New Medical Info for AOS Applicants
#46
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Even if a new medical examination is not required, you still must show proof that you have complied with the vaccination requirements.
they need further vaccinations, such as: HPV Gardisal, because they arent routinely available in the UK
You cannot "update" your vaccination worksheet from your k1 medical examination so you need to get any vaccines needed from inside the US from any doctor/nurse that provides it, get proof of it, then take that and the worksheet with a I-693 to your USCIS doctor of choice to get it transcribed which then has the doctors surgery stamp and signature, this gets sent with the AOS package.
Last edited by PepsiChic; Sep 26th 2009 at 6:31 pm.
![PepsiChic is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#47
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Many people need the I-693 instead of the DS-20whatever (Vaccination Worksheet from k1 medical examination) because
they need further vaccinations, such as: HPV Gardisal, because they arent routinely available in the UK
You cannot "update" your vaccination worksheet from your k1 medical examination so you need to get any vaccines needed from inside the US from any doctor/nurse that provides it, get proof of it, then take that and the worksheet with a I-693 to your USCIS doctor of choice to get it transcribed which then has the doctors surgery stamp and signature, this gets sent with the AOS package.
they need further vaccinations, such as: HPV Gardisal, because they arent routinely available in the UK
You cannot "update" your vaccination worksheet from your k1 medical examination so you need to get any vaccines needed from inside the US from any doctor/nurse that provides it, get proof of it, then take that and the worksheet with a I-693 to your USCIS doctor of choice to get it transcribed which then has the doctors surgery stamp and signature, this gets sent with the AOS package.
I should not have to have another medical as I had one in London, but having read the wording on that section I can kinda see why they don't want to sign it but presumably this is standard practice? Has anyone had any issues similar to this?
![jetbedlam is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#48
Account Closed
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
Joined: Jan 2009
Posts: 119
![SusanPai is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Due to Limited Availability I-693 May Be Accepted Without Flu Vaccine Until March 31, 2010
CDC informed USCIS that the availability of the seasonal influenza (flu) vaccine varies both geographically and temporally. Based on CDC's information, Form I-693 may be accepted without the seasonal flu vaccine if the conditions specified in this update are met.
CDC Issues Final Notice on Criteria for Vaccination Requirements for US Immigration Purposes, Ends HPV Vaccine Requirement
One commenter urged CDC to direct the U.S. Citizenship and Immigration Services agency (USCIS) to suspend the HPV vaccination requirement for immigrants applying to adjust their immigration status or obtain visas for the United States. Response: HHS/CDC has no authority to direct component agencies within DHS to take action. However, HHS/CDC has determined that the HPV vaccine does not meet the necessary elements of the proposed criteria and will no longer be required for immigration purposes once the criteria become effective (30 days after publication of this notice). [Federal Register: November 13, 2009 (Volume 74, Number 218)][Notices][Page 58634-58638] From the Federal Register Online via GPO Access
CDC informed USCIS that the availability of the seasonal influenza (flu) vaccine varies both geographically and temporally. Based on CDC's information, Form I-693 may be accepted without the seasonal flu vaccine if the conditions specified in this update are met.
CDC Issues Final Notice on Criteria for Vaccination Requirements for US Immigration Purposes, Ends HPV Vaccine Requirement
One commenter urged CDC to direct the U.S. Citizenship and Immigration Services agency (USCIS) to suspend the HPV vaccination requirement for immigrants applying to adjust their immigration status or obtain visas for the United States. Response: HHS/CDC has no authority to direct component agencies within DHS to take action. However, HHS/CDC has determined that the HPV vaccine does not meet the necessary elements of the proposed criteria and will no longer be required for immigration purposes once the criteria become effective (30 days after publication of this notice). [Federal Register: November 13, 2009 (Volume 74, Number 218)][Notices][Page 58634-58638] From the Federal Register Online via GPO Access
![SusanPai is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#49
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Re the Flu Vaccine - I take it this just applied to those within the age groups that require the flu vaccine? I'm 26 so I don't think I fall into that bracket (certainly wasn't mentioned at my London medical and the civil surgeon I saw here said it wasn't on the list, but did enquire if I had it as she would have put it down, but she said it wasn't required).
Just recently submitted all my AOS stuff so just want to make sure I'm not gonna get a RFE for a flu vaccine because the civil surgeon didn't write anything specific to it on my I-693??
The age brackets for the flu vaccine listed on that article you have linked to differ from what I remember when I was at my medicle and I hadn't realised they'd changed it.
Just recently submitted all my AOS stuff so just want to make sure I'm not gonna get a RFE for a flu vaccine because the civil surgeon didn't write anything specific to it on my I-693??
The age brackets for the flu vaccine listed on that article you have linked to differ from what I remember when I was at my medicle and I hadn't realised they'd changed it.
![jetbedlam is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#50
Account Closed
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
Joined: Jan 2009
Posts: 119
![SusanPai is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Re the Flu Vaccine - I take it this just applied to those within the age groups that require the flu vaccine? I'm 26 so I don't think I fall into that bracket (certainly wasn't mentioned at my London medical and the civil surgeon I saw here said it wasn't on the list, but did enquire if I had it as she would have put it down, but she said it wasn't required).
Just recently submitted all my AOS stuff so just want to make sure I'm not gonna get a RFE for a flu vaccine because the civil surgeon didn't write anything specific to it on my I-693??
The age brackets for the flu vaccine listed on that article you have linked to differ from what I remember when I was at my medicle and I hadn't realised they'd changed it.
Just recently submitted all my AOS stuff so just want to make sure I'm not gonna get a RFE for a flu vaccine because the civil surgeon didn't write anything specific to it on my I-693??
The age brackets for the flu vaccine listed on that article you have linked to differ from what I remember when I was at my medicle and I hadn't realised they'd changed it.
![SusanPai is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#51
Account Closed
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
Joined: Jan 2009
Posts: 119
![SusanPai is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
December 14, 2009 - CDC and HHS update Medical Examination Instructions to Civil Surgeons.
![SusanPai is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#52
Just Joined
Joined: Feb 2010
Posts: 10
![farrow is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Yes, the original signed DS3025 is in the brown envelope. You get a copy for your personal records or in case you need to get more shots in the US. The civil surgeon can transcribe (copy) the records from the DS3025 and add on any more you got in the US to produce one document containing all the info.
Concerning the I-693, what I was explaining earlier....every shot needed for AOS was already done and dusted on the DS3025. We didn't want to pay a Civil Surgeon money to copy a list already filled out by US govt approved doctor (Panel Physician-Knightsbridge) with nothing new to add. So we sent the DS 3025 instead and got no RFE, no interview, and a green card. If you have shots to get in the US, then yes you need the Civil Surgeon to put everything on one form I-693.
Concerning the I-693, what I was explaining earlier....every shot needed for AOS was already done and dusted on the DS3025. We didn't want to pay a Civil Surgeon money to copy a list already filled out by US govt approved doctor (Panel Physician-Knightsbridge) with nothing new to add. So we sent the DS 3025 instead and got no RFE, no interview, and a green card. If you have shots to get in the US, then yes you need the Civil Surgeon to put everything on one form I-693.
Just interested in what other people did, this part is quite confusing.
Thanks
Paul
![farrow is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#53
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Do NOT open the brown 'Do Not Open' envelope.
You should have received a copy of DS3025 at the medical appointment.
You should have received a copy of DS3025 at the medical appointment.
![meauxna is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#54
Just Joined
Joined: Feb 2010
Posts: 10
![farrow is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
I dont have a form DS3025 from medical in London. The US embassy gave me two brown envelopes one that says dont open which is the main stuff for the government and they gave me a brown envelope that is sealed but from the knightsbridge medical doctors and I was told that had my xray's in it but I am wondering if my DS3025 is in there as well.
Or does the DS3025 go directly to the government with the original medical examination stuff in that DONT OPEN brown envelope. Cause the way I am reading the instructions is that Form I-693 only needs to be done if applicable. And the instructions say
"If the vaccination record (DS 3025) was not properly completed and included as part of the original, overseas medical examination report, you will have to have the vaccination report completed by a designated civil surgeon."
So mine was hopefully included in the original overseas medical examination report, so no need to do anything at this stage as long as I apply for AOS before a year is up on the overseas medical.
what do you reckon? any one know?
Or does the DS3025 go directly to the government with the original medical examination stuff in that DONT OPEN brown envelope. Cause the way I am reading the instructions is that Form I-693 only needs to be done if applicable. And the instructions say
"If the vaccination record (DS 3025) was not properly completed and included as part of the original, overseas medical examination report, you will have to have the vaccination report completed by a designated civil surgeon."
So mine was hopefully included in the original overseas medical examination report, so no need to do anything at this stage as long as I apply for AOS before a year is up on the overseas medical.
what do you reckon? any one know?
Last edited by farrow; Feb 24th 2010 at 12:14 pm.
![farrow is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#55
Account Closed
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
![](https://britishexpats.com/forum/images/ranks/star.gif)
Joined: Aug 2002
Location: Kentucky
Posts: 38,865
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_pos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_pos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_pos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_pos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_pos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![ian-mstm has a reputation beyond repute](https://britishexpats.com/forum/images/reputation/reputation_highpos.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
Probably, but there's no way to know unless you open it... which you should NOT do.
So it's not a problem then. If the DS-3025 isn't in the package, then when you apply to adjust your status, you'll get the vaccination supplement at that time.
Ian
"If the vaccination record (DS 3025) was not properly completed and included as part of the original, overseas medical examination report, you will have to have the vaccination report completed by a designated civil surgeon."
Ian
![ian-mstm is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#56
Just Joined
Joined: Feb 2010
Posts: 10
![farrow is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
yes but if its not in there I wont know until I have applied. Then I guess they will write back to me and all this time is ticking away. Hopefully they wouldnt deport me because AOS is in process and had been before the 90 days is up.
![farrow is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#57
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
how long ago did you have the medical at knightsbridge? did you have any vaccines from your GP instead of knightsbridge?
Knightsbridge dont keep your medical records, everything gets put in the DO NOT OPEN brown envelope with the rest of your K1 stuff. However if you just recently had your medical exam, you may want to give knightsbridge a call and see if you can get a copy of your DS-3025.
Otherwise, get a copy of your vaccination history from your GP, and if you have any receipts from knightsbridge for the vaccines you had there, you may be able to get your GP to update your vaccine history on his database and get a print out of that. which you can then use to get a copy of the I-693 to send with your AOS.
Another option might be when you get to the POE. you hand over the brown envelope and data gets entered into the system. You could ask the POE officer if he could make a photocopy of the DS-3025 for you and explain to him you need it to adjust status after you are married and that you never recieved a copy from the doctor. He/she MAY be kind enough to do this for you.
I wouldnt recommend doing the AOS without the I-693 parts that you need (should be parts 1, vaccine chart and doctors signature). to get this you need proof of your vaccination history. which is what the Ds-3025 is for. but like i said, a vaccine history print out from your own GP might be enough if it contains all the data.
Knightsbridge dont keep your medical records, everything gets put in the DO NOT OPEN brown envelope with the rest of your K1 stuff. However if you just recently had your medical exam, you may want to give knightsbridge a call and see if you can get a copy of your DS-3025.
Otherwise, get a copy of your vaccination history from your GP, and if you have any receipts from knightsbridge for the vaccines you had there, you may be able to get your GP to update your vaccine history on his database and get a print out of that. which you can then use to get a copy of the I-693 to send with your AOS.
Another option might be when you get to the POE. you hand over the brown envelope and data gets entered into the system. You could ask the POE officer if he could make a photocopy of the DS-3025 for you and explain to him you need it to adjust status after you are married and that you never recieved a copy from the doctor. He/she MAY be kind enough to do this for you.
I wouldnt recommend doing the AOS without the I-693 parts that you need (should be parts 1, vaccine chart and doctors signature). to get this you need proof of your vaccination history. which is what the Ds-3025 is for. but like i said, a vaccine history print out from your own GP might be enough if it contains all the data.
![PepsiChic is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#58
Just Joined
Joined: Feb 2010
Posts: 10
![farrow is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
thanks guys. Because I was so confused what I did was actually ring the medical peeps in Knightsbridge and they said to me that I should have got the copy of the vaccines from them with my receipt but I am dead certain I didnt. They told me that it isnt in the envelope with the xrays but it may be like you say in the embassy envelope.
I said what do I do and they said they could send me a copy of it but would have to get my records out of their basement. The lady said she would do it sometime next week so fingers crossed she will find them.
I said what do I do and they said they could send me a copy of it but would have to get my records out of their basement. The lady said she would do it sometime next week so fingers crossed she will find them.
![farrow is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#59
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
thanks guys. Because I was so confused what I did was actually ring the medical peeps in Knightsbridge and they said to me that I should have got the copy of the vaccines from them with my receipt but I am dead certain I didnt. They told me that it isnt in the envelope with the xrays but it may be like you say in the embassy envelope.
I said what do I do and they said they could send me a copy of it but would have to get my records out of their basement. The lady said she would do it sometime next week so fingers crossed she will find them.
I said what do I do and they said they could send me a copy of it but would have to get my records out of their basement. The lady said she would do it sometime next week so fingers crossed she will find them.
You are speaking in circles... there are TWO copies of DS3025 under discussion.
The one, official one, is in your brown envelope, and it gets sent to DHS when you arrive.
The other one is a copy of that report that you were supposed to ask for and get at the medical appointment. It would not be in any envelope. You would use that for your AOS application after arrival+marriage.
What you need to do next is look at the instructions for AOS to see what medical information you must include as a K-1 and do the best you can with it. It may be accepted as is, or DHS may request more information from you (which you can deal with at that time).
Hopefully luck smiles on you and Knightsbridge turns up another copy of your vaccine record from the immigration medcial. I've never heard of them offering before!
![meauxna is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)
#60
Just Joined
Joined: Feb 2010
Posts: 10
![farrow is an unknown quantity at this point](https://britishexpats.com/forum/images/reputation/reputation_balance.gif)
![Default](https://britishexpats.com/forum/images/icons/icon1.gif)
SIGH exactly its so confusing. And if you dont ask you dont get hence why I thought I would ask them for it. Will let you know how I get on. I am pretty sure they didnt give it to me.
Thanks
Paul
Thanks
Paul
![farrow is offline](https://britishexpats.com/forum/images/statusicon/user_offline.gif)