RFE for vaccination supplement

[ridley 0]

We received my husband's RFE in the mail today from CSC. (This may be an important fact; I don't know if the CSC RFEs are worded the same as the ones from MSC.) I had suspected, when we had an RFE on the way, that we might need the vaccination supplement.

The way the RFE is worded, though, is really weird. I'm trying to figure out if the wording is the same as what others received, who needed to send in the vacc supplement.

Here's what it asks for:

MEDICAL EXAMINATION (FORM I-693)

NOTE: All medical examinations and vaccinations must be conducted and administered by a physician who is on the list of Civil Surgeons approved by USCIS. [...]ALL medical examinations MUST be submitted in an envelope that has been sealed by the Civil Surgeon. Note: The medical examination record and immunization form were not present in the file.

I-693 MEDICAL EXAMINATION: Please submimt a properly completed and signed Form I-693, Medical Examination of Aliens Seeking Adjustment of Status. The medical examination must be conducted by a physician who is on the list of Civil Surgeons approved by USCIS.

IMMUNIZATION FORM: Please submit a properly completed Supplemental Form to I-693, Adjustment of Status Applicant's documentation of Immunization. The supplemental must be completed and signed by a designated Civil Surgeon. [Note: Fair enough. We can provide that.]

TUBERCULIN (TB) SKIN TEST: Current regulations now require that the tuberculin skin test and/or chest X-ray be completed by all applicants 2 years of age and older. Your Form I-693 reflects that you have not had a tuberculin skin test or chest X-ray performed. A chest X-ray is required only when the reaction to the skin text is 5 millimeters or more. Or you may provide other evidence to establish that you have had follow-up treatment for tuberculosis and that the condition no longer exists. [Note: My husband did have the chest X-ray performed as part of the K-1 process.]

TUBERCULIN (TB) SKIN TEST - PREGNANCY: Your Form I-693 Medical Examination indicates that you did not have a tuberculin test performed due to pregnancy. If you are not pregnant at the present time, please contact an approved Civil surgeon to complete the "Examination for Tuberculosis" portion of your Form I-693. [Note: I can attest to the fact that my husband is not and has never been pregnant.]

SEROLOGIC (BLOOD) TESTS: All applicants 15 years of age and older must undergo serologic (blood) testing for syphilis andn human immunodeficiency virus (HIV) infefction. Your Form I-693 reflects that you have not had the Serologic Test for Syphilis and HIV performed. Please contact an approved Civil Surgeon to complete the tests. [Note: These tests were performed as part of the K-1 process, as well.]

For those of you who have received RFEs for the vaccination supplement, does this in any way resemble what you received? My husband had his medical exam on May 18, 2006, so it should still be valid. That information was provided at the interview, and it should, of course, be in his AOS file. We can't tell what's up with this bizarre message. Did something go wrong with the medical exam? Did they lose it entirely? Is this some weird package message that includes all possibilities? We have no problem providing the I-693A vaccination supplement form, but it doesn't include a place for the HIV and syphilis test results, and they apparently need those, too. We don't want to provide the I-693A, then get rejected for not having gotten another full medical!

[rebeccajo 14]

This looks like an RFE for the entire medical, not just the supplement. Infopass for clarification?

I know you DON'T want to assume just the I693A. I've read of two cases on VJ where the AOS went so far as being DENIED (necessitating it be reopened - a very stressful process) because of confusion about this.

[Keith & Xiang 0]

NOTE: All medical examinations and vaccinations must be conducted and administered by a physician who is on the list of Civil Surgeons approved by USCIS. [...]ALL medical examinations MUST be submitted in an envelope that has been sealed by the Civil Surgeon. Note: The medical examination record and immunization form were not present in the file.

Hmmm, vaccinations must be conducted and administered by a physician who is on the list of Civil Surgeons approved by USCIS? My wife and step-daughter's vaccinations were performed at the Oakland County Health Clinic here in Michigan, wonder if I'll get an RFE for this? I doubt it, still had to go to the Civil Surgeon to transcribe the vaccination records to the I-693A, why couldn't the Oakland County Health Clinic do this, after all they're a government entity.

[ridley 0]

This looks like an RFE for the entire medical, not just the supplement. Infopass for clarification?

I know you DON'T want to assume just the I693A. I've read of two cases on VJ where the AOS went so far as being DENIED (necessitating it be reopened - a very stressful process) because of confusion about this.

Yeah, that's what it looks like to me, too, but I definitely appreciate multiple reads on this. Thanks for your input.

Hmmm, vaccinations must be conducted and administered by a physician who is on the list of Civil Surgeons approved by USCIS? My wife and step-daughter's vaccinations were performed at the Oakland County Health Clinic here in Michigan, wonder if I'll get an RFE for this? I doubt it, still had to go to the Civil Surgeon to transcribe the vaccination records to the I-693A, why couldn't the Oakland County Health Clinic do this, after all they're a government entity.

I think as long as you have a Civil Surgeon transcribe the records, you're all good.

[Miranda&James 8]

Infopass definitely, they seem pretty clear that they want a record of your medical exam but since you came in on a K1 it is obvious that you had ot have a medical to get here so I think an infopass where you bring all your K1 records, etc, and ask them why they are asking for your medical again would be helpful. Would it be hard to get a record of your I693 from Canada? Might be worth checking out.

[ridley 0]

We have an infopass scheduled for tomorrow afternoon. The doctor from Canada faxed us the records of my husband's medical exam yesterday, so we'll take those and his chest x-ray and whatever else we think of, and see what they say.

I'll let y'all know!

[Killer_Clown_2009 0]

Did you submit a vaccine supplement with your AOS package? Or vaccine records at all? If not that's probably what they want.

[Killer_Clown_2009 0]

Seeing as you are male and the instructions state that you didn't have a TB test because you were pregnant and need to send one in, I would believe that these are simply generic instructions. You did not do ONE thing on the list and need to do that one thing. You said that you thought the RFE might be for the supplement (so i'd think you hadn't sent it in)....so following my train of logic, you would send in a supplement as that is what they probably don't have.

Edited February 8, 2007 by jane2005

[ridley 0]

Seeing as you are male and the instructions state that you didn't have a TB test because you were pregnant and need to send one in, I would believe that these are simply generic instructions. You did not do ONE thing on the list and need to do that one thing. You said that you thought the RFE might be for the supplement (so i'd think you hadn't sent it in)....so following my train of logic, you would send in a supplement as that is what they probably don't have.

We didn't send the vaccination supplement in (long story), so that's what they /ought/ to be wanting. We don't want to take the chance of not sending in everything, though; as RebeccaJo says above, they could deny us for not providing complete evidence.

So we'll go to the Infopass appointment with all the doctor records and see what the deal is exactly.

Thanks for your input!

[sarahsmiles 0]

Ridley,

You may want to look at this link to help you decide what to do, though I'm sure an Infopass will help, it seems from this person's case, the word of a USCIS officer is not always good enough!

http://www.visajourney.com/forums/index.php?showtopic=128

[rebeccajo 14]

Anastasia's case was one of the ones I was referring to when I mentioned a denial because of a medical mix-up.

[ridley 0]

Wow, thank you for the link! Anastasia's case was before my time -- or at least before I started reading the AOS boards.

Our first step is the Infopass appointment tomorrow. We'll figure out how to proceed (with due diligence) after that. We don't particularly want to spend the $350-ish dollars that the medical exam (which my husband isn't supposed to need) is going to cost, but obviously, we don't want to cause a legal nightmare for ourselves, either.

[no name 1]

We didn't send the vaccination supplement in (long story), so that's what they /ought/ to be wanting. We don't want to take the chance of not sending in everything, though; as RebeccaJo says above, they could deny us for not providing complete evidence.

Not to ask too obvious a question...but it's NECESSARY to send in the I-693A for AOS, so why on earth would you not do it & wait for a (most definite) RFE for it?

[Killer_Clown_2009 0]

Let us know what happens at the infopass.

[mercy 1]

Not to ask too obvious a question...but it's NECESSARY to send in the I-693A for AOS, so why on earth would you not do it & wait for a (most definite) RFE for it?

I don't know that it's necessary, or at least if it's always considered necessary. People have been approved after sending their DS-2053 and not the I-693a, myself included. When I was getting my package ready, I did some reading around on this board and found that it could go either way and made the decision to send the DS-2035, knowing that it was a possibility I'd get an RFE for it.

Good luck ridley, I hope you can get it worked out quickly.