Do I need the I-693 completed or vaccinations okay?

[BennyJax 5]

Hi all,

Been stuck on this part of the application for my wife. Been doing reading all morning here. She came on a K-1 visa. Just got married and working on the AOS forms.

She has her DS-3025 but marked Vaccine History Incomplete and says "Applicant may be eligible for blanket waivers(s) because vaccination(s) not medically appropriate as indicated above. She had another copy sealed that was given to the immigration officer when she arrived.

So does she need the I-693? She just had her exam done in July 2011 (so under a year) in Taiwan.

I've read some people say it needs to be transcribed to the I-693 by a civil surgeon, while some say no and just send in the DS-3025.

I've called a few civil surgeons in this area and I've gotten one that doesn't do it anymore, one that wanted to give a full exam for $150 (learned here that's not needed) and another not doing it right now. So I'm not having much luck so far finding a civil surgeon.

So wanted to find out what to do.

[dessndave 3]

im in the same boat.

also the us civil surgeons are not use to patients having there xray taken. as xray generally means your positive.

but some places do not spend the 3 day scratch test. as they scratch the arm wait 3 days and see you again. the xray is faster from what I gather.

here they want 100 for the minimal fee.

and want more for additional stuff if needed.

its a big scam i think.

people are super lucky to get it done for 30-50.

we have sent our aos in and have interview nov 17th and sofar soonest to get the i693 is nov 3rd and i keep searching even if i have to drive a hr away.

Edited October 24, 2011 by dessndave

[Mhayonaise 14]

Yes you need a Civil Surgeon, start looking nearby your place.

[Mhayonaise 14]

check this helpful thread about Civil Surgeon http://www.visajourney.com/forums/topic/231026-civil-surgeons-who-dont-rip-you-off/

[aimeevsgarnette 4]

Our medical said the same thing and we sent a copy of it with a letter stating when we had the medical and that we got this sheet with it. We just had our green card interview last week and had no RFE's or any other issues with just using the DS-3025 stating vaccine history incomplete and applicant may be eligible for blanket waivers because vaccines not medically appropriate as indicated above.

[dessndave 3]

just had a call back from the local CS there trying to tell me my wife needs a full medical exam done in the usa.

I am like sorry She does not. All she needs is transcription & TB test at the most.

Always be careful of all the CS you contact if your exam is over 1yr then it generally is required to have full exam.

Personally I think the 3025 is enough. But do not want to risk it.

going thru this much Might as well do all we can to make sure. But I will not pay for a full medical exam again.

Unless I truly have to. Such as over 1yr.

Just do the CS if you need the link to find Authorized CS in your area goto

https://egov.uscis.gov/crisgwi/go?action=offices.type&OfficeLocator.office_type=CIV

type in your zip Search then call around about transcriptions of your vaccinations.

Most seem incompetent and a miracle if you truly speak to the CS.

[Scott & Annie 19]

We called several CS in our area (large pop of Chinese and Korean immigrants in this area, so many CS here). Told them we did not need medical, just verify vaccinations and certify. Some said, "can't do that", some said "$150.00-$250.00 no matter", some hung up the phone, some did not understand English...go figure. Finally found one that said come on in and we'll work with you.

We took the instructions for form 485 and 693 with us to the CS. They had never seen the instructions stating no need for medical if K1/K2 had medical as part of visa requirements. We asked them to review vaccination form 3025 (because it states the vaccinations were incomplete) and either administer additional vaccinations as needed or certify that vaccinations were current. Also, our daughter (K-2)had just received several vaccinations from our family doc to get into school, so we took that record also. They had never done this, but said they would do so for $50.00 ea.

They reviewed records, said no vaccinations needed, filled sections part1,2,5 on I-693 per instructions...sealed in envelope, gave us a copy, and we were on our way for $100.00

CS was in Duluth GA (Atlanta metro) if anyone needs the number PM me.

Edited October 25, 2011 by Scott & Annie

[Nich-Nick 3,354]

She has her DS-3025 but marked Vaccine History Incomplete and says "Applicant may be eligible for blanket waivers(s) because vaccination(s) not medically appropriate as indicated above. She had another copy sealed that was given to the immigration officer when she arrived.

So does she need the I-693? She just had her exam done in July 2011 (so under a year) in Taiwan.

I've read some people say it needs to be transcribed to the I-693 by a civil surgeon, while some say no and just send in the DS-3025.

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

•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 **see note below because you are most likely okay without it.

2. Everything else marked not age appropriate

3. RESULTS section filled in with "incomplete" and "may be eligible for blanket waiver" ticked.

4. Signed and dated by the doctor

If it's not completed like that then see a civil surgeon for the I-693. If it is complete, send a photocopy of your DS-3025.

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 UK 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.

[BennyJax 5]

Thanks everyone for their input. After reading and searching for so long, I just went ahead and did the transcription.

I found a civil surgeon who would do that. I called 4 or 5 and they either didn't do it anymore, or wanted to do a full exam.

I found this place that did it for $50, which is high compared to what others have found but it was the best I could find.

[dessndave 3]

nich-nick that actually makes sense.

as lots of the aos adjustments have to do with people already here for a period of time.

im thinking about canceling appointment or just continuing with it.

not positive what to do anymore.

if i could find the instructions for them I would fax them with the vaccinations for verification.

and request a callback. with final price. i dont mind paying 100 max. but that's excessive if we do not want to be a patient.

[dessndave 3]

a completed medical examination form i-693 and vaccination suppliment in a sealed envelope (Unless already submitted

same with i-864

will bring 1040's for past 2yrs with me.

and bank statements just incase.

all documentation for eligibility which i guess is passport this form & marriage cert BC's SS

arrest records better be for her. otherwise i will have a hard time getting the printout as i would have to go to another county for my security of small town #######.

thinks i will cancel appointment to get i-693 transcription done. since it was only january doing it.

only 1 thing on vaccination is marked with not sufficient time. Which makes no sense.

which if i recall 2 things are better to have double shots. but only received 1.

[Nich-Nick 3,354]

nich-nick that actually makes sense.

Well I hope so. I've been researching this topic three years.

a completed medical examination form i-693 and vaccination suppliment in a sealed envelope (Unless already submitted

thinks i will cancel appointment to get i-693 transcription done. since it was only january doing it.

Like you've kinda figured out, most adjustment interviews are with people who have been in the US on other visas. Most have not had an exam overseas so the form letter addresses them more than it does the K1. If they don't like your medical exam or it's not in your file, then they will tell you what they expect and send you off to do it. What if you spend $100 getting your shots copied down on a new form and find out they lost all your other medical results? Then you go spend $300 to repeat that. If you think your immunization were complete on the day of your exam, then wait until they tell you differently.

Have you read the I-693 instructions? From p.4 of the I-693 instructions:

Even if a new medical examination is not required, you still must 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 Part 1, Information About You, Part 2, the vaccination chart and Part 5, the Civil Surgeon's Certification, of Form I-693.

That part I bolded is telling me that they will accept a "properly completed" DS-3025. Plus I'm aware of about a hundred people who were approved without a civil surgeon.

only 1 thing on vaccination is marked with not sufficient time. Which makes no sense.

which if i recall 2 things are better to have double shots. but only received 1.

Some shots are a series, but there is a wait time between dose 1 and dose 2. If you were as up to date as possible on the date of the medical exam, then according to their manual, they are supposed to "waive" the second dose for immigration requirements.

From the instructions to Panel Physicians and Civil Surgeon- CDC website

Reviewing any incomplete vaccination series to determine if eligible for a blanket waiver.

A blanket waiver is a waiver that is applied uniformly to a group of conditions and does not require a separate waiver application or fee to be filed with USCIS. In many cases, it might not be medically appropriate to administer a dose of a particular vaccine. Four "Not Medically Appropriate" categories are acceptable when determining an applicant's eligibility for a blanket waiver.

The four "Not Medically Appropriate" categories are—

◦Not age appropriate

◦Contraindication

◦Insufficient time interval between doses

◦Not flu season

Edited October 26, 2011 by Nich-Nick

[dessndave 3]

thats where it is confusing.

how do we know if its properly filled out?

if it was wrong we should have received a rfe

only 1 says not sufficient time.

which I am guessing we should get her the second shot.

in all cases we did the tb test for 10. sofar looks good will find out tomorrow. when we get the reading tomorrow I will see about extra vaccines just to be on the safe side. LOL.

These vaccines truly are not needed by any person. My Opinion.

Flu shot is a joke. Something I have never had & Never will.

Gramps always got sick when he had flu shots. & sofar has only been sick 1 time for a shorter period since he hasn't had it.

I will be printing these instructions out & faxing them to the office where we will go if We should do it.

But biggest question is

How do we know if it is properly filled out or not?

I wonder what the time limit is to get the 2nd shot for mmr or if it has to be started all over.

we were never told we needed a 2nd shot. which is very odd. I have not had any shots in years so I have no clue haha.

We have no RFE's for medical So I would assume we don't need i-693

but some places it sounds like we do for safety But it says unless already sent in. Which it should have been at POE. As it was a requirement.

Stupid government Is all I have to say. If Gramps was willing to move to philippines We would pack up & sell everything and move there.

[Nich-Nick 3,354]

thats where it is confusing.

how do we know if its properly filled out?

I told you in post #8 above. 1,2,3,4 things to look for.

if it was wrong we should have received a rfe

And would that change your day to day life any? If you want to spend the extra money to avoid delaying your greencard a couple of weeks, then do it.

I wonder what the time limit is to get the 2nd shot for mmr or if it has to be started all over.

we were never told we needed a 2nd shot. which is very odd. I have not had any shots in years so I have no clue haha.

I thought you got an MMR shot and a Tdap shot just before your visa. If you haven't had any shots for years, then you need some and this discussion isn't important. If you did have shots before the visa read on. MMR is given in several doses. They can't give them closer together than 4 weeks. So I thought you meant at your medical, it was too soon to get dose 2 so that's why your form says insufficent time. You won't start over if you have a record of having one MMR dose. They can give you another dose if 4 weeks has passed. But you don't have to ever get that second dose or a flu shot if your form was filled out and has what I wrote in post #8 and you use your St Lukes form instead of going to a civil surgeon. You can be approved without it. But if you go to a civil surgeon, then he will probably give you the shot. By the way, you were checked for TB at St Lukes, so getting the TB test wasn't necessary.

We have no RFE's for medical So I would assume we don't need i-693

You could get an RFE at the interview. You can get one up to the last minute.

Sorry you don't understand the immunization things. I can't explain it any better, so do what you feel best doing. I'm not trying to talk you into anything. I was just providing information I have gathered from many official sources. I don't have time to write out 10 pages.

Hope it all goes well for you.

[dessndave 3]

btw i brought my wife here from philippines.

I am not from philippines.

Dunno just going to let things flow how they go.