USA visa medical examination
List of documents required.
Original passport + Two clear Xerox copies of the passport (including the Information page as well as address page).
Visa Interview letter/ Appointment confirmation letter / Step letter, which includes the name of all the clients who wish to perform the medical examination. (Applicants whose names are not mentioned in the interview letter will not be able to undergo the medical examination.
DS 260 Application confirmation receipt.
2 recent photos per candidate, 2“ x 2“ (inches) with white background as per the requirements of the US consulate will be required for all candidates being processed online, while 8 recent photos will be required for all cases processed offline .
In case of Non Immigrant Visas a letter from the consulate recommending the medical, will be required to start the medical (these medicals are not processed electronically). These candidates will not have a DS 260 confirmation receipt. They will require 8 photos to be carried when coming for the medical.
What to carry for the medicals
Carry all medical reports pertaining to any surgery or hospitalization (Discharge summary and lab investigations). Also get along all relevant reports or doctor’s notes for any chronic ailments for which you are under medication.
Latest prescription of medications that are used regularly. We also require that you carry the medicine strips or bottles such that the name of the medicine is legible. They will be reviewed by the examining doctor. If you are taking Insulin, it will suffice if you only carry the box containing the vials which have the name of the medication on it.
Please carry spectacles / lenses to the medical. For candidates using lenses you will be required to remove them to check your vision without correction.
Please carry with you all original prior vaccination records including the COVID 19 vaccine of all doses taken, if available. You will need to submit one copy of the vaccination record to the clinic.
Kindly carry your intended address in the US along with you on the day of the medicals. It is advisable to provide the same address that you have mentioned on your DS 260 form if correct.
If there is a discrepancy in your identity in DS 260 forms and the passport (especially with regards to the age, gender or the country of birth of the candidate) we will not be able to carry out the medical, till the same has been corrected by the consulate.
It is advisable to not wear any expensive jewellery for the medical examination as you will have to remove it at the time of the X- Ray.
The clinic will not be held responsible for any of your personal belongings, so kindly get only that which is required for the medical.
What to expect at the time of the medicals.
The medical will include a physical examination. You will need to change into a gown for this examination. Ladies when examined by a male doctor will be provided with a lady chaperon.
For candidates aged 18 years to 24 years, a urine test will be done for Gonorrhea. Applicants aged less than 18 years or more than 24 years will be tested if there is a reason to suspect infection with gonorrhea. If the test is positive for Gonorrhea you will need treatment (approximately 1-2 days) for it prior to the report being available to you.
Ladies between ages 18 to 24 years in their menstrual cycle should postpone the medical till it is over, or they will have to come for a repeat urine test after the menstrual cycle is over.
For candidates aged 18 years to 44 years a blood test will be done for Syphilis. If the test is positive, you will need treatment (approximately 3-4 weeks) for it before we can give you the report. Applicants aged less than 18 years or more than 44 years will be tested if there is reason to suspect infection with syphilis.
Distant vision tests
Height / Weight examination.
X Ray chest for all applicants above 15 years of age
All applicants two years and above will require an IGRA test for TB. This will require a blood test. Children with a positive IGRA test will also require a X Ray examination.
If you need in-flight medical assistance due to any serious medical illness or require hospital care , special schooling or rehabilitation after reaching the US please get the relevant medical records along at the time of the medical. Your treating doctor’s letter will also suffice for this.
Vaccinations
Age-appropriate vaccines are required for a US immigrant visa examination. This will be administered by the clinic as per the requirement ( except COVID 19 vaccine). Candidates are required to get along all prior vaccine records along with a Xerox copy of them including the COVID 19 vaccine certificate if available.
Those will be checked and only the mandatory vaccines will be given. The doctor has the right to refuse the vaccine records if he / she feels they are fictitious or have incomplete information on them. If candidates have no vaccine records, the age appropriate vaccines will be given to them at the time of the medical.
Vaccines that are contraindicated for any specific reason will not be given.
K1 visa applicants can opt to not take the vaccines at the time of the medical. They will however NEED to take the required vaccination in USA after arrival.
Time period of examination and results.
The medical examination is likely to require two to three hours to complete.
The reports may take up to one week to complete and be submitted online.
All applicants who’s medical is processed manually( offline ) will need to come back personally to collect the reports. One family member, who has undergone the medical, may collect the reports on behalf of all the family members. If client deputes someone to collect the reports on their behalf, they will need to send an authority letter and an identity proof of the person collecting the report along with the receipt of the medical examination. The relevant information that is given at the time of collection of the reports, will then be given to the person who collects the report.
There will be delay in receipt of medical examination report for applicants who are detected positive for Syphilis and Gonorrhoea as they will be required to complete the treatment prior to getting the report.
Clients with abnormal X Ray’s may require further investigations. If Sputum culture’s are requested then the reports will be available ONLY after 8 to 9 weeks . The report’s will be sent directly to the consulate and will not be handed over to the candidates. If the sputum test comes POSITIVE for Tuberculosis, they will require to undergo treatment under the DOT’s program.
Applicants whose medicals are processed electronically will receive a copy of their Information sheet and Vaccination worksheet on the email id provided by them. This will take up to seven days if the reports are normal.
Applicants are requested to carry a copy of their INFORMATION SHEET at the time of their interview.
Pregnant women :
Pregnant women who wish to undergo their medical, should first check with their gynecologist about the ill effects of X ray examination. If they do not wish to carry out the X ray they should postpone their immigrant visa medical till after the delivery. If they are ready to carry out the X Ray they will need to sign a consent form before undergoing the X ray. They will also be administered vaccines that are required and are safe in pregnancy. Vaccines that are contraindicated in pregnancy will not be given.
Sputum Follow Up Cases :
Applicant’s whose Chest X-Ray shows significant abnormalities will be sent for a Sputum culture test at Lilavati Hospital.
They would have to give 3 early morning sputum samples on three consecutive days. The candidate is required to go fasting (without drinking water, eating food or brushing teeth) for the test will be borne by Rele Clinic.
The results for the sputum culture report takes 8 to 9 weeks to complete. Rele clinic will receive the reports directly. If the reports are negative, the applicant’s reports will be submitted to the consulate when the final reports are available. If the reports are positive the applicant will be called / emailed, and informed about the same and will be advised start treatment.
The interview for candidates sent for sputum reports is automatically cancelled. The medical reports when completed, for sputum negative candidates, will be sent directly from Rele Clinic to the US Embassy. On receiving it, they will contact the applicant for a new interview date.
VALIDITY OF THE RESULTS :
The validity of the medical for these applicants who have undergone sputum culture tests, is three months from the date of the final Sputum culture result.
For all other applicants not requiring sputum tests is six months
Charges :
| AGE OF CANDIDATE / TESTS | CHARGES |
| Child (Below 2 years) | INR 10,000/- |
| Child (2 to 14 years) | INR 22,500/- |
| Adult (15 to 17 years) | INR 22,500/- |
| Adult (18 to 24 years) | INR 33,000/- |
| Adult (25 to 44 years) | INR 24,000/- |
| Adult (45 and above) | INR 23,000/- |
| IGRA Test | INR 10,000/- |
| Gonorrhoea Test | INR 10,000/- |
| Psychological Consultation (if required) | INR 3,200/- |
| Vaccination charges when administered. | INR 100 + Vaccine charges as per MRP of the vaccines given. |
* The cost of routine TB related investigations and the DOT treatment of Drug susceptible TB is included in the initial payment. Hospitalization may incur additional charges.
* In case any significant medical conditions are detected, the Panel Physician may ask for further investigations which will not be included in the cost mentioned above.