If I am a K nonimmigrant visa holder and already had a medical exam (SLEC medical exam meets these parameters) overseas do I need another exam for filing with the AOS packet?

 

No. You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination, and the medical examination did not reveal a Class A medical condition, or if you did have a Class A medical condition, you received a waiver of inadmissibility and have complied with the terms and conditions on the waiver.

 

Ok, now take a look at your DS-3025. If you got all the needed shots recorded on the DS-3025 visa exam vaccination sheet and it is properly filled out then skip the civil surgeon and I-693 entirely. You can get approved on the DS-3025. Many, many, many people do this. Adults need:

• MMR

• Tdap or Td or DTP (within last 10 years)

• Varicella (or the DS-3025 marked VH because you had the chickenpox disease)

• Flu shot - only if the exam was during flu season (Oct 1-Mar 31) Doesn't matter that it's flu season now if the exam was before Oct 1.

 

All of those must be on the DS-3025. If you got some shots later or the DS-3025 is missing anything, then see a civil surgeon. What more can you tell me about finding and using a Civil Surgeon?

 

We suggest that you print a copy of page 4 of the I-485 instructions, highlighting section 7c that states the vaccination record is all that is required for the K-1 and staple it to your copy of the DS-3025.  There has been contact with USCIS regarding that some adjudicators requesting the I-693 where it is not needed.  So unless you had a class A medical condition, no I-693 is required.

 

I will quote the response to this from USCIS as follows:

 

"Thank you for bringing this to our attention.  In some situations a K-1 or K-2 visa holder may need to submit the Form I-693.  They are not required to have another medical examination as long as the Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of the overseas medical examination, the medical examination did not reveal a Class A medical condition, or if there was a Class A medical condition, they received a waiver of inadmissibility and have complied with the terms and conditions on the waiver. 

 

USCIS Ombudsman Liaison Unit"