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-   -   K1 medical worries (https://britishexpats.com/forum/marriage-based-visas-35/k1-medical-worries-924062/)

Liton89 Apr 11th 2019 1:17 pm

K1 medical worries
 
Hello,

my fiancee has filed for my k1 visa and we are awaiting approval from the USCIS. This was filed beginning of December so we still have a good few more months to go.

My question is regarding the medical exam i have to have. My issue is that I am a mid/post op transgender patient and while I know they do not perform the genitals check any more I have a significant scar on my left forearm from surgery.

I have a few more surgeries that are related but only for urology to go and have had extensive surgery that falls under urology but also regards to transgenderism.

I have completely transitioned and have been for at least ten years now. My birth certificate has been changed and shows my name as it is now, along with my passport.

As I have had surgeries relating to this recently I’m assuming they would come up on my medical summary and that I would have to explain? Can I explain it off as urology surgery? As technically that is what they are? And they are done by a specialist urology surgeon?

Or should I explain completely?

I’m very worried this will affect the application and it’ll be denied. I know people and the government are a lot more tolerant with this but as I am not an “open” or “out” transgendered person. I haven’t put my “birth name” on our application because it wants the name on my birth certificate. I also haven’t given that name as a previous name because I was told I don’t need to after my birth certificate in the name I have now has been issued.

Any advice or even personal opinion would be greatly appreciated.

Pulaski Apr 11th 2019 1:30 pm

Re: K1 medical worries
 

Originally Posted by Liton89 (Post 12669010)
….. I also haven’t given that name as a previous name because I was told I don’t need to after my birth certificate in the name I have now has been issued. ….

Told by who? If it wasn't someone at USCIS then I believe that that advice is incorrect with respect to completing immigrations forms, which asks for other names you have used, without exceptions.

If it was someone at USCUS then even if they put it in writing it is still pretty useless as under US law you cannot rely on advice given by a government employee and there are court cases to prove that - a government employee can tell you complete garbage, or down-right lie to you, and if you follow that advice and if the advice is contrary to the law, you don't have a leg to stand on, legally speaking.

Liton89 Apr 11th 2019 1:41 pm

Re: K1 medical worries
 
The advice was from the U.K. government who issued my birth certificate and from UKCIS before applying.


Pulaski Apr 11th 2019 1:50 pm

Re: K1 medical worries
 

Originally Posted by Liton89 (Post 12669024)
The advice was from the U.K. government who issued my birth certificate and from UKCIS before applying. ….

So wholly irrelevant for the purposes of the US government. I would recommend against omitting material information from your visa application forms.

UKCIS? …. If you meant USCIS, then see my earlier advice about not being able to rely on advice from a government employee.

MidAtlantic Apr 11th 2019 2:04 pm

Re: K1 medical worries
 
I believe you should be honest throughout the whole process, including the medical. The greatest risk of being denied is due to what would be perceived as inaccurate/misleading/dishonest information.

Rete Apr 11th 2019 2:15 pm

Re: K1 medical worries
 
I hope this information will reassure you. Many years ago on the marriage-based visa forum, perhaps 10 years ago<?>, we had a member who was born female and transgendered to male. He was from Canada and the fiancée was from one of the upper states in the US near the Can/Am border. He was successful with getting his K-1 and subsequently married his female fiancée. The transgendered Canadian male had a family from a previous marriage as a female as did his wife. His wife's daughter had twins but for whatever reason was unable to care for them. He and his new wife petitioned to become legal guardians of the twins and was granted guardianship. A year later they petitioned to adopt the twins and the adoption was granted. Being transgendered did not hamper their K-1 visa nor did it stop them from becoming legal parents to children not born to them.

As for your omission or lying on the application(s), please don't do it. The UK government is not the US government. The application asked for prior names/other names you have used or been known by. You must give them all your names for the security check. Being caught in this omission would not bode well.

As for the medical, again, be honest. You are transgendered. I don't know what mid/post op transgender means as you said your birth certificate has had the gender changed so I'm assuming you will require additional surgery in the future. You do not have to explain anything. Your medical summary will speak for you and if the doctor has questions, he/she will ask and you can then reply.

One of the first and most important rule is DO NOT LIE.

Liton89 Apr 11th 2019 2:25 pm

Re: K1 medical worries
 

Originally Posted by Pulaski (Post 12669034)
So wholly irrelevant for the purposes of the US government. I would recommend against omitting material information from your visa application forms.

UKCIS? …. If you meant USCIS, then see my earlier advice about not being able to rely on advice from a government employee.


okay well in that case WHO would you recommend asking? If these people hold no legal weight.

scrubbedexpat099 Apr 11th 2019 2:36 pm

Re: K1 medical worries
 
A lawyer?

Pulaski Apr 11th 2019 2:37 pm

Re: K1 medical worries
 

Originally Posted by Liton89 (Post 12669063)
Okay well in that case WHO would you recommend asking? If these people hold no legal weight. ...

Take the forms at face value - the form asks for "names you have used previously" - it isn't a difficult question.

The only alternative is to hire your own lawyer for the purpose, but I would be very surprise if they tell you that it is OK to omit information requested on an immigration form. As others have noted, a security background check is a required part of the visa application process, and the results of that check will be compromised if you haven't given complete information. That will throw the entire validity of your visa into question, and could come back and bite you years later. Do you want to be forever looking over your shoulder, wondering if anyone will ever find out?

Honestly, the best advice just has to re to "just complete the form and get on with your life". Once you're in the US the question won't come up again, at least not until you apply for citizenship, (or unless you apply for a job that requires security clearance, but outside the military and related contractors, that is pretty rare), and it is buried in government archives, it's not searchable public information, so the immigration paperwork will have no bearing on your life or future in the US.

Liton89 Apr 11th 2019 3:09 pm

Re: K1 medical worries
 
Our application has already been sent off so I suppose we can cancel it and start the process again?

Im not bothered about anyone knowing but my name was changed when I was 14, I’ve had my “new” birth certificate since 16. I’m do not have a copy of my “original” birth certificate. Upon asking the U.K. gov if I would need it and how I would apply to even obtain that information they said I wouldn’t need the original as it is all connected. I even tried contacting the registering county and they had no birth record for my previous name to be able to give me one. It’s the same if I apply for an ACRO certificate as I have done so before.

Before we had applied we asked USCIS about our situation as well with them saying I would only need the birth certificate I have obtained through the recognition process so I am sorry for not being clued up on this all. We felt like we were doing the right thing with the information provided.

Im certainly not going to lie about anything and risk a ban and I know it’s difficult to comment on a situation that doesn’t happen every day. I have yet to ask for a copy of my medical summary from my GP surgery, does anyone know how much that would cost and what it needs to show?

Thank you

Noorah101 Apr 11th 2019 3:41 pm

Re: K1 medical worries
 
You don't need to start over.

For the medical, be honest about everything.

When filling out further immigrating forms, be completely honest and list previous names, if asked.

At the visa interview, be honest and have then add your other names by hand. If you changed your name at 14 by deed poll, bring a copy of that.

Rene

Rete Apr 11th 2019 6:03 pm

Re: K1 medical worries
 
Perhaps it is just my perception, it would appear that you are attempting to hide the fact that you are transgender. Sorry but that is fraudulent behavior. USCIS is the agency that you need to work with and worry about. I don't like the fact that you are asking about hiding your sex change operations by saying they were some purpose other than what they were actually for. Your did not have a urology surgery because of medical problems and you were sick. You had it do to your change of gender. As for the medical itself, some here have had their gender confirmed by visual examination.

As for names used, it doesn't just depend just on what is on your birth certificate. Are you known by a nickname? A different name online in social networks? Those are all names used by you.

Liton89 Apr 11th 2019 7:29 pm

Re: K1 medical worries
 

Originally Posted by Rete (Post 12669240)
Perhaps it is just my perception, it would appear that you are attempting to hide the fact that you are transgender. Sorry but that is fraudulent behavior. USCIS is the agency that you need to work with and worry about. I don't like the fact that you are asking about hiding your sex change operations by saying they were some purpose other than what they were actually for. Your did not have a urology surgery because of medical problems and you were sick. You had it do to your change of gender. As for the medical itself, some here have had their gender confirmed by visual examination.

As for names used, it doesn't just depend just on what is on your birth certificate. Are you known by a nickname? A different name online in social networks? Those are all names used by you.


No I’m not trying to hide it at all on concerns with immigration. While the major surgery I had, happened a long time ago, the surgery I have had recently IS urologically based due to complications that have arouse.Obviously I’ve had surgery related to being transgender but in the past five years it has all been via a urology consultant. I have no issue with declaring it and expected to do so. It seems the advice I was given was wrong in the beginning which is probably why I have become worried about it and also why I have asked an online forum for any advice.

Now the time has come to start thinking about Medicals and getting things together I am concerned about what to say my surgeries have been for. I hope that makes sense.

We had a consultation with an immigration lawyer before applying to see where we stand beforehand but we never asked the name question because we thought we already had the answer and they never mentioned previous names. They said I’d need my last 3 years of medical history which I can apply for from the NHS and that because we are applying in 2018 it should not be a problem that I am transgendered as they aren’t looking for that.

I don’t have a deedpoll for my name as it is now and so I’m assuming I will have to get one to say my previous name was X from this date to this date and from 14 onwards it has been this name but then I can’t gain my “original” birth certificate to even show that name so while it has made things a lot easier in the U.K., it seems to have complicated things visa wise. It is something I’ll certainly have to look into.


scrubbedexpat099 Apr 11th 2019 7:37 pm

Re: K1 medical worries
 
They certainly ask about Surgery etc now my 2 were from Accidents so the conversation did not go very far.

scrubbedexpat099 Apr 11th 2019 7:38 pm

Re: K1 medical worries
 
They ask for aliases, do not remember any documentation required? Would not make sense to ask for it.

Liton89 Apr 11th 2019 7:45 pm

Re: K1 medical worries
 
Thank you, I think the best thing I can do about the name thing is provide as much as I can. I’m definitely glad I mentioned it so that I can sort it out now and be prepared if and when our application gets approved.

Would the application get denied at this stage before it goes to the embassy due to me not having the names on there?

Sorry, I felt like we really did our homework before we filed and now I realise we should have asked these questions before filing.

Noorah101 Apr 11th 2019 9:12 pm

Re: K1 medical worries
 
No, it won't get denied prior to you attending the in-person visa interview.

The interview is where you can explain everything to the consular officer.

Rene

Muna_93 Apr 11th 2019 10:47 pm

Re: K1 medical worries
 

Originally Posted by Boiler (Post 12669312)
They ask for aliases, do not remember any documentation required? Would not make sense to ask for it.

They only need documentary evidence if your current name is different from the name provided in additional evidence (i.e. passport copies, etc.). It seems OP will not have this issue as their name change was done years ago and all their documents match up with the current name.

From the instructions, pg.11: "If either you or your beneficiary use a name other than the one shown on evidence submitted in support of your petition, you must submit copies of the legal documents (such as a marriage certificate, adoption decree, or court order) reflecting the legal name change."

I do agree that all previous names should be declared going forward, and just be honest with the doctor. They aren't trying to catch you out and I'm sure they'll be sensitive to each applicant's medical situation.

Your medical summary is free to access, simply request a 'Patient Care Summary' from your GP. I'm not sure if you'll need more specific information for the surgeries, it should just be in your summary, but double check and ask the GP if they have any data to give on specific treatments.

Good luck!

RGH80 Apr 13th 2019 4:14 pm

Re: K1 medical worries
 
Hey OP, I was in a very similar situation to you, except I moved to Canada.

You must declare your previous names on the application. They won't care. Bear in mind they also ask for previous names on ESTA applications. I too was concerned about potential harassment/discrimination from CBP when I declared this, so I applied for Global Entry to help mitigate that risk. (This also gives you TSA Pre-Check which reduces your exposure to body scanners at US airports.) I don't live in the US but travel frequently and I've never had issues with CBP. (I'm aware your main concern is USCIS but I hope this datapoint is reassuring.)

As for the medical, when I had mine in the UK for Canada, I told the doctor I was transgender. She also didn't care one bit. She actually said that she gets a disproportionately high number of transgender people through her door relative to our number due to the fact that trans people emigrate/immigrate at a much higher rate than the general population. So in essence, everybody in the process has seen us all before, quite frequently.

Two general observations for you as well: be aware that HRT can cause elevated blood pressure. If you are on a high dosage and don't have an active lifestyle, your blood pressure may be high. If this is the case, you probably want to do something about this anyway, but you may have issues at the medical if your blood pressure is high. Also, the Gender Recognition Act can interfere with the US's ability to process your application. If they ask the UK for security related data on you, the UK might turn around and deny you exist because of the GRA (you may have experienced this when registering to vote/checking your driver history/dealing with HMRC outside of Public Department 1 etc.) This slowed down my Canadian PR application quite a bit, and in the end the Canadian High Commission in London asked me to deliver the required documents myself.

Also, make sure you have your full name history on your police certificate. I know they offer to hide your previous name on it, but USCIS might reject the certificate if it doesn't show it.

Pulaski Apr 13th 2019 4:39 pm

Re: K1 medical worries
 

Originally Posted by RGH80 (Post 12670208)
.... Also, make sure you have your full name history on your police certificate. I know they offer to hide your previous name on it, but USCIS might reject the certificate if it doesn't show it.

:goodpost: This is also important advice.

Liton89 Apr 13th 2019 5:31 pm

Re: K1 medical worries
 

Originally Posted by RGH80 (Post 12670208)
Hey OP, I was in a very similar situation to you, except I moved to Canada.

You must declare your previous names on the application. They won't care. Bear in mind they also ask for previous names on ESTA applications. I too was concerned about potential harassment/discrimination from CBP when I declared this, so I applied for Global Entry to help mitigate that risk. (This also gives you TSA Pre-Check which reduces your exposure to body scanners at US airports.) I don't live in the US but travel frequently and I've never had issues with CBP. (I'm aware your main concern is USCIS but I hope this datapoint is reassuring.)

As for the medical, when I had mine in the UK for Canada, I told the doctor I was transgender. She also didn't care one bit. She actually said that she gets a disproportionately high number of transgender people through her door relative to our number due to the fact that trans people emigrate/immigrate at a much higher rate than the general population. So in essence, everybody in the process has seen us all before, quite frequently.

Two general observations for you as well: be aware that HRT can cause elevated blood pressure. If you are on a high dosage and don't have an active lifestyle, your blood pressure may be high. If this is the case, you probably want to do something about this anyway, but you may have issues at the medical if your blood pressure is high. Also, the Gender Recognition Act can interfere with the US's ability to process your application. If they ask the UK for security related data on you, the UK might turn around and deny you exist because of the GRA (you may have experienced this when registering to vote/checking your driver history/dealing with HMRC outside of Public Department 1 etc.) This slowed down my Canadian PR application quite a bit, and in the end the Canadian High Commission in London asked me to deliver the required documents myself.

Also, make sure you have your full name history on your police certificate. I know they offer to hide your previous name on it, but USCIS might reject the certificate if it doesn't show it.


Thank you so much for everyone who has helped out with this.

I have put the question to an immigration lawyer and I’m assuming I may have to use one.

What has made me panic a little bit more is that we found out our application was approved at USCIS and is on its way to the NVC. I’m excited things have moved forward but stressed out that I’ve made a mistake.

Ill definitely be putting my full name history on the ARCO check. In regards to having to deliver documents, what documents did you have to provide? Were you able to get your original birth certificate? The registry office I was registered with do not have my details on file (as if my previous birth certificate didn’t happen). What may confuse things too is that my mum changed my first name twice and my last name three times before I changed my name during transition. I do not have this paperwork (the statutory declarations and deed polls). So I’ve had 3 first names and 4 last names :/

i can give rough dates when my name changes happened but as they were all when I was between the ages of 0 and 16 it may not be exact. Would it be a good idea to write a statement to say I have been known by these names and a kind of time line and get it witnessed by a solicitor like a sworn statement?

RGH80 Apr 13th 2019 5:59 pm

Re: K1 medical worries
 

Originally Posted by Liton89 (Post 12670247)



Thank you so much for everyone who has helped out with this.

I have put the question to an immigration lawyer and I’m assuming I may have to use one.

What has made me panic a little bit more is that we found out our application was approved at USCIS and is on its way to the NVC. I’m excited things have moved forward but stressed out that I’ve made a mistake.

Ill definitely be putting my full name history on the ARCO check. In regards to having to deliver documents, what documents did you have to provide? Were you able to get your original birth certificate? The registry office I was registered with do not have my details on file (as if my previous birth certificate didn’t happen). What may confuse things too is that my mum changed my first name twice and my last name three times before I changed my name during transition. I do not have this paperwork (the statutory declarations and deed polls). So I’ve had 3 first names and 4 last names :/

i can give rough dates when my name changes happened but as they were all when I was between the ages of 0 and 16 it may not be exact. Would it be a good idea to write a statement to say I have been known by these names and a kind of time line and get it witnessed by a solicitor like a sworn statement?

I think a lawyer is a good idea, even if it just serves to put your mind at rest. J Craig Fong is frequently recommended on here, and he has experience with LGBT immigration. You may wish to consult with him.

Bear in mind I was an economic immigrant to Canada whereas you're using a family category, so things will be different. My application was also marginal, which triggered a visa interview at the consulate (Canada does not do this routinely, unlike the US). I forget which documents I provided and what they managed to get themselves, and I doubt they'd disclose their security procedures to an applicant anyway. I know I was asked for my birth certificate, and I offered the consular officer both (I still had the original copy). He mentioned something about the old one being a struggle for Ottawa to obtain themselves, although I'm not sure why as I believed the old one remained on record. He did ask me some questions off of my UK tax returns so I figure they managed to get those directly. When I submitted the original paperwork bundle to IRCC, I included my passport, my deed poll, and my ACRO certificate, along with other documents which won't be relevant to your K1 (degree certificates, employment history, IELTS test etc.)

Your name history sounds like a nightmare and I can see why you might not be able to document that. Mostly what they want to do is to run security checks against all your names, so the key is to declare them, even if you can't document them. But you must have a deed poll from your most recent deadname, so I would suggest that and your GRC are the two key documents, along with a sworn statement of names used in childhood (maybe have some unofficial proof as well such as school reports or medical records). But a lawyer can advise better than I can.

The percentage of millennials in the workforce is increasing, and the vast majority of us have a decent awareness of trans issues, so as long as you don't hide it, I don't foresee an issue with the case officers. I have a friend who used to be US diplomat and worked in USCIS before that, and she told me that her default position when looking at a petition was "how can I approve this?" rather than "how can I deny this?". And I would guess that a USCIS agent would understand your rationale for not declaring, even if you should have.

Rete Apr 13th 2019 11:33 pm

Re: K1 medical worries
 
RGH80's advice is good and valuable but do bear in mind, he went to Canada and you are going to the US. He did not use a marriage-based visa; you are.

Two different countries, two different immigration laws, two different types of visa.

Pulaski Apr 14th 2019 12:15 pm

Re: K1 medical worries
 

Originally Posted by Liton89 (Post 12670247)
Thank you so much for everyone who has helped out with this.

I have put the question to an immigration lawyer and I’m assuming I may have to use one. ...

You're free to use a lawyer if you want, but I sincerely doubt it it necessary or that they will add any value, other than perhaps make you feel more "comfortable". Be aware that a lawyer may also complicate matters more than necessary, and/or otherwise louse up your application - that is certainly not unheard of here on BE.

In my opinion your application is quite straightforward, with the only "complication" being that you need to disclose multiple names used. Be aware that marriage visas are very rarely denied, and typically only because of someone's criminal record or drug usage. The only likely reason for "failing" a medical is having a communicable disease. So unless there are more aspects to your situation that you haven't disclosed (and I am not suggesting that you need to disclose more than you already have) your case doesn't really have any particularly complex issues.


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