Getting Medical Prior to Packet 3 Request

[relethg 1]

You can get the medical prior to receiving the official packet, you just have to push. We had the same issue with the ladies there in Bangkok in that they said they would not do it until we had packet 3. My wife showed up with the NOA2 and pushed and got it taken care of. It was a good thing she did as we never received an official packet 3.

That is more or less our plan, Medical at NOA2.

Thanks Glenn

[relethg 1]

Because the O P wants info from only a select few I will not add anything except to say there is a lot to be understood about the process. Sometimes when people lean too far forward they fall rather than have any sense of balance which will be gained by experience.

Good luck grasshopper.

Thank you master for the great words of wisdom and guidance.

[AaronLV 12]

My wife ended up having 4 shots when she went to the medical. She was under 25 and had to do the HPV, since that is no longer a requirement, she would have ended up with 3. So it will really depend on what anti-bodies your fiancee already has.

One more reason I thought of to delay your medical is having to redo them in the US for AOS, you can use the K1 medical for the AOS, provided it was done less than a year before you file for AOS. So depending on dates etc, you can be pushing it if something happens and you get put in AP.

We had the shot records transferred to the AOS form for free at the local Civil Surgeon. Also we never finished the series of shots on the vaccinations either.

Edited July 9, 2014 by AaronLV

[relethg 1]

My wife ended up having 4 shots when she went to the medical. She was under 25 and had to do the HPV, since that is no longer a requirement, she would have ended up with 3. So it will really depend on what anti-bodies your fiancee already has.

One more reason I thought of to delay your medical is having to redo them in the US for AOS, you can use the K1 medical for the AOS, provided it was done less than a year before you file for AOS. So depending on dates etc, you can be pushing it if something happens and you get put in AP.

We had the shot records transferred to the AOS form for free at the local Civil Surgeon. Also we never finished the series of shots on the vaccinations either.

Thanks for the info.

[Ning 619]

My wife ended up having 4 shots when she went to the medical. She was under 25 and had to do the HPV, since that is no longer a requirement, she would have ended up with 3. So it will really depend on what anti-bodies your fiancee already has.

One more reason I thought of to delay your medical is having to redo them in the US for AOS, you can use the K1 medical for the AOS, provided it was done less than a year before you file for AOS. So depending on dates etc, you can be pushing it if something happens and you get put in AP.

We had the shot records transferred to the AOS form for free at the local Civil Surgeon. Also we never finished the series of shots on the vaccinations either.

This is what I was hoping would come up here. The O P is only interested in these most recent situations but didnt seem to be aware that what happened to others relative to the shots may not have anything to do with his fiances circumstances. The laundry list of shots he posted are not always needed and in fact most of us only needed a few. I had just three but that was not in the isolated time frame he thinks is important.

Money may not be a factor here but if the timing of the medical isnt understood then as Aaron points out there will be another very expensive medical required.

Additionally his lady will or should be given follow up shots once in the USA and prior to the AOS meeting even though in my case for example they didnt even ask nor were interested in the medical form they had requested.

For the benefit of those that do care about the costs of such things I suggest they check with a local county health clinic to obtain the follow ups. A doctor wanted 300 for mine and over 900 for my daughters. At the clinic I paid 23 for mine while my daughters 9 shots were 100% free.

[relethg 1]

This is what I was hoping would come up here. The O P is only interested in these most recent situations but didnt seem to be aware that what happened to others relative to the shots may not have anything to do with his fiances circumstances. The laundry list of shots he posted are not always needed and in fact most of us only needed a few. I had just three but that was not in the isolated time frame he thinks is important.

Money may not be a factor here but if the timing of the medical isnt understood then as Aaron points out there will be another very expensive medical required.

Additionally his lady will or should be given follow up shots once in the USA and prior to the AOS meeting even though in my case for example they didnt even ask nor were interested in the medical form they had requested.

For the benefit of those that do care about the costs of such things I suggest they check with a local county health clinic to obtain the follow ups. A doctor wanted 300 for mine and over 900 for my daughters. At the clinic I paid 23 for mine while my daughters 9 shots were 100% free.

You are right, the examples people give me may not have anything to do with Yadfon's situation. Even so, I would like to hear from some couples that have went through the medical that had no records after the Mar-14 revisions to the instructions came out. I want to see if the reality of the medical changed any. I do want to make sure we do what is in her (our) best interest for the long haul to citizenship. And getting all the correct vaccines is one of them, then following up. I just don't want her to need to get them all at once. Good advice on the follow ups. Same goes in Thailand, there can be a big difference in cost for the vaccines from one place to another.

I have already gained insight from this conversation and hope more people way-in.

Thanks for the comments

[AaronLV 12]

You are right, the examples people give me may not have anything to do with Yadfon's situation. Even so, I would like to hear from some couples that have went through the medical that had no records after the Mar-14 revisions to the instructions came out. I want to see if the reality of the medical changed any. I do want to make sure we do what is in her (our) best interest for the long haul to citizenship. And getting all the correct vaccines is one of them, then following up. I just don't want her to need to get them all at once. Good advice on the follow ups. Same goes in Thailand, there can be a big difference in cost for the vaccines from one place to another.

I have already gained insight from this conversation and hope more people way-in.

Thanks for the comments

My fiancee had no shot records at all. I think very few people in Thailand keep shot records at least in the past, seems to be more now with computers as all my son's shots are on file.

Also some of those vaccines on the list are age dependent, so they won't give them at her age. Check out this PPT on page 7

http://www.uscis.gov/sites/default/files/USCIS/Resources/Designated%20Civil%20Surgeons/4_CS_Training-Vaccinations_Session.ppt

This will pretty much tell you exactly which ones she is going to have to take, it is an interesting read and will give you all the information you need.

Edited July 9, 2014 by AaronLV

[AaronLV 12]

This is what I was hoping would come up here. The O P is only interested in these most recent situations but didnt seem to be aware that what happened to others relative to the shots may not have anything to do with his fiances circumstances. The laundry list of shots he posted are not always needed and in fact most of us only needed a few. I had just three but that was not in the isolated time frame he thinks is important.

Money may not be a factor here but if the timing of the medical isnt understood then as Aaron points out there will be another very expensive medical required.

Additionally his lady will or should be given follow up shots once in the USA and prior to the AOS meeting even though in my case for example they didnt even ask nor were interested in the medical form they had requested.

For the benefit of those that do care about the costs of such things I suggest they check with a local county health clinic to obtain the follow ups. A doctor wanted 300 for mine and over 900 for my daughters. At the clinic I paid 23 for mine while my daughters 9 shots were 100% free.

When I did the research on the I-693 for AOS, there were people that never did it and got through, and there were other people that got RFE or asked to go get them done and come back. When we went in to do the interview that was the first thing the officer asked for. He opened it reviewed it, and then put it in the stack. We had filed AOS so fast our file from BKK had not even made it to the US, they were still waiting for it. That might have been the reason he looked it over.

I have been doing my sons shots at the hospital in Thailand, and they have been as expensive as they are in the US. I don't trust some of the clinics and prefer to pay the money and make sure we get the real vaccination.

On a funnier note when my wife was pregnant while we were in the US, they took 9 viles of blood, then when she went to Thailand to have the baby the doctor looked over the blood work, and said "wow" we don't test for any of those. She was quite happy last month when she had to only take a single vile at the Thai hospital when she got the positive results.

[rucus 1]

If you are up to date on all the above vaccinations. With the medical records to back it up. Who cares when thy were administered. The list of hospitals accredited to perform the medical evaluation certainly can understand a vaccination history. It is a great added cost for the hospitals to charge you an exorbitant fee. Many people travel for reasons aside from visa required inoculations . It should not be difficult to locate a clinic in Bangkok that is recognized and specializes in travel vaccinations.

[Ning 619]

Thank you master for the great words of wisdom and guidance.

Good to see you have a sense of humor because we need this along this journey.

A master I am not. A guide? Possibly with the help of others. Then we must remember the Donner party had a guide too which is why I always bring a fork. I think Karee brings a glass from what he has said especially if the trip is more than one block long.

[Ning 619]

You are right, the examples people give me may not have anything to do with Yadfon's situation. Even so, I would like to hear from some couples that have went through the medical that had no records after the Mar-14 revisions to the instructions came out. I want to see if the reality of the medical changed any. I do want to make sure we do what is in her (our) best interest for the long haul to citizenship. And getting all the correct vaccines is one of them, then following up. I just don't want her to need to get them all at once. Good advice on the follow ups. Same goes in Thailand, there can be a big difference in cost for the vaccines from one place to another.

I have already gained insight from this conversation and hope more people way-in.

Thanks for the comments

I know you are interested in making sure the case moves along as well as possible. Nothing wrong with the questions of course because as you say you are going info that can only help.

As others have said Thai people dont always or seldom maintain a health record as I see here in America. My husband & I work with about 4,000 children here and each one must have the correct health information to begin and that info is updated often. I just love the systems in America and hope one day Thailand will adapt some of what I see here to help the people.

I think in Thailand it isnt about cost because we do have govt assisted health care but a lot of people there dont know much about the subject. My husband for example was surprised when he saw one family member laying on a bamboo bed outside a house with coals burning under it as a method of healing a sick person. This is where I learned about the Donner party I mentioned. He asked if they had already eaten the mules.

[relethg 1]

Good to see you have a sense of humor because we need this along this journey.

A master I am not. A guide? Possibly with the help of others. Then we must remember the Donner party had a guide too which is why I always bring a fork. I think Karee brings a glass from what he has said especially if the trip is more than one block long.

If you don't life is so boring, I used master because that is how grasshopper always replied.

[relethg 1]

I know you are interested in making sure the case moves along as well as possible. Nothing wrong with the questions of course because as you say you are going info that can only help.

As others have said Thai people dont always or seldom maintain a health record as I see here in America. My husband & I work with about 4,000 children here and each one must have the correct health information to begin and that info is updated often. I just love the systems in America and hope one day Thailand will adapt some of what I see here to help the people.

I think in Thailand it isnt about cost because we do have govt assisted health care but a lot of people there dont know much about the subject. My husband for example was surprised when he saw one family member laying on a bamboo bed outside a house with coals burning under it as a method of healing a sick person. This is where I learned about the Donner party I mentioned. He asked if they had already eaten the mules.

Great story and Yadfon has been on the bamboo bed and can relate. We are just trying to do it right the first time. Not having records puts me out of sorts just like your husband.

[steve n songsang 45]

songsang had 2 vaccinations at her medical and she has a properly signed and filled out DS-3025 for her AOS.

[relethg 1]

My fiancee had no shot records at all. I think very few people in Thailand keep shot records at least in the past, seems to be more now with computers as all my son's shots are on file.

Also some of those vaccines on the list are age dependent, so they won't give them at her age. Check out this PPT on page 7

http://www.uscis.gov/sites/default/files/USCIS/Resources/Designated%20Civil%20Surgeons/4_CS_Training-Vaccinations_Session.ppt

This will pretty much tell you exactly which ones she is going to have to take, it is an interesting read and will give you all the information you need.

Thanks for sharing this great information.