AOS - Proof of Medical?? London Medical.

[MariaElizabeth92 5]

So last week we sent off my AOS package. I am a UK citizen, and had my medical done in London at Knightsbridge Doctors.

Everything went smoothly with the medical, besides for needing my second dose of MMR. I didn't have the funds at that present moment in time to have the shot there and then, and put it off until I landed in the states. Here, I simply went to Walgreens and the pharmacy there did it for me. (The team at Knightsbridge Doctors simply told me I just needed to get it done, could have been my doctor, or any other)

I know that I had my medical done prior to my London interview, and that it was a vital requirement for that. However, the AOS package also required it.

I was given a package by KD Medical Practice which I assumed was a lot of information, turned out to just be a cd with my chest x ray on it. Regardless, I sent this off, with a letter stating that I was required to have my second dose of MMR AND a signature from the guy that gave me the shot here in the states.

Received a letter back two days letter informing me that the media I had provided (the cd) could not be used......

I'm stumped.

I paid a looooot of money for a medical that 1. Doesn't show very much and 2. Can't be used!

Do I just print the x ray off and hope for the best, or contact the medical practice that performed the exam?

Or is this all normal?

[Canerican 242]

The CD, I believe, will not be accepted by USCIS. What goes with the AOS is the DS-3025 that the Doctor in Knightsbridge did for if it was marked as complete. What I believe you are going to have to do is take either the DS-3025 with your Walgreens receipt of MMR shot or take a record of all of you shots to a Civil Surgeon and get them transcribed to a I-693. Getting the shots transcribed should only cost around $50. Here is a link to some of the CS(Civil Surgeons) that will not make you get another medical: http://www.visajourney.com/forums/topic/231026-civil-surgeons-who-dont-rip-you-off/

[David & Diana R 1,005]

So last week we sent off my AOS package. I am a UK citizen, and had my medical done in London at Knightsbridge Doctors.

Everything went smoothly with the medical, besides for needing my second dose of MMR. I didn't have the funds at that present moment in time to have the shot there and then, and put it off until I landed in the states. Here, I simply went to Walgreens and the pharmacy there did it for me. (The team at Knightsbridge Doctors simply told me I just needed to get it done, could have been my doctor, or any other)

I know that I had my medical done prior to my London interview, and that it was a vital requirement for that. However, the AOS package also required it.

I was given a package by KD Medical Practice which I assumed was a lot of information, turned out to just be a cd with my chest x ray on it. Regardless, I sent this off, with a letter stating that I was required to have my second dose of MMR AND a signature from the guy that gave me the shot here in the states.

Received a letter back two days letter informing me that the media I had provided (the cd) could not be used......

I'm stumped.

I paid a looooot of money for a medical that 1. Doesn't show very much and 2. Can't be used!

Do I just print the x ray off and hope for the best, or contact the medical practice that performed the exam?

Or is this all normal?

The cd has nothing to do with your MMR shot or immunazitions. It ias simply a chest x-ray. My wife's was taken by Immigration at the Honolulu Airport and was forwarded directly to the Hawaii State Department of Health. It just lets the state know that she does not have TB. No connection between the MMR and the cd. Maybe because you are a K-1 they did not take it?? I am not sure.

Mele Kalikimaka

[Lynkali 163]

This is all normal: you will never need that CD with your xrays, no one (except you) needs to see it.

For AOS, since you had your vaccination shot AFTER your medical forms were completed, you will need to see a civil surgeon to get your vaccination records transcribed onto the I-693.

To do so, you'll need to provide proof of your prior vaccinations: you should have gotten a copy of the DS-3025 from Knightsbridge, and you will need to take proof (a receipt or something) from Walgreens showing that you got the MMR completed here. The civil surgeon will hand-copy those dates onto the new I-693, give you a sealed packet to submit to USCIS, and hopefully give you a copy of the I-693 for your own records.

[Leireen 0]

Hi,

I just did my AOS application in October. I had to find a doctor's office here in the States which will do the whole medical exams for me.

I would strongly recommend that you have a look at the USCIS homepage, finding a doctor's office near you which they accept and make an appointment.

You can bring your X-Ray and everything else you got already to the appointment and see what the doctor says. I needed to get a TB shot, for my daughter and me, blood tests and a vaccine record. That was required for my AOS application.

I hope that was a little helpful!

GOOD LUCK!!!!

[marriott574 13]

You should have got a DS-3025 from the London Doctors it would have come with the CD. Keep the CD as a keep sake its not useful from here. Just an FYI the NHS would have given you the shot for free, just have to tell them it was a visa requirement and they do it there and then.

[agnesb 47]

When did you get your first mmr dose? on the ds-3025 did the physician ticked "insufficient time interval" next to mmr?

[agnesb 47]

Hi,

I just did my AOS application in October. I had to find a doctor's office here in the States which will do the whole medical exams for me.

I would strongly recommend that you have a look at the USCIS homepage, finding a doctor's office near you which they accept and make an appointment.

You can bring your X-Ray and everything else you got already to the appointment and see what the doctor says. I needed to get a TB shot, for my daughter and me, blood tests and a vaccine record. That was required for my AOS application.

I hope that was a little helpful!

GOOD LUCK!!!!

Medical is not required for AOS if adjusting from K-1 visa and had medical in home country within 12 months.

OP read this precious post about ds-3025 and i-693:

I have gleaned my information from a combination of official sites and documents and how things have evolved over the past 5 years. Sorry I don't have a bibliography, but here is my long answer based on research, not VJ threads.

Do I need a medical exam? (From the I-693 instructions page 5.)

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.

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.

[Pitaya 2,577]

~Moved from K-1 Process to Family-based AOS Forum~

~Inquiry about AOS, past K-1~

[MariaElizabeth92 5]

Thanks for all the replies. They actually accepted my medical from London and my MMR vaccine from walgreens!

[Chloe1981 9]

On 10/01/2014 at 1:35 PM, MariaElizabeth92 said:

Thanks for all the replies. They actually accepted my medical from London and my MMR vaccine from walgreens!

Hey Maria I know this was a few years ago now but I am going through a similar situation. I had my k1 medical in London and deferred my tetanus and mmr on the day as I didn't want to spend money when my GP would do them for free...anyway I'm now in the usa and I'm wondering what to do regarding my vaccinations that aren't on my worksheet. I have evidence I got them from my doctor. Did u just send that all off with your AOS or did u get it transcribed? Hope this makes sense! Chloe x