USA IMMIGRATION MEDICAL EXAMINATION

PLEASE PREPARE/BRING THE DOCUMENTS LISTED TO YOUR U.S.IMMIGRATION MEDICAL EXAM APPOINTMENT.

* THE US IMMIGRATION MEDICAL REPORT CANNOT BE DUPLICATED OR COPIED FOR ANY OTHER PURPOSE. OUR OFFICE IS NOT AUTHORIZED TO PROVIDE EXAM COPIES. 

Initial Email:

Please indicate how many persons are coming for the exam in your initial email and provide the case number (if different) and proper name for each, as well as the interview date. Provide a phone contact.

Please use the SAME email address and same name (not nickname) (the name on all your Consulate documents) in all your correspondence with our office otherwise we are unable to find your information. If you have married or changed your name we require proof. If someone is emailing on your behalf, the same request applies.


OUR ADDRESS:   7170- 120 St. (in Scottsdale Square Business Centre),
                                   SURREY, BC  V3W 3M8
                                   FAX: 604-597-7779

REQUIRED INFORMATION / DOCUMENTS

1. P A S S P O R T: Your current and valid passport. The passport must be valid for 6 months after your travel date to USA We will need one more government issued photo ID.

2. L E T T E R: . In order to book the Medical exam each applicant must provide their FULL NAME(S), INTERVIEW DATE , CASE NUMBER . Your phone number is required ; and your age is needed if you need assistance with vaccine requirements.

*We do request that if you have not set your interview date, please do so before you book an exam appointment; this will help applicants plan their appointments, travel needs and time accordingly. We are required to have this information in order to book an exam.

3. On or before exam day Applicants must provide the APPOINTMENT LETTER that shows your NAME, CASE NUMBER, INTERVIEW DATE or CONFIRMATION EMAIL that verifies your interview date and time, CASE NUMBER, your name and place of interview.

*In case of family or more that one person, the letter /email confirmation must show all names (for each applicant coming for the exam) and their case number(s).

For example: if the letter shows the name as "Bob Doe"... "Christine Doe" or "Ann Doe" cannot be given an exam appointment unless all three names are noted on the interview letter.

4. P H O T O:
Adults (15 and older) - Five passport photo . 2 x 2 size, (50mm x 50mm) American standard size. No signatures required.
Children (14 and younger) - Five passport photo. 2 x 2 size, (50mm x 50mm) American standard size. No signatures required.

Please visit the Photograph Requirements section of the U.S. Department web-site for more information on Photo requirements
https://travel.state.gov/content/visas/en/general/photos.html

5. On exam day you will need to provide your CURRENT HOME ADDRESS and your INTENDED NEW ADDRESS in the USA. Please ensure that you have both to provide at reception.

6. I M M U N I Z A T I O N:
You must bring proof of the immunization showing the exact date  for each of the vaccines required according to your age group.

The documents without exact dates (MM-dd-YYYY) you were immunized are not accpetable.

Please note that only Doctor's note without exact date are not valid documents as proof of immunization. The vaccination proof can be your vaccination records, health passport, school vaccine record or a blood test result showing that you have been immunized. Please submit the documents in English. If the documents are in a foreign language, please provide an English Translation along with the original report.

7. M E D I C A L     R E C O R D S:
If you have any chronic illness or disease, have undergone hospitalization or major surgery, or suffer from a mental illness or physical disability, you must bring past history and current condition documentation and medical records regarding the issue, as well as, a list of names of any medications and/or treatment you have been prescribed.  Please provide a note from your family doctor giving regarding your treatment and prognosis .

T H E    M E D I C A L   E X A M

All appointments are booked Monday- Friday  7:30am to 12 noon only. If you have preferred travel dates, please forward them and we will try to accomodate you.

Please remember we need TWO weekdays after your exam date to receive lab results (which are returned to us Mon-Fri only) and prepare your report for pick up in two business days after 4pm. 

Each applicant for a U.S. K visa, including children and regardless of age must have a medical examination before a visa can be issued.  Medical examinations must be performed by a  specially-appointed panel physician.

The medical examination includes a medical history, physical examination at our office and then we send you to a designated lab nearby for chest x-ray and blood test for syphilis.

The physical examination will include , at a minimum, examination of the ears, eyes, throat, nose, heart, lungs, abdomen , lymph nodes , skin , extremities and external genitalia.  You may have the examination performed during your menstrual period.

 
* Children under 15 years of age do not routinely require a chest x-ray or blood tests.

NOTE: The medical examination is not a full and complete physical examination.  Its purpose is to screen only for certain medical conditions relevant to U.S. immigration law.  Although in the course of the examination, the panel physician might uncover other matters related to your health, the physician is not required to examine you for any conditions except those which the U.S. Public Health Service specifies for U.S. immigration purposes.  The panel physician is not required to provide any diagnosis or treatment.  Therefore, you should not consider this examination to be a substitute for a full physical examination, consultation, diagnosis or treatment by your primary health care provider.

* The panel physician is not responsible for determining whether an applicant is actually eligible for a visa; that determination is made by the consular officer after reviewing all records, including the report of the medical examination.

S P E C I A L   M E D I C A L   C O N D I T I O N S

Applicants who have had syphilis must provide a written certificate signed by a doctor or public health official evidencing you were adequately treated. Applicants who have had a positive VDRL or other blood test for syphilis and were not treated must provide a written explanation signed by your doctor.

Applicants who have had a positive skin test for tuberculosis must provide a certificate from a doctor outlining the circumstances surrounding the positive tests result and indicating whether treatment was prescribed and, if so, the type and number of months of the treatment. Applicants who have been diagnosed as suffering from tuberculosis must present a written certification signed by a doctor evidencing you were adequately treated and stating the dates and types of medications taken. Applicants who have had an abnormal chest x-ray should borrow the last x-ray films taken and bring them to the medical appointment. The actual films, not the typed reports of the x-ray, may be required for comparison with the x-rays that will be taken at the medical appointment.

Applicants who have been treated or hospitalized for psychiatric or mental illness or alcohol or drug abuse must present written certification which includes the diagnosis, duration of treatment rendered, and prognosis.

Applicants with mental handicaps or learning disabilities must present a report outlining their problems and any special education or supervision that may be required.

Applicants who have had any history of harmful or violent behavior resulting in injury to people, animals or inanimate objects must provide information that will allow the doctors to determine if the behavior was related to any psychiatric or medical problem, or to drug or alcohol use. Harmful behavior includes attempted suicide or harm to oneself, no matter how minor in nature.

Applicants being treated for chronic medical problems or taking medication on a regular basis should be familiar with their medical conditions and bring a list of the medications they are taking.  If an applicant is not sure of their diagnosis, the applicant should bring a certificate from their doctor outlining the condition, current treatment, and prognosis.

If you have in the past or are presently taking Cannabis for medical reasons you MUST provide a signed letter from your doctor or licensed health care provider indicating amount, frequency and medical conditions for which this use occurred. The letter must also show the date of each prescription with dosage and frequency of use signed and dated on the doctors letterhead

Patients who have been tested positive for HIV must bring documentation regarding their current condition as well as history and treatment records. Please provide list of medications that are being taken and all hospital and doctors' medical records regarding your illness.

Following conditions do not require a doctor's note:
Tonsillectomy, Appendectomy, Arthroscopic Knee surgery, Breast implants or Wisdom teeth removal, C-section birth.

 
P R E G N A N T   A P P L I C A N T S

Pregnant applicants who consent to get an X-Ray will have to be sent to Vancouver for the X-ray and the results take 5 mailing days to return to us therefore we advise that you book  your medical exam appointment 10 days  in advance of your Consulate Interview Date . At the LAB, Pregnant women receiving chest radiographs should be provided abdominal and pelvic protection with double-layer, wrap-around lead shields.

C H I L D R E N

If children are accompanying you for the appointment, ensure that children have all the required vaccines. Please ensure that your child/children are fully prepared to get vaccines if they are being administered by the panel physician. The US requirements for vaccination may be different from some other countries so please ensure that children fulfill the requirements for USA immigration though they might have received other vaccinations as per their birth country or last country of residence. The US requirements differ from other countries.

E Y E G L A S S E S   O R   C O N T A C T    L E N S E S

If you wear eyeglasses or contact lenses, please bring your eyeglasses (or contact lenses) with you to the exam. NO NEED TO BRING THE PRESCRIPTION.

M E D I C A T I O N
Please bring a note that lists any medications (and dosage) you have been prescribed from your doctor or pharmacist. NO NEED TO BRING THE MEDICINE. NOTES ARE NOT NEEDED FOR VITAMINS OR BIRTH CONTROL PILLS.
 
NOTES ARE NOT NEEDED FOR VITAMINS OR BIRTH CONTROL PILLS.

6. DUI /CRIMINAL CONVICTIONS THAT DO NOT REQUIRE A WAIVER
If you have had a DUI or been convicted of a criminal offense, present or past please be aware that  you must disclose this information to the Consulate office and to the Panel Physician. You will be required to bring documentation in this regard when you come for  your medical exam  or the Consulate my ask you to return to our office to provide this information.

Please note that this information is gathered only for your benefit and is kept confidential and private.

WAIVERS:  IF YOU ARE A WAIVER APPLICANT AND HAVE RECEIVED A LETTER FROM US CBP /  HOMELAND SECURITY DIRECTING YOU TO SEE A PANEL PHYSICIAN FOR A US MEDICAL EXAM ....YOU MUST INDICATE THAT TO US THROUGH YOUR EMAIL AND AND ATTACH YOUR LETTER FROM US CBP. YOU WILL BE NOTIFIED ON HOW TO PROCEED WITH YOUR APPLICATION.

V A C C I N A T I O N S:

Here is the list of mandatory U.S. immigration vaccinations. For an updated and current list, please visit the US Department of State web-site at

https://travel.state.gov/content/visas/en/immigrate/vaccinations.html

You may determine the vaccines you need by visiting the US Department web-site as per the link given above and the vaccines needed are specified as per the age group in this web-site. The information given below is only for reference and visit the US Department web-site for the most updated list.

IMPORTANT NOTE:  The vaccines that each applicant requires is based on the age of each applicant. Please ensure that you understand that the vaccine LIST you received encompasses ALL the vaccines required to enter the United States from birth to 65 years and older. In order to determine what YOU need to immunized for, depends on YOUR age /age group as listed in this attachment.

For example: if you are between the ages 27-49, then you ONLY need to be immunized for TDAP, MMR(measles, mumps and rubella), Varicella (not needed if you had chicken pox) and the Flu Shot (only when in season Oct- Feb, annually)

(For vaccine related inquiries please provide your Date of Birth when you email.) .

BIRTH - 1 MONTH

Hepatitis B

2 - 5 MONTHS

DTP (may include DT) - Please ensure babies have all vaccines.

Polio (IPV or OPV)

Hib

Hepatitis B

Pneumococcal

Rotavirus (orally)

6 MONTHS

DTP (may include DT) - Please ensure babies have all vaccines

Polio (IPV or OPV)

Hib

Hepatitis B

Pneumococcal

Rotavirus (orally)

Influenza (only required during October - February, annually)

7-11 MONTHS

DTP (may include DT) - Please ensure babies have all vaccines

Polio (IPV or OPV)

Hib

Hepatitis B

Pneumococcal

Influenza (only required during October - February, annually)

12-23 MONTHS

DTP (may include DT) - Please ensure babies have all vaccines

Polio (IPV or OPV)

Hib

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis A

Hepatitis B

Pneumococcal

Influenza (only required during October - February, annually)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

2-4 YEARS

DTP (may include DT)

Polio (IPV or OPV)

Hib

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis B

Pneumococcal

Influenza (only required during October - February, annually)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

5-6 YEARS

DTP (may include DT)

Polio (IPV or OPV)

Hib

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis B

Pneumococcal

Influenza (only required during October - February, annually)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

7-9 YEARS

Td

Polio (IPV or OPV)

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis B

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

Influenza (only required during October - February, annually)

10 YEARS

Tdap (Adacel or Boosterix) - ensure you get Tdap not just Td

Polio (IPV or OPV)

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis B

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

Influenza (only required during October - February, annually)

11-18 YEARS

Tdap (Adacel or Boosterix) - ensure you get Tdap not just Td

Polio (IPV or OPV)

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Hepatitis B

Meningococcal (Your vaccine must cover all four strains - A, C, Y, W-135). Some of the brands are: Menactra, Menomune, Menveo

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

Influenza (only required during October - February, annually)

19-26 YEARS

Tdap (Adacel or Boosterix) - ensure you get Tdap not just Td

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

Influenza (only required during October - February, annually)

27-49 YEARS

Tdap (Adacel or Boosterix) - ensure you get Tdap not just Td

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

Influenza (only required during October - February, annually)

50-64 YEARS

Tdap (Adacel or Boosterix) - ensure you get Tdap not just Td

MMR Measles, Mumps, Rubella. ("MR" and "MM" are not enough. You need MMR)

*MMR needed only for those applicants born in or after 1957.

Influenza - (only required during October - February, annually)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed

65 YEARS AND OLDER

Td - Within the last 10 years or needs to be repeated

Pneumococcal

Influenza - (only required during October - February, annually)

Varicella - If you had "Chicken Pox" disease, no vaccine is needed. Otherwise please provide us the exact date (MM-DD-YYYY) of the Varicella vaccine. If you had chicken pox, your verbal statement is suffecient proof.

Note:    A VERBAL DELCARATION is accepted proof of Chicken Pox. Do NOT assume that you can substitute Td for Tdap or vice versa.   

Alberta Applicants: Immunizations can be given a any Public Health Clinic in Alberta

B L O O D   T E S T (TITER IMMUNITY TEST):
If you do not have the vaccine records available from childhood, you can have a blood test to prove that you have been vaccinated. You can visit your Family Doctor or any medical clinic and request a blood test. Please note there is no blood test for (Tdap) Tetanus or Pertussis and the Flu shot has to be repeated annually. If you choose to have your blood test, ensure that you receive the result prior to your arrival for the Immigration Medical. Please note that without proof of vaccinations, we are not able to complete the medical.

*X-RAY AND BLOOD TESTS DO NOT REQUIRE DIETRY RESTRICTIONS you may eat and drink as normal before exam. You will be sent to a Consulate designated lab(s) which is near our office.

P A Y M E N T S
We accept cash, direct debit, bank drafts or money orders in Canadian Funds. We do not accept cheques or credit cards. For convenience, family members can combine the payment.
This Service is not covered by MS

Adult- $340.00
Child- $150.00 (age 14 and under)
* These Rates Include X-Ray and Blood Test Fees where applicable.

Cancellation or no show fee- $100.00 (48 hours notice is required for cancellation) Once you have confirmed your appointment and we have scheduled your appointment, this will apply.

FINAL REPORT AND PICK UP
NOTE: YOUR FINAL REPORT IS VALID FOR 6 MONTHS from the date of your medical exam  (UNLESS NOTED OTHERWISE).

The final report (for applicants who attend their exam  on Monday - Thursday), is ready for pickup two days after your exam,  after 4pm.

 **If your exam is on a Friday, the report is ready for pick up on Tuesday after 4 pm (unless Tuesday falls on a statutory holiday and then pick up is on Wednesday after 4pm).

For applicants who cannot stay to pick up their reports, they can make arrangements at reception to have their report couriered to their home address.

If applicants choose to  have a representative pick up the report on their behalf, they must provide the full name and phone number of that individual .  This person/designate will be required to show photo ID and sign for the report when picking up.

This office is not responsible for reports that go missing or fail to reach their intended destination.

Please note: You will receive your completed medical report in a SEALED Envelope marked "DO NOT OPEN" to take with you for your interview at the Consulate.

*You will also receive for your personal records in a brown envelope a copy of your chest x-ray CD and a copy of your vaccination worksheet.  Please take care and keep these records as they might be needed at a later date.


TRAVEL CLINIC WEBSITES
Vancouver area:   http://www.tmvc.com