I693 Vaccination Problems

[Florence and Tim 0]

We're having some trouble, and so I have another question.

For a K-1, was my wife supposed to get a copy of the I-693 herself when she was in her home country?

We do not have a copy of the I-693, so all the doctors offices are telling us we need to have the whole physical again. The only thing we have is the sealed chest X-Ray. Also, some doctors tell me she only needs to have chicken pox, tetanus, and MMR vaccines (also someone on here told me that). But one I called says that she needs all 7 listed on the appendix A sheet from CDC, except for influenza.

All the doctors say that we need to provide the original I-693. Has anyone else had this problem. Also, does anyone know of a doctor in the Chicago area who actually knows how to deal with this stuff? I've already run my phone minutes way over trying to call all of these doctors and none of them seem to want to help unless she does everything again.

USCIS said they do not know what vaccinations she would need. She doesn't have any records from Hong Kong at all. If she absolutely had to go through the whole exam, I guess we have no choice, but I'm afraid then we are submitting the wrong information with our packet because she's K-1 and she only needs a vaccination supplement.

Thanks a lot for any help or advice you can give me.

[kim&james 0]

You do not need the full medical.

Keep trying all Doctors in that area to find one who knows what they are talking about. Most try to scam.

You do only need MMR TD and varicella.

You might need a TB skin test.

You can get vaccinations done at any doctor but will need a CS to put them onto the supplement form.

Try to ph Dr Arnold's office and see if they can help if your wife has the vaccinations redone here at least ask, they might be able to help.

Dr. L.E. Arnold

4534 Westgate Boulevard, Suite 106

Austin, TX 78745

Tel: (512)444-3131

Fax: (512)447-4699

His cost to transcribe is $10 posted. But you might have to tlak to his office staff and let them know what has happened.

[YuAndDan 153]

The doctor SHOULD NOT BE CONCERNED about I-693, that was done at the medical in foreign country and satisfied the foreign consulate, it was in the brown envelope, and USCIS has it in the case file. USCIS need just a vaccination supplement, this is clearly explained in the I-485 directions.

What you need is a record showing vaccinations being done, if you don't have such a record you will probably need to get them done over or be tested for immunity. You will then take these new vaccination records to the Civil Surgeon for transfer to a supplement.

I was quoted $300+ from the Civil Surgeons in my area, but they were thinking full medical (I-693) when I showed the doctor what was instructed by USCIS in the I-485 directions, he reduced the fee to $35 and copied the info from our vaccination record to the supplement.

Most of these doctors love to rip off the unsuspecting for full medical when it is not needed. YOU MUST BE FIRM ON THIS.

Also we did not get a DS-3025 when over seas, by fiancee got vaccinated and the med center gave her a passport size yellow book with the vaccination records in the book, so vaccination records can be what ever the local medical center records the record on.

SEE: Previous posts, Vaccination supplement is one of the most posted subjects on VJ, it is answered many, many times.

http://www.visajourney.com/forums/index.ph...c=88680&hl=

http://www.visajourney.com/forums/index.ph...c=88767&hl=

http://www.visajourney.com/forums/index.ph...c=88413&hl=

[Florence and Tim 0]

That sounds reasonable. She doesn't need to have the vaccines necessarily redone, she never had them done (well, except for those she did, but as far as we're concerned, with no record its better we just say she never did as to not confuse people anymore). I'm sure the county department of health would be more than happy to give her those vaccinations. Before I went to Hong Kong I also needed many vaccinations and went there, and they did it with no problem (and gave me one of those signed yellow things).

One other question, do we HAVE TO send the I-693A with the I-485, or is it possible to send it at a later date (noting your time line), and is there any danger of doing this?

Thanks a lot for your help! We will try to call that office on Monday and see if we can explain everything.

-Tim Lantz

p.s. One doctor's office told us that she needed polio and whooping cough vaccines - I was just wondering if anyone knows (I know nothing about medicine really) if that sounds ridiculous for her age (24)? I really thought those things were only for when you're a little kid.

[Florence and Tim 0]

The doctor SHOULD NOT BE CONCERNED about I-693, that was done at the medical in foreign country and satisfied the foreign consulate, it was in the brown envelope, and USCIS has it in the case file. USCIS need just a vaccination supplement, this is clearly explained in the I-485 directions.

What you need is a record showing vaccinations being done, if you don't have such a record you will probably need to get them done over or be tested for immunity. You will then take these new vaccination records to the Civil Surgeon for transfer to a supplement.

I was quoted $300+ from the Civil Surgeons in my area, but they were thinking full medical (I-693) when I showed the doctor what was instructed by USCIS in the I-485 directions, he reduced the fee to $35 and copied the info from our vaccination record to the supplement.

Most of these doctors love to rip off the unsuspecting for full medical when it is not needed. YOU MUST BE FIRM ON THIS.

Also we did not get a DS-3025 when over seas, by fiancee got vaccinated and the med center gave her a passport size yellow book with the vaccination records in the book, so vaccination records can be what ever the local medical center records the record on.

SEE: Previous posts, Vaccination supplement is one of the most posted subjects on VJ, it is answered many, many times.

http://www.visajourney.com/forums/index.ph...c=88680&hl=

http://www.visajourney.com/forums/index.ph...c=88767&hl=

http://www.visajourney.com/forums/index.ph...c=88413&hl=

Sorry if it seems like we're reposting the same question. I have searched on here, and before posting, I even called USCIS. Its all the contradicting stuff that makes me post again to be sure. This site isn't official, and when I asked if she could have vaccinations done at any clinic and have the information transfered, a girl at USCIS told me that that was illegal and seemed angry with me (this was yesterday). I know that those people on the help line really don't know what is going on, but I still have to double check because its important stuff (they SHOULD know what's going on). (During our I-129F thing they told us all kinds of crazy contradicting stuff on that help line).

To be honest, I wouldn't care to even pay $300 for a medical if it wasn't a hassle to my wife and if I wasn't scared we'd be submitting the WRONG thing. USCIS suggested I start faxing the instruction page 4 of I-485 to doctors offices and ask for the doctor to review it. The hard thing is, it seems in my area, is that you have to pay to ever actually speak to a doctor - even on the phone. They really refuse to let you speak to the doctor over the phone, and the counter people just keep repeating the policy on their papers and interrupt you when you try to explain the situation to them. Once so many people have told you you're wrong, you have to post to ask for yourself to make sure there's not something different in your situation that someone may be able to point out (like for example, maybe because we don't have a copy of the I-693, our case is different from people who do - many people get a copy from the clinic as well). So that's the reason I post the question again.

We'll be firm on this and try to keep shopping around. One thing that I NEVER find answered (aside from just by posters based on experience) is:

How do we know what shots she needs? Is there any guideline we can look up ANYWHERE that explains what shots she will need to have so that at least we know what we need to get done at the county department of health office. The people there don't even know what immigration is (its not their job to), and so they can never tell you what is being looked for it seems. USCIS also says that can't tell me that information (on the phone they've said this at least). I think posting a list of "shots you need" with links to some supporting evidence of the validity of such a list would be very helpful to users like myself and others.

[sahara 0]

I hope this helps...its a list of the vaccinations required for AOS applicants who are in the US. It's a guide for which vaccines are needed and are age appropriate.

http://0-www.cdc.gov.mill1.sjlibrary.org/n...bl1-cs-clrd.pdf

[YuAndDan 153]

One other question, do we HAVE TO send the I-693A with the I-485, or is it possible to send it at a later date (noting your time line), and is there any danger of doing this?

Thanks a lot for your help! We will try to call that office on Monday and see if we can explain everything.

-Tim Lantz

p.s. One doctor's office told us that she needed polio and whooping cough vaccines - I was just wondering if anyone knows (I know nothing about medicine really) if that sounds ridiculous for her age (24)? I really thought those things were only for when you're a little kid.

The directions for the I-485 says "You MAY send the supplement" If you don't they will do one of two things, they may send you an RFE for it in the case that they decided to approve without interview, OR they will ask you to bring it to the AOS interview.

Our C.S. was only concerned with:

# Mumps, Measles, Rubella (MMR)

# Tetanus and diptheria toxoids

# Varicella

http://travel.state.gov/visa/immigrants/ty...tml#Vaccination

Edited September 22, 2007 by YuAndDan