Changes to Form I-693

[KayDeeCee 4,893]

I posted this is another thread, but I thought it deserved to have its own thread to let people know of the changes.

The I-693 form and instructions have changed as of 11/16/11. http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e66f614176543f6d1a/?vgnextoid=eb1f3591ec04d010VgnVCM10000048f3d6a1RCRD&vgnextchannel=db029c7755cb9010VgnVCM10000045f3d6a1RCRD

You no longer need to have Part 1, Part 2(vaccinations only) and Part 5 filled out. Apparently you need page 1 filled out, and page 5, the vaccination records. Page 1 has a section about your medical summary. They need to know you cleared your exam. This is going to be very hard for most people to show, as most people are not given copies of their medical exams from overseas. I suggest everyone remembers to ask at their POE if they can get a copy of their medical records because they will need them after they get married.

[Barbara J 115]

I posted this is another thread, but I thought it deserved to have its own thread to let people know of the changes.

The I-693 form and instructions have changed as of 11/16/11. http://www.uscis.gov...00045f3d6a1RCRD

You no longer need to have Part 1, Part 2(vaccinations only) and Part 5 filled out. Apparently you need page 1 filled out, and page 5, the vaccination records. Page 1 has a section about your medical summary. They need to know you cleared your exam. This is going to be very hard for most people to show, as most people are not given copies of their medical exams from overseas. I suggest everyone remembers to ask at their POE if they can get a copy of their medical records because they will need them after they get married.

You can ask for a copy of medical where beneficiary has medical before they leave their country, you can't ask at POE geese as if the CO are going to run off a copy for ppl.

Edited November 18, 2011 by Barbara J

[VanessaTony 3,567]

See I read and read this and it's just too confusing now. Part 1 the signature actually says that the CS DID the medical, it doesn't say "checked the medical". I think and HOPE this is a typo and that it's supposed to say Part 1... from now on I would suggest people just send the DS-3025 as is and deal with the RFE if they get it.

[Liz&Nate 23]

If I read the USCIS page correctly it depends on when your physical was performed, if the changes apply to you or not. I might be wrong.

[KayDeeCee 4,893]

You can ask for a copy of medical where beneficiary has medical before they leave their country, you can't ask at POE geese as if the CO are going to run off a copy for ppl.

The medical clinic in Juarez will not give you a copy of anything. If you are from a country where they give you copies of your medical, then great, but some places do not comply. People have asked for copies of things at their POE and were successful at getting them.

[KayDeeCee 4,893]

If I read the USCIS page correctly it depends on when your physical was performed, if the changes apply to you or not. I might be wrong.

Yes, it looks like if you somehow have an older copy of the form and instructions then you can still go with that for now.

Civil surgeons completing medical examinations between Nov. 1 and Dec. 31, 2011, should use the current form dated 10/11/11. However, USCIS will not reject the previous version of the form, dated 7/20/10, for this time frame.

Starting Jan. 1, 2012, civil surgeons MUST use the current form, or face rejection by USCIS, requiring the applicant to return to the civil surgeon and resubmit the current form.

[at long last 58]

Yes, it looks like if you somehow have an older copy of the form and instructions then you can still go with that for now.

Civil surgeons completing medical examinations between Nov. 1 and Dec. 31, 2011, should use the current form dated 10/11/11. However, USCIS will not reject the previous version of the form, dated 7/20/10, for this time frame.

Starting Jan. 1, 2012, civil surgeons MUST use the current form, or face rejection by USCIS, requiring the applicant to return to the civil surgeon and resubmit the current form.

I just posted something of this topic as well today. I actually contacted the Clinic where I will have my medical done (Vancouver, Canada). IF I ask for another copy for my AOS and bring 3 extra photos and $30.00 then they will give me another sealed packet to keep for my AOS. In Canada we have to bring proof of vaccinations as well. Wish it was available for everyone. It will assure that I have the same information which will be turned over at the POE and hopefully sent on to USCIS.

Terri

[Nich-Nick 3,354]

I posted this is another thread, but I thought it deserved to have its own thread to let people know of the changes.

The I-693 form and instructions have changed as of 11/16/11. http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e66f614176543f6d1a/?vgnextoid=eb1f3591ec04d010VgnVCM10000048f3d6a1RCRD&vgnextchannel=db029c7755cb9010VgnVCM10000045f3d6a1RCRD

You no longer need to have Part 1, Part 2(vaccinations only) and Part 5 filled out. Apparently you need page 1 filled out, and page 5, the vaccination records. Page 1 has a section about your medical summary. They need to know you cleared your exam. This is going to be very hard for most people to show, as most people are not given copies of their medical exams from overseas. I suggest everyone remembers to ask at their POE if they can get a copy of their medical records because they will need them after they get married.

I don't think this change is much more than rearranging of the pages. For a K1, the instructions (p.4) still say a new exam is not required. Part 2 of the new form (the summary) would not be filled in since the CS did not perform a medical exam to determine those conditions. His certification (Part 3) says all the information he provided is correct. If he only fills out the Vaccination Record, then that's all he's certifying other than he witnessed your signature and checked your id for Part 1.

Many civil surgeon's have refused to sign off without doing a full exam ever since the separate I-693A (vaccination supplement) was eliminated and incorporated into the I-693. That's why it is often difficult for K1s to find a civil surgeon who will do only the vaccination section and at a reasonable fee. That's why I think K1s should complete the required AOS vaccinations while they are waiting all those months on NOA2. Then when they have their visa exam, the DS-3025 will likely have everything needed for AOS approval without doing an I-693. (I realize the clinic in Juarez won't fill out a DS-3025 forcing those from Mexico to get a transcription from a CS.)

K1s are such a small percentage of adjustment applicants that once again, the new form caters to the majority who do need a full exam, and confuses applicants and civil surgeons on what to do with a K1 who has exceptions to the general rule.

[VanessaTony 3,567]

I don't think this change is much more than rearranging of the pages. For a K1, the instructions (p.4) still say a new exam is not required. Part 2 of the new form (the summary) would not be filled in since the CS did not perform a medical exam to determine those conditions. His certification (Part 3) says all the information he provided is correct. If he only fills out the Vaccination Record, then that's all he's certifying other than he witnessed your signature and checked your id for Part 1.

I wish what you were saying was correct but I don't think it is.

The instructions say page 1 MUST be complete. It doesn't specify just part 1 and 3 where it USED to only say part 1, Part 2 (vaccination table only) and Part 5. By only saying "page 1" they infer that part 2 MUST be completed.

If you read the bracket after part 3 on the form itself "Do not sign form or have applicant sign part 1 until all health follow-up requirements have been met".

If you read the certification that the CS is signing: ".. I performed this examination... that I performed the examination in accordance with the CDC technical instructions..."

The problem with all of this is Page 4 of the instructions, as I said does NOT specify that Part 2 doesn't need to be complete. That implies that either a new medical is required, or they at LEAST need to see your overseas medical to confirm you had it. Jay-Kay is saying that many people don't get copies of their medical so they're unable to prove they had it done which will force the CS to do a new medical.

That's why I think K1s should complete the required AOS vaccinations while they are waiting all those months on NOA2. Then when they have their visa exam, the DS-3025 will likely have everything needed for AOS approval without doing an I-693. (I realize the clinic in Juarez won't fill out a DS-3025 forcing those from Mexico to get a transcription from a CS.)

K1s are such a small percentage of adjustment applicants that once again, the new form caters to the majority who do need a full exam, and confuses applicants and civil surgeons on what to do with a K1 who has exceptions to the general rule.

That's what Jay-KAy is saying. Many K1's and others with overseas medicals are kinda screwed now.

Edited November 19, 2011 by Vanessa&Tony

[KayDeeCee 4,893]

I wish what you were saying was correct but I don't think it is.

The instructions say page 1 MUST be complete. It doesn't specify just part 1 and 3 where it USED to only say part 1, Part 2 (vaccination table only) and Part 5. By only saying "page 1" they infer that part 2 MUST be completed.

If you read the bracket after part 3 on the form itself "Do not sign form or have applicant sign part 1 until all health follow-up requirements have been met".

If you read the certification that the CS is signing: ".. I performed this examination... that I performed the examination in accordance with the CDC technical instructions..."

The problem with all of this is Page 4 of the instructions, as I said does NOT specify that Part 2 doesn't need to be complete. That implies that either a new medical is required, or they at LEAST need to see your overseas medical to confirm you had it. Jay-Kay is saying that many people don't get copies of their medical so they're unable to prove they had it done which will force the CS to do a new medical.

That's what Jay-KAy is saying. Many K1's and others with overseas medicals are kinda screwed now.

Yes, this is exactly the problem. The instructions still say you do not need a new medical, BUT they also say you have to fill out Page 1. That would include Part 2 where the exam needs to be verified.

I agree with what you said earlier too, that you hoped this was a typo, but sadly I do not think it is. We can still hope though.

Now they cannot say civil surgeons are ripping you off when they insist on you getting and paying for a whole new medical. Maybe that was the plan?

If the immigrant is coming from a country where they can get all their vaccines completed and have the DS-3025 show they are good to go, then they should make sure to get that done. Those that cannot get a DS-3025 filled out or get a copy of their medical exam papers are going to have a greater challenge on their hands to avoid another medical for AOS.

[Nich-Nick 3,354]

I understand what you both are saying, but still don't think it's panic time. It's just my opinion from watching the crisis du jour over medical stuff for four years. Why oh why can't they design a form to give the few K1s some clear instruction. I would go talk to my former doctor, Congressman Ron Paul, again about the crazy forms, but he's off trying to run for president. It all remains to be seen, but I don't know that a civil surgeon would certify tests he read off a chinese medical report anyway. You know how civil suegeons kinda do there own thing now without keeping up with all their memos. I think Vanessa and I could go head to head with a roomful of randomly selected civil surgeons over immigration medical matters, and win the gold medal. I'm not a doctor, but I play one on the computer. (Sorry--joke from old TV commercial that may not play well to new immigrant audiences.)

We'll see how this latest chapter plays out. I don't have a horse in this race, and I'm not ready to sound the alarm to all the K1s unless USCIS spells it out. Our interpretations don't count in the end.

[Kathryn41 3,205]

Perhaps a partial solution would be to make sure you keep the receipt that you have paid for the K-1 medical from the Panel Physician, insist that the receipt have the doctor's name on it, the date and state it is for an Immigration medical - then submit the receipt as evidence for completing the medical. I don't know if this would help, but since everyone should expect a receipt when they pay money for something it is more likely they can get that from those doctors who refuse to provide copies of the vaccination worksheet and such. It may be a possible option.

[VanessaTony 3,567]

Perhaps a partial solution would be to make sure you keep the receipt that you have paid for the K-1 medical from the Panel Physician, insist that the receipt have the doctor's name on it, the date and state it is for an Immigration medical - then submit the receipt as evidence for completing the medical. I don't know if this would help, but since everyone should expect a receipt when they pay money for something it is more likely they can get that from those doctors who refuse to provide copies of the vaccination worksheet and such. It may be a possible option.

Yep. I kept all my receipts. And I still have them. Phew

[Lise+Michael 13]

Yep. I kept all my receipts. And I still have them. Phew

I am with Vanessa, I kept a copy of everything related to immigration from the get go. I never

send anything to USCIS unless I have a copy for myself. My accordion folder is getting pretty full,

but at least everything is in one place should I need it. It also serves as a good reminder of all

we went through to get married and to be able to live in the same country together.

Have a great day everyone!

[monyfer 27]

Does anyone know anything further on this? We just had to have the vaccine supplement redone recently and I am pretty sure the CS only filled out part three of page one. Has anyone gotten through with that just being done and been OK?

Edited March 22, 2012 by monyfer