K1 medical / Behavioural therapy

[Tristesse 17]

Hi. I came over on a K1 in September 2021. My medical was in June 2021 so it's now over a year old. 

 

No sign of AoS, but I have a couple of questions.

 

Firstly, will I need another medical? If not, will they need another health summary from my Doctor here?

 

Secondly, I would like to get some help for C-PTSD, which luckily I am insured for, but I'm worried this will be considered mental illness and may impact my application. 

 

Thanks in advance.

[K1visaHopeful 2,856]

32 minutes ago, Tristesse said:

Hi. I came over on a K1 in September 2021. My medical was in June 2021 so it's now over a year old. 

You FILED AOS, right?

You must FILE AOS within one year of receiving the overseas medical.

It does not matter when you get interviewed.

 

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No sign of AoS, but I have a couple of questions.

 

Firstly, will I need another medical?

Depends. 

 

Did you complete all of the vaccination requirements overseas AND is your DS3025 marked as complete?

 

Did you provide a photocopy of your DS3025 with your I485 as strongly recommended?

 

Will your A-file make its way to your local field office on time for your interview? (No one can answer that).

 

Are you going to bring your copy of the DS3025 and a photocopy anyways to your interview, and a copy of the pages of the policy manual for the K1 exemption AND speak up if your IO doesn't know the K1 medical exemption procedure?

 

Will your IO be a smart one and even know the K1 medical exemption procedure? (Again, no one can answer that).

 

As you can see, there are somethings you can control and somethings you can't. 

 

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If not, will they need another health summary from my Doctor here?

Not sure what you mean by that?

If you're IO asks for a new medical, and you've done everything at your interview to show them you have a valid K1 exemption, then you'll need to find a civil surgeon from the USCIS list and redo your medical on an I693.

Your family doctor here will have nothing to do with that.

 

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Secondly, I would like to get some help for C-PTSD, which luckily I am insured for, but I'm worried this will be considered mental illness and may impact my application. 

How will anyone know if you don't have to redo the medical?

And even if you have to redo the medical, you'll have documentation of your mental health treatment to show the Civil Surgeon, right?

 

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Thanks in advance.

Lots of posts about the K1 medical and the policies surrounding its validity for K1 AOS, what to file with AOS and what to bring to your interview (medical wise) and what to do if you get an uneducated IO.

 

You just have to search those posts out. 

Edited July 20, 2022 by K1visaHopeful

[Tristesse 17]

Thanks. Yes, I filed for AoS in mid December and included a copy of the medical information. My vaccinations are complete although my Primary Care Physician thinks I should have ANOTHER TTadP despite paying £130 for one in London. Not sure if that's an America thing or a USCIS thing. 

 

Luckily we have an approved Dr not far at all if a medical is needed. I will take some proof of the K1 exemption though as you suggest. 

 

Thank you.

[JeanneAdil 6,583]

4 hours ago, Tristesse said:

Thanks. Yes, I filed for AoS in mid December and included a copy of the medical information. My vaccinations are complete although my Primary Care Physician thinks I should have ANOTHER TTadP despite paying £130 for one in London. Not sure if that's an America thing or a USCIS thing. 

 

Luckily we have an approved Dr not far at all if a medical is needed. I will take some proof of the K1 exemption though as you suggest. 

 

Thank you.

i wondered why when i read your post and found the following from medical web page  and i did't know this and have never had another TTadP since my childhood vaccines were done.   i am way over due 

 

 

Studies estimate that diphtheria toxoid-containing vaccines protect nearly all people (95 in 100) for approximately 10 years. Protection decreases over time, so adults need to get a Td or Tdap booster shot every 10 years to stay protected

[Tristesse 17]

Wow, you are. I had to have all my childhood ones done again before my medical / going to the USA because when I moved from England to Scotland, all my medical records were lost 🤦‍♀️ However, for some reason my GP wouldn't do that particular one so I had to pay for it in London. Perhaps it's NHS policy not to remind people?

 

And again, if it's a 10 year thing, why does my American Dr think I need one after a year?

[Wuozopo 4,293]

On 7/20/2022 at 12:25 PM, Tristesse said:

Firstly, will I need another medical? If not, will they need another health summary from my Doctor here?

You won’t need another health summary from your GP. That is a requirement established by Visa Medicals clinic in London for their visa exam. It’s mostly to catch you out from failing to reveal any problems in the two questionnaires they ask you to fill out. Back when I went through K1 (London), we could say no to all the conditions on the questionnaires and the Panal Physician doing the visa exam would be none the wiser. 
 

On 7/20/2022 at 1:07 PM, Tristesse said:

My vaccinations are complete although my Primary Care Physician thinks I should have ANOTHER TTadP despite paying £130 for one in London. Not sure if that's an America thing or a USCIS thing. 

You do not have to have anything more to meet immigration requirements because your DS3025 was marked complete.

 

The reason your PCP is suggesting Tdap (tetanus/diphtheria/pertussis) is because you need the pertussis boosted to keep you safe from whooping cough. It can be deadly to infants so pregnant women and anyone around babies like parents or grandparents especially need one. The symptoms start like a cold and whooping cough could be easily transmitted to babies before one knows they have it. Tdap is now recommended (and often required by school) for young teens to boost their childhood shots. Those that were not boosted as teens (like you from UK) are recommended to get the Tdap. The brand names for teen/adult shots are Adacel and Boostrix. Further reading on the whooping cough subject from HHS https://www.hhs.gov/immunization/diseases/pertussis/index.html

 

You think you were boosted at Visa Medicals in London, but Adacel and Boostrix are not available in the UK. The clinic in London likely gave you Revaxis which is tetanus/diphtheria +polio. In the US, the “p”  in Tdap stands for Pertussis, not polio. So you got boosted with Td and got polio on the side which you didn’t need at all for immigration, but that’s the shot combination available in the UK. Immigration was mostly just requiring a tetanus update every 10 years so you got the tetanus/diphtheria +polio (Revaxis) because that’s what they have to offer in the UK. 
 

Again, you are good to go on immunisations for immigration because your vax form was signed off as complete. It is your choice what you want to do about pertussis. Nobody is likely to require it unless you enroll in school or are a medical professional. 

 

 

[Tristesse 17]

Thank you for such a comprehensive answer, Wuozopo. Much appreciated.