I-693 - Report of Medical examination and vaccination report

[Jessee&Lilli 0]

Hi All, I have just moved to the US on the K1 visa and would like to start the next process. I was under the impression that as my I-693 was ok and i am not missing any vaccinations that i just submit that paper with my AOS - however i have now read that i still nust see a civil surgeon? Is this correct? please could anybody point me in the right direction?

thank you

Lilli

[Nich-Nick 3,353]

Hi All, I have just moved to the US on the K1 visa and would like to start the next process. I was under the impression that as my I-693 was ok and i am not missing any vaccinations that i just submit that paper with my AOS - however i have now read that i still nust see a civil surgeon? Is this correct? please could anybody point me in the right direction?

thank you

Lilli

You can only get an I-693 from a civil surgeon. Do you mean DS-3025 from the panel physician(Knightsbridge Doctors) in London?

[Jessee&Lilli 0]

Oh I see... yes i only have the form from the Knightsbridge Doctors so i take that to the Civil Surgeon to get the I-693?!

[Ontarkie 13,883]

~~~~Moved to Adjustment of Status (Green Card) from Family Based Visas, from K-1 Fiance(e) Visa Process & Procedures~~~~

[Nich-Nick 3,353]

Oh I see... yes i only have the form from the Knightsbridge Doctors so i take that to the Civil Surgeon to get the I-693?!

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.

[Jessee&Lilli 0]

Thank you very much for your help. You just saved me a trip to the civil surgeon.

[greg&onos 0]

Please can the 1-693 be completed by any physician other than the designated civil surgeon.

thanks

[KayDeeCee 4,891]

Please can the 1-693 be completed by any physician other than the designated civil surgeon.

thanks

No. An I-693 can only be completed by a designated civil surgeon.

[Kring 0]

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 was helpful. I had the items for me not to need I-693, except for the rotavirus, which wasn't marked (it's blank). unlike the others that are marked "not age appropriate". what should i do?

[LynLyn120 3]

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.

Thank you very much for this information.

I went to a designated civil surgeon today and he ask me to get shots for Hepatitis B shot and Varicella even if I had Varicella history, do I have to explain that I don't need the Varicella shot anymore? What if he insist to get those two shot?

[KayDeeCee 4,891]

Thank you very much for this information.

I went to a designated civil surgeon today and he ask me to get shots for Hepatitis B shot and Varicella even if I had Varicella history, do I have to explain that I don't need the Varicella shot anymore? What if he insist to get those two shot?

Yes, tell him you do not need varicella because you already had chickenpox. Tell him you do not need Hep B unless you are under 18. Print this out to show him, if you need to, though as a civil surgeon, he should know this already > http://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1

[LynLyn120 3]

Yes, tell him you do not need varicella because you already had chickenpox. Tell him you do not need Hep B unless you are under 18. Print this out to show him, if you need to, though as a civil surgeon, he should know this already > http://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1

Thank you so much for the information!

The only problem I have now is to prove that I varicella history, the doctor told me it cost much to prove my varicella history than the cost of varicella shot.

[KayDeeCee 4,891]

Thank you so much for the information!

The only problem I have now is to prove that I varicella history, the doctor told me it cost much to prove my varicella history than the cost of varicella shot.

You should not have to prove it. The doctors just go by your word that you had chickenpox before.

[ivanalex1980 34]

Hello every one

i read all this information and i still did not understand if i have to go and see civil surgeon.

i had 2 vaccinations before my K1 interview, and the doctor gave me the copy of the form which proves i got done those 2 vaccinations Td and MMR, the rest of the vaccinations are stated in the form as Not Age Appropriate

if i send that copy of the form with my AOS packet is not going to be ok?

thanks for your inputs guys i really need advise

[Dani89 0]

Sorry I just have a quick question for K1 visa holders. Did you guys receive your medical results on a CD during your interview? We did.
My fiance hasn't entered the country yet so we still haven't had our K1 packet opened.