Nich-Nick

People on visas already in the US don't go home to get another visa to come back. They adjust status from visa holder to permanent resident based on marriage to a US citizen. I have no idea how that fits the terms of your J1 visa or if marriage is in your future, but it's something to research. This is the guide for the process. http://www.visajourney.com/content/i130guide2

No engagement ring or party, no wedding ring, didn't show any evidence of relationship at consulate, didn't take his last name and never a problem. Like T-Bone said, each consulate has their customs of what they like to see. Best for the OP to read the experiences of people going through Juarez, Mexico. In the menu bar you will find Embassy Reviews to read about a specific consulate.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

There's been many similar threads started in the last week with the topic I got my NOA2--Now what?? If all the questions are in one thread, people may find the information they need more easily. I'll start off with some general information specific to London K1s.
Advance preparation for the London part of the K1 process
When your NOA2 is near, it’s a good time to start your preparation.
Petitioner:

Order your tax transcripts. Only the most recent tax return is required, but you can order three years at a time for free from the IRS. Tax transcripts are summaries of your whole tax return provided free by the IRS. They can't be faked because it's a copy/summary of your whole tax return picture, basically certified by the IRS because it's issued by them. That's why you don't have to include any 1040, Schedules, W2s or 1099s if you send a transcript. They are free from the IRS. Transcripts take the place of sending a complete tax return.
If you call 1-800-908-9946 (the transcript line) , there is an automated system for ordering transcripts. You'll have to enter your Social Security number and the numbers of your street address. It will generate an automated request to mail your transcripts. You can also order online on the IRS website http://www.irs.gov/individuals/article/0,,id=232168,00.html
Start filling out the I-134 Affidavit of Support. It will have to be signed and mailed to the UK the slow way. Get familiar with the form. When the NOA2 is received is a good time to finalize it with the supporting documents and get it in the mail.
Don't obsess printing Skype logs, emails, photos, or Facebook status. London does not want to look at that. Really they don't. London does not want to see a copy of your I-129F petition or NOA2. They got that in the file from NVC.

UK beneficiary:

Get some passport photos taken. You will eventually need
2 US sized for the Embassy
1 UK sized for the police certificate
1 either size for the visa medical exam.
(and for AOS in the US, 6 more US sized photos)
You can take your own and size it using this uploader tool from the Dept of State. Scroll halfway down the page. http://travel.state.gov/passport/pptphotoreq/pptphotoreq_5333.html Save the jpg file and print at home or at a photo place. Also available at Snappy Snaps, Photo-Me booths, Jessops, Gould's Pharmacy (by the embassy), near the Bond St Tube station (Oxford St) which is closest Tube to the medical exam.
Go to your NHS doctor and get the immunizations you will need for Adjustment of Status. You can get a K1 visa without having any shots, but you will need them before AOS. It’s really wise to take care of it before getting to the US so you can aviold civil surgeon hassles and $$$. Many NHS doctors will do them for free, but they are not obligated to do so for immigration purposes. If you had these shots as a child, Tdap/Td must be no longer than 10 years ago or you have to do them again. Get the shots documented by your doctor to take to your visa medical exam. Here’s the shots needed for 19 through 59 years of age:
Td or Tdap - Maybe not available in the UK, so get DT, DTP or DtaP and it will be accepted for AOS
MMR (if born in 1957 or later) Get a second shot 4 wks later if you have time
Varicella – Not routinely given in the UK ; a history of having chickenpox excuses you from the shot. They take your word for it at the visa medical exam.
Influenza - During flu season only, October 1 through March 31. This was a new recommendation dated November 2010 for all ages over 6 months. Older lists will say flu shots for over age 50. It changed.
Order your police certificate. It takes some preparation because you need a passport photo signed off on by somebody officialish who’s known you two years. Here’s the application. Read the instructions. A police certificate is good for 12 months. Must take it to medical exam. http://www.acpo.police.uk/documents/Application_Form.pdf
Look at your passport and make sure it will have 8 months remaining after visa issuance. If not get it renewed now. If you've damaged it or gotten it wet, it will need to be renewed.
Study the list of original documents London wants you to bring to the embassy and get those in hand or ordered. http://london.usembassy.gov/application_documents.html
Make photocopies of any document you want back. They will verify the original and file the photocopy.

Ready, Set, Go!! - Ask your questions or post your tips...........

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

What's unfortunate is that he does something illegal that could jeopardize his chance to join her in the US or remain in the US. It's a good practice for immigrants to obey the law so they never have these kind of worries.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

Nothing is required for a visa but if you can get fee jabs from your GP that's a plus.
If you get everything needed for AOS recorded on your visa medical, you may not have to pay again to see a civil surgeon in the US, so that's a plus.
MMR two in your life. Got any childhood records?
Tdap - one must be within the last 10 years
Varicella- NO. Because you've had chickenpox. Make sure they mark your sheet Varicella History.
Flu- NO, not until Oct 1. Make sure they mark your sheet Not flu season
Do not leave the medical until you have checked the vaccination sheet they give you is filled out properly. Once it's sent off to the embassy, there's no fixing it later.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

More Information to read.
My RFE says no medical results found. The USCIS is supposed to have your K1 medical files, but sometimes lose them or fail to match them up with your AOS. Do not get another exam unless you get an RFE that says they do not have results of your medical. It means they lost them, but you are probably stuck with paying for a new exam. Those kinds of RFE's are not about the immunizations or the form I-693; they are because USCIS failed to match up your other medical exam results with your AOS application.
What if I only had one dose of MMR and it's marked "insufficient time interval"? Do I need to another dose and must I see a civil surgeon before AOS?
NO you do not need to see a civil surgeon unless USCIS loses the whole medical file you turned in at POE. If you were up to date the day that DS-3025 was signed, then you're okay without getting 2nd or 3rd doses. You can get them for your health, or you can not get them ever. It was not medically appropriate for you to get dose 2 on top of dose 1. There's a time interval for doses. So you get a waiver for "insufficient time interval" if that is marked on your DS-3025.
If you are one of the unlucky ones with a lost medical, then you will have to get a full medical again. By then, enough time would have passed for dose 2 so expect the CS to say you need it. Hopefully it won't come to that.
If you just chose not to get a second dose that was due (because it was more than 4 weeks since dose 1) then you wouldn't have that "insufficient time interval" waiver marked on your DS-3025. It was medically fine to have the second dose and you didn't. You aren't complete and have no waiver excuse.
What if I don't have a DS-3025?
If you are positive that you got the needed shots, then actually mailing in a DS-3025 photocopy is not necessary. The original form is with your other medical results and was turned over to USCIS at POE. That's actually the one that counts because it remained in the "chain of custody" so you didn't have an opportunity to alter it. The photocopy isn't really an official copy and is more for a reminder that you got complete at your visa exam. Of course without having a copy, you don't have the opportunity to see if the rest of the form was completed correctly.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

With a K1 it's kind of a gray area to me. Your are no more than a 90 day visitor when you arrive. The EAD and greencard give you some status as a resident alien. Publication 519 found on the IRS.gov website will give you a lot of information. Too much almost because it can be overwhelming. It's all laid out down to days physically present, greencard, etc and you might sort through that for some answers depending on what part of the tax year you arrive in, whether you work in that tax year or whether you choose to be treated as a resident alien for the entire tax year based on marrying a USC.
Basically when you become resident in the US, you follow US tax laws. You report as taxable income any interest, earnings, capital gains, etc. earned worldwide. So if you bring $20k over, it is not taxed but if you invest it and it starts earning, you report the interest it earned. The same thing if it stayed in the UK and earned interest, you report it to the US once you are considered US resident. The UK should no longer tax you on anything you begin to report to the IRS. It is even possible to be a dual status alien in the same year.
Most K1s make the election to be treated as resident aliens for tax purposes the year they marry and also file a joint tax return with their spouse for that year. (You'll find a that info on page 9 of Pub 519.) If you make that election, then you can skip all the info on non-resident alien or dual status. Your UK earned income for that entire tax year will be reported to the IRS. (That's considered worldwide income that joint filers must report).
BUT you will also qualify for Form 2555 Foreign Income Exclusion to keep from being taxed on it. That almost always works out to an advantage because the new spouse on a tax return reduces the USC's taxable income by $10,150 in 2014 and probably more when 2015 is set. So the USC gets the deductions for having a spouse, and her foreign income is excluded from taxation that first year. It all depends on each individual's tax situation, but my spouse of less than three months in 2008 saved me over $2000 in taxes. That was even with reporting eight months of UK wages (then excluding them). It was a year of a bonus tax rebate and by filing jointly with me, he qualified to get it too eve though he had no greencard.
That's just one example of tax filing, but seems to be the best choice for most.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

You did your taxes wrong. He is not a resident as defined by the IRS and can't file with a resident. Non residents have different forms and taxation. Because you are a USC, you may file jointly if you each sign a statement saying you choose for him to be treated as a resident alien for tax purposes. And If you choose to do that and file jointly, then both have to include "worldwide income" meaning US and DR.
You are probably getting back more refund than you should, had you followed the tax laws. Will the IRS catch you? Probably not.

More Information to read.
My RFE says no medical results found. The USCIS is supposed to have your K1 medical files, but sometimes lose them or fail to match them up with your AOS. Do not get another exam unless you get an RFE that says they do not have results of your medical. It means they lost them, but you are probably stuck with paying for a new exam. Those kinds of RFE's are not about the immunizations or the form I-693; they are because USCIS failed to match up your other medical exam results with your AOS application.
What if I only had one dose of MMR and it's marked "insufficient time interval"? Do I need to another dose and must I see a civil surgeon before AOS?
NO you do not need to see a civil surgeon unless USCIS loses the whole medical file you turned in at POE. If you were up to date the day that DS-3025 was signed, then you're okay without getting 2nd or 3rd doses. You can get them for your health, or you can not get them ever. It was not medically appropriate for you to get dose 2 on top of dose 1. There's a time interval for doses. So you get a waiver for "insufficient time interval" if that is marked on your DS-3025.
If you are one of the unlucky ones with a lost medical, then you will have to get a full medical again. By then, enough time would have passed for dose 2 so expect the CS to say you need it. Hopefully it won't come to that.
If you just chose not to get a second dose that was due (because it was more than 4 weeks since dose 1) then you wouldn't have that "insufficient time interval" waiver marked on your DS-3025. It was medically fine to have the second dose and you didn't. You aren't complete and have no waiver excuse.
What if I don't have a DS-3025?
If you are positive that you got the needed shots, then actually mailing in a DS-3025 photocopy is not necessary. The original form is with your other medical results and was turned over to USCIS at POE. That's actually the one that counts because it remained in the "chain of custody" so you didn't have an opportunity to alter it. The photocopy isn't really an official copy and is more for a reminder that you got complete at your visa exam. Of course without having a copy, you don't have the opportunity to see if the rest of the form was completed correctly.

As a K1, you are eligible for a SSN in the name on the valid immigration document you present, I-94. So you would be found in the database under your maiden name. You aren't eligible under the reason you had a card before so they deal with current documents and immigration status. When you apply for a get a greencard or EAD in your married name, the USCIS will update the database to new name and new status. Then Social Security will find you in the database, see you are eligible, and mail you a new card in the married name with the old number still assigned to you.That's the least hassle way for a K1...Get SSN card in entry name. Apply for AOS in married name. Fix name and status later with the SSA. (Social Security Administration)

More Information to read.
My RFE says no medical results found. The USCIS is supposed to have your K1 medical files, but sometimes lose them or fail to match them up with your AOS. Do not get another exam unless you get an RFE that says they do not have results of your medical. It means they lost them, but you are probably stuck with paying for a new exam. Those kinds of RFE's are not about the immunizations or the form I-693; they are because USCIS failed to match up your other medical exam results with your AOS application.
What if I only had one dose of MMR and it's marked "insufficient time interval"? Do I need to another dose and must I see a civil surgeon before AOS?
NO you do not need to see a civil surgeon unless USCIS loses the whole medical file you turned in at POE. If you were up to date the day that DS-3025 was signed, then you're okay without getting 2nd or 3rd doses. You can get them for your health, or you can not get them ever. It was not medically appropriate for you to get dose 2 on top of dose 1. There's a time interval for doses. So you get a waiver for "insufficient time interval" if that is marked on your DS-3025.
If you are one of the unlucky ones with a lost medical, then you will have to get a full medical again. By then, enough time would have passed for dose 2 so expect the CS to say you need it. Hopefully it won't come to that.
If you just chose not to get a second dose that was due (because it was more than 4 weeks since dose 1) then you wouldn't have that "insufficient time interval" waiver marked on your DS-3025. It was medically fine to have the second dose and you didn't. You aren't complete and have no waiver excuse.
What if I don't have a DS-3025?
If you are positive that you got the needed shots, then actually mailing in a DS-3025 photocopy is not necessary. The original form is with your other medical results and was turned over to USCIS at POE. That's actually the one that counts because it remained in the "chain of custody" so you didn't have an opportunity to alter it. The photocopy isn't really an official copy and is more for a reminder that you got complete at your visa exam. Of course without having a copy, you don't have the opportunity to see if the rest of the form was completed correctly.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

More Information to read.
My RFE says no medical results found. The USCIS is supposed to have your K1 medical files, but sometimes lose them or fail to match them up with your AOS. Do not get another exam unless you get an RFE that says they do not have results of your medical. It means they lost them, but you are probably stuck with paying for a new exam. Those kinds of RFE's are not about the immunizations or the form I-693; they are because USCIS failed to match up your other medical exam results with your AOS application.
What if I only had one dose of MMR and it's marked "insufficient time interval"? Do I need to another dose and must I see a civil surgeon before AOS?
NO you do not need to see a civil surgeon unless USCIS loses the whole medical file you turned in at POE. If you were up to date the day that DS-3025 was signed, then you're okay without getting 2nd or 3rd doses. You can get them for your health, or you can not get them ever. It was not medically appropriate for you to get dose 2 on top of dose 1. There's a time interval for doses. So you get a waiver for "insufficient time interval" if that is marked on your DS-3025.
If you are one of the unlucky ones with a lost medical, then you will have to get a full medical again. By then, enough time would have passed for dose 2 so expect the CS to say you need it. Hopefully it won't come to that.
If you just chose not to get a second dose that was due (because it was more than 4 weeks since dose 1) then you wouldn't have that "insufficient time interval" waiver marked on your DS-3025. It was medically fine to have the second dose and you didn't. You aren't complete and have no waiver excuse.
What if I don't have a DS-3025?
If you are positive that you got the needed shots, then actually mailing in a DS-3025 photocopy is not necessary. The original form is with your other medical results and was turned over to USCIS at POE. That's actually the one that counts because it remained in the "chain of custody" so you didn't have an opportunity to alter it. The photocopy isn't really an official copy and is more for a reminder that you got complete at your visa exam. Of course without having a copy, you don't have the opportunity to see if the rest of the form was completed correctly.

They don't accept it if the person is a filer...as in you and wife filing jointly. They won't process her return (or her named jointly) without an ITIN or SSN.
If you file Married Filing Separately, then it is your return only. You have to name your spouse on it, but NRA is acceptable in that instance because she is not filing anything.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.

This is a revision of my post that is often quoted as good information on the I-693 and DS-3025 question. The DS-3025 form has changed, so this update matches the new form that looks like this http://photos.state.gov/libraries/thailand/591452/iv/ds3025.pdf
If your DS-3025 from your visa medical is sufficient to prove you have completed all required immunizations, then use it instead of seeing a Civil Surgeon. Read all this for information I have compiled.
Do I need a medical exam?
What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
Source: I-693 instructions page 6 &7, Part 3 FAQ, #3
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 have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination, and:
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and you have complied with the terms and conditions of the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the Part 7. Vaccination Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 4., and 7. of Form I-693.
Do you need an I-693 immunization sheet? Is my DS-3025 filled out properly?
Look at your DS-3025. If it has the ALL of the following items, you don't need an I-693 (Adults 19-49 yrs old).
1. Shots marked with a date (at least one of a series)
MMR (two are required but if you have "insufficient time interval" Code B in the last column, then you get a waiver) Td or Tdap or DT or DTP or DtaP (One date must be no longer than 10 years ago) Varicella (Either a check by "Vaccine" with a date, OR a check by "Varicella History" if you had chickenpox. History gets you a waiver) Influenza (during flu season)** see note below because you may be okay without it. If it is not flu season, the waiver in the last column is Code F. Everything else marked "not age appropriate" Code A, insufficient time interval B, not flu season F, contraindicated C...things that allow a waiver. NOTE: If you have shots missing and no waiver for them, stop here and see a Civil Surgeon. "Most of the shots" isn't complete. A note from your home country doctor won't count. All shots must be recorded on the DS-3025 or waived. You will have to take your doctor note to a Civil Surgeon and get him to record it on an official form.
2. The new form has a summary section. It may be marked:
"US vaccination requirements COMPLETE (Requesting a Blanket Waiver)"
But instructions I have seen says it is only marked for immigrant visas. I know In London they leave section 2 unmarked at K1 medicals.
3. Signed and dated by the doctor
The unknown with this new form is--will every adjudicator across the US know how to interpret the summary section? Their policy manual says:
"The officer should be aware that civil surgeons may improperly mark the boxes because they may misunderstand the meaning of these boxes. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any ​other waivers. The officer should exercise discretion in reviewing the vaccination chart and when evaluating the results boxes at the bottom of the vaccination assessment chart. ​ ​If the civil surgeon did not check any result boxes, the officer should only return the form for corrective action if he or she is unable to ascertain whether the applicant is admissible. "
While this is not directly addressing the new form that has a "Summary" instead of a "Results" section, I believe the intent is that the adjudicator should look and see if the four required shots (or waivers) are present and accept the form even if the doctor doesn't do the summary to their liking. No guarantees, but I would certainly use the DS-3025 if I knew I had all the required shots.
**Note on flu shot: Flu shots are required for adults of all ages if your visa exam was between (Oct 1 and March 31). But if the AOS adjudicator picks up your case when it is not flu season, you will be excused. And the reverse is true. The adjudicator picks up your case during flu season, but sees it was NOT flu season when you had your medical exam, you are also excused because the date they go by is the date of your visa exam to determine if you were current on that date. Keep in mind that if you go to a civil surgeon for an I-693, then you are resetting the medical exam date for immunizations and you may have to get second doses of shots or a flu shot to become current on your new immunization date of record.
See next post for more information.