Nich-Nick

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.

I-94 is valid for 90 days on K1. If not, they made a mistake.
You are legal alien allowed to work, but don't work until you get EAD.
Apply in name exactly as on you I-94 and passport because that is your USCIS legal name they have to find in the database. Fix to married name later when USCIS status upgrades you to EAD or greencard.

We never had an interview and didn't submit any evidence with AOS of our marriage since we had only been married about 5 days when it went out.

After the interview
Congratulations! You just finished the first (and arguably hardest) part of your immigration journey. What happens now is you watch your CEAC status to see how things are going. Again, there are two main statuses in this phase:

Administrative Processing (AP): This is normal for London – this just means they're finishing everything up and getting ready to issue the Visa. You should be out of it in 1-2 days.
Issued: This means the visa's been printed, put in your passport and is ready for the courier to pick up. Note: If you were not born in the UK, your visa may take longer to be issued, especially if from the Middle East, Pakistan, India or if you have Muslim ties. This is the dreaded security AP that takes awhile. It’s not the paper shuffling that occurs briefly for everybody prior to issue. Even if the interview is perfect and the guy says you’re approved, there is the option of more security checks they run you through. This is only to alert you to the possibility if you fit the profile, so you’re not blindsided with disappointment.
When the courier is ready for you (either for pickup from the depot or delivery if you paid for it), you will get an email with your tracking number. You will need some kind of ID (bank card, driving license) in order to take delivery of the visa and the BBE (big brown envelope). The latter thing there is your entire casefile which you hand over at your first point of entry into the USA. DO NOT OPEN the brown envelope because it is to remain secure. A small tear or damaged envelope is fine; as long as it is not so open that you could pull out papers and alter your records.

London will deny your tourist visa. I have seen many, many posts where no ties, then no discussion and no B1/B2 visa. Make a new plan and save the application fee.

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.

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.

Wheatley and Nich-Nick have collaborated on this new guide. Because the mods want pinned threads to be for information only, please don't post your individual questions in this thread. Read it carefully and if you don't understand something or have a unique issue then start a new thread with your question. Keep this thread clear of your progress, fears, joys, and frustrations. If anything changes in London, we will add information. The basic guide, once posted, can not be edited by either of us, so read to the end in case there are corrections
Pre-NOA2 Preparation
US Petitioner
Order your IRS Tax Transcript - Tax transcripts are an excellent source of evidence for your I-134 Affidavit of Support. They're certified by the IRS. You only need the most recent one. Start getting the I-134 ready with the supporting documents [e.g. proof of income].London will accept any proof on an I-134 that clearly shows income. Some ways besides a tax return/transcript are employer letter, pay stubs, pension letter, or banks statements showing direct deposits. Pick two. You don’t need to prove income five different ways. If you have a new job or earn more income since your tax return, then an employer letter and recent pay stubs are a better choice than a weak tax return. This one has to be sent the old-fashioned way with a “wet” signature on it. Copies of the form aren't accepted, but your proof of income can be scans or photocopies. London does not typically want to see relationship evidence. In the majority of cases they haven't asked for it. If it gives you peace of mind, get some photos printed but don't panic over it at all. Nor do they want to see your NOA2 or a photocopy of the I-129F packet– what do you think they have in front of them? UK Beneficiary
Go get your photos done. You're going to need 2x UK size and 1x US size. The two UK size photos are for your Medical and for your Police Certificate. Your US size one is for the Embassy – no longer do you need 2 of them, only one as they scan them in digitally. US size photos can be done at most photo booths at a cost of around £7 for 4 photos.
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 extremely wise to take care of it before getting to the US so you can avoid civil surgeon hassles and $$$. Many NHS doctors will do them for free, but they are not obligated to do so for immigration purposes. Get the shots documented by your doctor to take to your visa medical exam. If your doctor should say you don’t need something on this list, remember you have to go by US rules and that differs from UK standards. Here are the shots needed for 19 through 59 years of age: Td or Tdap - Tetanus/diptheria/pertussis or get DT, DTP or DtaP and it will be accepted for AOS also. The latest shot must be no longer than 10 years ago or you need a booster. If you have a record of receiving pertussis, then the Td is okay for the booster. MMR - (if born in 1957 or later)-Mumps/measles/rubella. It's two doses in your life, but if you get the first dose, and 4 weeks haven't passed by your medical, they will waive the second dose for "insufficient time interval". If you only had one dose as a child, get a second one before the medical. 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 – Required 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. The list on the London embassy website is out of date since 2009. Don’t follow it.
Get all your documents together. Here is a link to London’s list of required documents. Be sure to click any links that say “please follow this link for more information” or you may miss details particular to you. Below are some links on how to get these documents or replacements of them:
Police Certificate
Birth, Marriage and Divorce Certificates
Military Records
Finally, make sure your passport is in order – You need to make sure you have at least 8 months until the expiry date on it, preferably more. If you've damaged it or gotten it wet, or the edges are wrinkled, it will need to be renewed. London is fussy about that.

You can do that or if your DS-3025 from Knightsbridge is sufficient, use it. Read all this for information. It's some 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?

If you were admitted as a:
A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e); or as a
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 your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination, and the medical examination did not reveal a Class A medical condition, or if you did have a Class A medical condition, you received a waiver of inadmissibility and have complied with the terms and conditions on the waiver.
From the I-693 instructions page 4, Section III. 2, c, 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 vaccination report completed by a designated civil surgeon. In this case, you are required to submit the vaccination record and page 1 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" checked, then you get a waiver)
Td or Tdap or DT or DTP or DtaP (One no longer than 10 years ago, ie.have a booster)
Varicella or VH written by it if you had chickenpox
Influenza (during flu season)** see note below because you are most likely okay without it.
2. Everything else marked not age appropriate, insufficient time interval, not flu season...things that allow a waiver.
3. RESULTS section filled in with "incomplete" and "may be eligible for blanket waiver" ticked or "complete" (but complete is rare).
4. Signed and dated by the doctor
If it's not completed EXACTLY like that then see a civil surgeon for the I-693. If it is complete, send a photocopy of your DS-3025. Almost isn't good enough. It needs to be filled out properly.
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.
**Note on flu shot: Flu shots are required for adults of all ages (changed Nov 2010) 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 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.
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.

Maybe it's also the size of the file that influences the adjudicator to choose one over the other. Think about if you had quota numbers to push through. You find some small files with basic forms, 5 pictures, and some passport stamps and boarding passes showing they met. Then there's the one that is 3 inches thick with 250 pictures, 100 pages of call logs, 50 emails, etc. Would you be tempted to push that monster file aside In favor of ones you could run through quickly and approve?

Wheatley and Nich-Nick have collaborated on this new guide. Because the mods want pinned threads to be for information only, please don't post your individual questions in this thread. Read it carefully and if you don't understand something or have a unique issue then start a new thread with your question. Keep this thread clear of your progress, fears, joys, and frustrations. If anything changes in London, we will add information. The basic guide, once posted, can not be edited by either of us, so read to the end in case there are corrections
Pre-NOA2 Preparation
US Petitioner
Order your IRS Tax Transcript - Tax transcripts are an excellent source of evidence for your I-134 Affidavit of Support. They're certified by the IRS. You only need the most recent one. Start getting the I-134 ready with the supporting documents [e.g. proof of income].London will accept any proof on an I-134 that clearly shows income. Some ways besides a tax return/transcript are employer letter, pay stubs, pension letter, or banks statements showing direct deposits. Pick two. You don’t need to prove income five different ways. If you have a new job or earn more income since your tax return, then an employer letter and recent pay stubs are a better choice than a weak tax return. This one has to be sent the old-fashioned way with a “wet” signature on it. Copies of the form aren't accepted, but your proof of income can be scans or photocopies. London does not typically want to see relationship evidence. In the majority of cases they haven't asked for it. If it gives you peace of mind, get some photos printed but don't panic over it at all. Nor do they want to see your NOA2 or a photocopy of the I-129F packet– what do you think they have in front of them? UK Beneficiary
Go get your photos done. You're going to need 2x UK size and 1x US size. The two UK size photos are for your Medical and for your Police Certificate. Your US size one is for the Embassy – no longer do you need 2 of them, only one as they scan them in digitally. US size photos can be done at most photo booths at a cost of around £7 for 4 photos.
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 extremely wise to take care of it before getting to the US so you can avoid civil surgeon hassles and $$$. Many NHS doctors will do them for free, but they are not obligated to do so for immigration purposes. Get the shots documented by your doctor to take to your visa medical exam. If your doctor should say you don’t need something on this list, remember you have to go by US rules and that differs from UK standards. Here are the shots needed for 19 through 59 years of age: Td or Tdap - Tetanus/diptheria/pertussis or get DT, DTP or DtaP and it will be accepted for AOS also. The latest shot must be no longer than 10 years ago or you need a booster. If you have a record of receiving pertussis, then the Td is okay for the booster. MMR - (if born in 1957 or later)-Mumps/measles/rubella. It's two doses in your life, but if you get the first dose, and 4 weeks haven't passed by your medical, they will waive the second dose for "insufficient time interval". If you only had one dose as a child, get a second one before the medical. 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 – Required 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. The list on the London embassy website is out of date since 2009. Don’t follow it.
Get all your documents together. Here is a link to London’s list of required documents. Be sure to click any links that say “please follow this link for more information” or you may miss details particular to you. Below are some links on how to get these documents or replacements of them:
Police Certificate
Birth, Marriage and Divorce Certificates
Military Records
Finally, make sure your passport is in order – You need to make sure you have at least 8 months until the expiry date on it, preferably more. If you've damaged it or gotten it wet, or the edges are wrinkled, it will need to be renewed. London is fussy about that.

Maybe it's also the size of the file that influences the adjudicator to choose one over the other. Think about if you had quota numbers to push through. You find some small files with basic forms, 5 pictures, and some passport stamps and boarding passes showing they met. Then there's the one that is 3 inches thick with 250 pictures, 100 pages of call logs, 50 emails, etc. Would you be tempted to push that monster file aside In favor of ones you could run through quickly and approve?

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.

Wheatley and Nich-Nick have collaborated on this new guide. Because the mods want pinned threads to be for information only, please don't post your individual questions in this thread. Read it carefully and if you don't understand something or have a unique issue then start a new thread with your question. Keep this thread clear of your progress, fears, joys, and frustrations. If anything changes in London, we will add information. The basic guide, once posted, can not be edited by either of us, so read to the end in case there are corrections
Pre-NOA2 Preparation
US Petitioner
Order your IRS Tax Transcript - Tax transcripts are an excellent source of evidence for your I-134 Affidavit of Support. They're certified by the IRS. You only need the most recent one. Start getting the I-134 ready with the supporting documents [e.g. proof of income].London will accept any proof on an I-134 that clearly shows income. Some ways besides a tax return/transcript are employer letter, pay stubs, pension letter, or banks statements showing direct deposits. Pick two. You don’t need to prove income five different ways. If you have a new job or earn more income since your tax return, then an employer letter and recent pay stubs are a better choice than a weak tax return. This one has to be sent the old-fashioned way with a “wet” signature on it. Copies of the form aren't accepted, but your proof of income can be scans or photocopies. London does not typically want to see relationship evidence. In the majority of cases they haven't asked for it. If it gives you peace of mind, get some photos printed but don't panic over it at all. Nor do they want to see your NOA2 or a photocopy of the I-129F packet– what do you think they have in front of them? UK Beneficiary
Go get your photos done. You're going to need 2x UK size and 1x US size. The two UK size photos are for your Medical and for your Police Certificate. Your US size one is for the Embassy – no longer do you need 2 of them, only one as they scan them in digitally. US size photos can be done at most photo booths at a cost of around £7 for 4 photos.
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 extremely wise to take care of it before getting to the US so you can avoid civil surgeon hassles and $$$. Many NHS doctors will do them for free, but they are not obligated to do so for immigration purposes. Get the shots documented by your doctor to take to your visa medical exam. If your doctor should say you don’t need something on this list, remember you have to go by US rules and that differs from UK standards. Here are the shots needed for 19 through 59 years of age: Td or Tdap - Tetanus/diptheria/pertussis or get DT, DTP or DtaP and it will be accepted for AOS also. The latest shot must be no longer than 10 years ago or you need a booster. If you have a record of receiving pertussis, then the Td is okay for the booster. MMR - (if born in 1957 or later)-Mumps/measles/rubella. It's two doses in your life, but if you get the first dose, and 4 weeks haven't passed by your medical, they will waive the second dose for "insufficient time interval". If you only had one dose as a child, get a second one before the medical. 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 – Required 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. The list on the London embassy website is out of date since 2009. Don’t follow it.
Get all your documents together. Here is a link to London’s list of required documents. Be sure to click any links that say “please follow this link for more information” or you may miss details particular to you. Below are some links on how to get these documents or replacements of them:
Police Certificate
Birth, Marriage and Divorce Certificates
Military Records
Finally, make sure your passport is in order – You need to make sure you have at least 8 months until the expiry date on it, preferably more. If you've damaged it or gotten it wet, or the edges are wrinkled, it will need to be renewed. London is fussy about that.

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.

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.

Add your info alphbetically
City - Reason - Successful?
CALIFORNIA
Buena Park CA - No reason, just gave security guard my appt letter. YES
Gardena- 5/24/12
Los Angeles - (USCIS Fairfax on W. Pico). Successful with no questions asked.
Los Angeles (downtown) July 2012. NO
Pomona- long wait. Successful
Santa Ana -Walked in 2 times in June 2012. No questions asked. The friendly security guards even told me I could go inside to fill out the form for my wife but will have to wait outside afterwards.
FLORIDA
Miami - June 2012 - Gave no reason. Showed up 2 weeks before - was in and out in 5 minutes.
GEORGIA
Atlanta - No reason Officer had us wait outside until the earliest appts went in (about 15 minutes). Yes.
Atlanta - Our appt was for 6/13 went in 5/25 and we were successful with no questions. The office just wrote on our form Walk-in.
INDIANA
Michigan City - January 2012 - No reason needed - Yes to successful walk-in(asked about it, I was there the same day as appointment)
IOWA
Des Moines - April 2010 - Husbands erratic work schedule meant rescheduling wouldn't help because there was still no guarantee the new date would work - Successful
Des Moines - March 2011 - To get it over with - Successful (advised they were being more strict but letting them proceed due to no-one else being there)
LOUISIANA
Metairie - Unsuccessful. You must arrive on the correct day at the exact time of your appointment, or they will not see you. Tried for AOS, ROC and N-400. Two friends have also tried it and been refused.
MARYLAND
Wheaton - told Security guard I was not going to be in State on the day. Yes
Wheaton - July 2012, asked why could not make appointment, said attending wedding. Successful(out in 10 minutes).
MINNESOTA
St Paul - No reason asked or given. Successful
Minneapolis-May 2012- NO because one of the computers was down
NEW JERSEY
Hackensack - The guard asked me what I was doing there on 8/20/12 when my schedule was 8/30/12. I told him my sister will be having her baby and I will fly to Rochester on 8/25/12 to be with her. The guard let me talk with the manager and the manager checked my roundtrip ticket. The walk-in attempt was SUCCESSFUL.
NEW YORK
Holtsville, NY (Long Island) 5/22/12 No reason asked. YES
OHIO
Cleveland- no questions. Successful.
PENNSYLVANIA
Philadelphia - Drummond Road -Successful. No questions asked. YES
TENNESSEE
Nashville- unsuccessful
TEXAS
Austin - We were in the area that day (we live an hour away) - Yes
Dallas (Whitehurst) - Yes, had to give a reason, come early and they will take you
Houston (Hwy 290 office) -Jan 2012 - gave no reason, only appt letter. Yes (3 times-AOS, ROC, Citizenship)
Houston SW (Sugarland) No questions. YES
VIRGINIA
Alexandria - Yes

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.