we got engaged on April 6th!!

April 19th 2018: packet sent

April 23rd 2018: USPS say packet signed for.

April 25th 2018: Electronic NOA1 received 

April 26th 2018: Cheque Cashed

April 30th 2018: hard copy NOA1 received

June 2018: Seminole visit, Amanda met Chayne's  adult son

 

 

 

event.png

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