I often receive questions from fiance visa applicants about the medical exam. Generally, the beneficiaries are curious as to the process of the exam, how much the exam will cost, and what medical conditions will disqualify the applicant from receiving their K1 visa.
Every single fiance visa applicant is required to undergo a medical examination by a US State Department Panel Physician prior to their fiance visa interview. Some applicants believe they can have their primary care doctor complete the examination, which is false. It MUST be completed by a doctor that the US Consulate has certified is competent to complete the examinations. Each US Consulate has a list of State Dept. Panel Physicians and the applicant must choose one of those doctors to complete the exam.
What is the purpose of the medical exam?
The purpose of the medical exam is to determine whether the fiance visa applicant has a medical condition that renders him or her ineligible to receive the visa (an inadmissible condition).
What happens at the medical exam?
The fiance visa applicant must show their passport and appointment letter to the doctor during the examination. While some countries allow fiance visa applicants to complete the exam without an appointment letter, it is the general rule of thumb that an interview must be scheduled. Therefore, it is important to call the Panel Physician’s office and see what they specifically require.
The examination includes:
- A complete medical history;
- A complete immunization history;
- A physical examination;
- A mental examination;
- A Full-Size Chest Radiograph
- Serologic Test for Syphilis
- Sputum Smear Examination
- Administration of immunizations (K1 visa applicants are not required)
Immunization Requirements for Fiance Visa Applicants
Vaccination requirements do not apply to fiance visa applicants. However, it is suggested that they receive them during this examination. The reason being that following entry to the United States and after the marriage to their US Citizen fiance, fiance visa holders must file the adjustment of status application to receive their green card. It is at this time the US Government requires the applicants to receive the required vaccinations. This information is submitted as the Vaccination Supplement. If the applicant has already received their vaccinations during their Panel Physician medical exam, they do not have to receive these vaccinations again.
Therefore, it is advised that fiance visa applicants receive the required vaccinations during their Panel Physician medical exam and obtain a record of these vaccinations on a form DS-3025, Vaccination Documentation Worksheet.
What are the required vaccinations?
- Maemophilus Influenzae Type B
- Hepatitis A
- Hepatitis B
- Meningococcal Disease
What medical conditions render an applicant ineligible to receive a visa?
- Granuloma Inguinale
- Hansen’s Disease (Leprosy) Infectious
- Lymphogranuloma Venereum
- Syphilis, infectious stage; and
- Tuberculosis, active.
As of January 4, 2010, HIV is no longer a condition that will render an applicant ineligible to receive a visa.
Other conditions include past drug use, past alcohol abuse, and certain mental health disorders.
How much will the exam cost?
Each doctor sets their own fees. Generally, expect to pay between $150 to $350.