Help with medical exam results and AOS

[sum4042 9]

Hello! My husband and I are getting together our AOS package and having a bit of confusion. He had his medical exam in the UK on 7/22/24. He got his visa in August a month later, then came down here to live on November 24th. 
 

1st question: Is his medical still valid? It says it’s held valid for 6 months from the date of his medical.. was that until the visa is in hand or does that mean he needs a new medical?

 

2nd question: What is the form I-693 and is it needed for us? I’m hearing very conflicting information, and im also hearing something about our medical results supposedly being in a sealed envelope. He never received a sealed envelope, he only has a couple pages he was given from his medical exam. Does he need a sealed envelope? The pages he has are a receipt, a visa medicals FAQ, visa medicals certificate of immunization, US department of state form 3025, vaccination documentation worksheet, and a page with the surgeons signature checking off “K visa applicant voluntarily completed vaccination requirements”

 

And my third question: Do I have the correct medical exam results, and does my husband need more vaccines because on his vaccination results, a few boosters are circled that recommends them in a month. For example, for hepatitis B the surgeon circled a month for the booster. For meningitis, he circled 4-8 weeks. Is he required to get boosters or no because the surgeon checked off that he completed all the vaccination requirements? 
 

This might be an excessive, long post, but really we are so confused and want to make sure we get no RFES. The medical exam results are only a few pages and I just want to make sure that’s normal. Thank you so much to anybody that takes the time to help, it’s very appreciated! Any advice also is appreciated so much 

[Crazy Cat 44,416]

***Topic moved to the Adjustment of Status forum***

[smilingstone 590]

2 hours ago, summer4042 said:

1st question: Is his medical still valid? It says it’s held valid for 6 months from the date of his medical.. was that until the visa is in hand or does that mean he needs a new medical?

 

The medical is valid for 6 months from the time of completion, up to the date of travel. Meaning that if he completed the medical in July 2024, he'd have until January 2025 to enter on his K1. However, for AOS purposes, the medical is valid for 1 year from completion.

 

2 hours ago, summer4042 said:

2nd question: What is the form I-693 and is it needed for us? I’m hearing very conflicting information, and im also hearing something about our medical results supposedly being in a sealed envelope. He never received a sealed envelope, he only has a couple pages he was given from his medical exam. Does he need a sealed envelope? The pages he has are a receipt, a visa medicals FAQ, visa medicals certificate of immunization, US department of state form 3025, vaccination documentation worksheet, and a page with the surgeons signature checking off “K visa applicant voluntarily completed vaccination requirements”

 

I-693 is therefore not required, as my previous point explains. However, your husband should write a letter stating that he is exempt from filing I-693, quoting the K1-specific instructions for this form:

 

If you were admitted as a:

A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e);

or B. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen;

and C. You received a medical examination prior to admission, then:

(1) You are not required to complete another immigration medical examination as long as you file your Form I-485 within one year of an immigration medical examination completed outside the United States

 

You should also include a copy of the DS3025 in the AOS application.

 

2 hours ago, summer4042 said:

And my third question: Do I have the correct medical exam results, and does my husband need more vaccines because on his vaccination results, a few boosters are circled that recommends them in a month. For example, for hepatitis B the surgeon circled a month for the booster. For meningitis, he circled 4-8 weeks. Is he required to get boosters or no because the surgeon checked off that he completed all the vaccination requirements? 

 

As long as the box stating vaccinations were completed, then no further jabs are needed for AOS. It's only a recommendation, not a requirement, that full courses are completed.

 

However, your husband should absolutely have received the sealed medical packet which should be handed over at the POE. This would have been in the same envelope that he received his passport back from the London. Are you sure he didn't accidently open the packet and keep the documents? In my experience, I received the same receipts and DS3025 from Visa Medicals, but my sealed packet was sent to me around 1-2 weeks later with my passport. If not, then it sounds like London did not forward it on to your husband, as they would not issue the visa without receiving it from Visa Medicals, so a packet does exist.

 

From my own experience and reading plenty of accounts on VJ, London does not (or at least pre-2025) forward on the medical packet to USCIS. If USCIS does not have his packet on file already, then he will unfortunately need a new medical and therefore require the I-693.

 

It sounds like you need to contact London ASAP with full details of your husbands K1 application and ask about the location of the packet.

 

Also, when did you get married? It's been 214 days since he entered the US. Do you realise that by not filing within the 90 days from arrival that he has been accruing unlawful presence? You need to declare this on the AOS.

 

 

Edited June 26 by smilingstone

[sum4042 9]

3 minutes ago, smilingstone said:

 

The medical is valid for 6 months from the time of completion, up to the date of travel. Meaning that if he completed the medical in July 2024, he'd have until January 2025 to enter on his K1. However, for AOS purposes, the medical is valid for 1 year from completion.

 

 

I-693 is therefore not required, as my previous point explains. However, your husband should write a letter stating that he is exempt from filing I-693, quoting the K1-specific instructions for this form:

 

If you were admitted as a:

A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e);

or B. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen;

and C. You received a medical examination prior to admission, then:

(1) You are not required to complete another immigration medical examination as long as you file your Form I-485 within one year of an immigration medical examination completed outside the United States

 

You should also include a copy of the DS3025 in the AOS application.

 

 

As long as the box stating vaccinations were completed, then no further jabs are needed for AOS. It's only a recommendation, not a requirement, that full courses are completed.

 

However, your husband should absolutely have received the sealed medical packet which should be handed over at the POE. This would have been in the same envelope that he received his passport back from the London. Are you sure he didn't accidently open the packet and keep the documents? In my experience, I received the same receipts and DS3025 from Visa Medicals, but my sealed packet was sent to me around 1-2 weeks later with my passport. If not, then it sounds like London did not forward it on to your husband, as they would not issue the visa without receiving it from Visa Medicals, so a packet does exist.

 

From my own experience and reading plenty of accounts on VJ, London does not (or at least pre-2025) forward on the medical packet to USCIS. If USCIS does not have his packet on file already, then he will unfortunately need a new medical and therefore require the I-693.

 

It sounds like you need to contact London ASAP with full details of your husbands K1 application and ask about the location of the packet.

 

Also, when did you get married? It's been 214 days since he entered the US. Do you realise that by not filing within the 90 days from arrival that he has been accruing unlawful presence? You need to declare this on the AOS.

 

 

 

Ohh, thank you so much for clearing this up! I must've been confused on what sealed envelope which was being referred to as I had something else in mind, but yes he gave a sealed envelope to an officer at the port of entry. Thank you so much for this detailed response, it really helps clear up a lot of things for me. Also, no I was not aware of this? I thought we were only supposed to get married within 90 days, I wasn't aware there was a deadline for filing the AOS. He arrived here on November 24th and we got married on February 1st. Since then, we've been gathering proof of living together and joint statements, heath insurance etc. 

 

 

[smilingstone 590]

10 minutes ago, summer4042 said:

 

Ohh, thank you so much for clearing this up! I must've been confused on what sealed envelope which was being referred to as I had something else in mind, but yes he gave a sealed envelope to an officer at the port of entry. Thank you so much for this detailed response, it really helps clear up a lot of things for me. Also, no I was not aware of this? I thought we were only supposed to get married within 90 days, I wasn't aware there was a deadline for filing the AOS. He arrived here on November 24th and we got married on February 1st. Since then, we've been gathering proof of living together and joint statements, heath insurance etc. 

 

 

 

Glad to hear the medical situation was clarified. 

 

The K1 visa is only good for 1 entry and is expired as soon as it is used. The K1 does not grant any status beyond 90 days and after married. As soon as you married, your husband was no longer a fiancé and was therefore out of status. Filing AOS does not grant any status either, but it stops the clock on unlawful presence. You need to file ASAP as he is currently at risk of deportation. 

 

As for gathering documents, USCIS does not expect you to have much at this stage. You only need your marriage certificate, everything else can be submitted either online after filing, used in a response to RFE or taken to interview. 

Edited June 26 by smilingstone