Medical Examination for U.S.A. Visa Applicants
Regular Immigrants and K-Visa ApplicantsRead more
Medical Examination Appointment Confirmation Email from SLEC (printed or digital copy)
Valid passport – original and one (1) photocopy of biographic data page
(Use short bond paper. Do not reduce or enlarge the image)
Vaccination records – original and one (1) photocopy, including the COVID-19 vaccine certificate, if vaccinated (please make sure that the data is correct)
Visa Interview Appointment Letter – one (1) photocopy
Letter with Case Number / K1FTP Letter (K Visa) - one (1) photocopy
DS 260 Confirmation (Regular Immigrant) - one (1) photocopy
Old chest x-ray films, if available
(Should have been taken at least 3 months ago and must clearly show (1) the patient’s complete name, (2) date of x-ray and (3) name of the facility/clinic.)
Authorization Letter or Special Power of Attorney (SPA) authorizing the companion to sign documents in behalf of the parent
Parent’s valid government signature bearing ID – 2 photocopies per applicant
Companion’s valid government signature bearing ID – original and 2 photocopies per applicant
Pre-Marital, Command Sponsorship and Overseas ScreeningHide
Signed Endorsement Letter from the Commanding Officer of the prospective spouse
(The letter should contain the (1) complete name of the visa applicant, (2) purpose of the exam, and (3) the list of medical exams that need to be performed)
Valid passport – original and photocopy of biographic data page
(Use short bond paper. Do not reduce or enlarge the image)2 pieces 2”x2” visa photos (refer to U.S. Visa Photo Requirements for specifications)
Old chest x-ray films, if available
(Should have been taken at least 3 months ago and must clearly show (1) the patient’s complete name, (2) date of x-ray and (3) name of the facility/clinic.)
Authorization Letter or Special Power of Attorney (SPA) authorizing the companion to sign documents in behalf of the parent
Parent’s valid government signature bearing ID – 2 photocopies per applicant
Companion’s valid government signature bearing ID – original and 2 photocopies per applicant
EACH APPLICANT MUST PRESENT THE FOLLOWING:
For minors (ages 17 and below) who are not accompanied by their parents:
EACH APPLICANT MUST PRESENT THE FOLLOWING:
* If valid passport is not available may present any valid government issued ID and one (1) photocopy
For minors (ages 17 and below) who are not accompanied by their parents:
Whenever applicable, please bring the following:
Note: The following documents are for information purposes only and will not replace the required test.
Old chest x-ray films taken 3 months prior to the medical examination, or older
Original COVID-19 Vaccination card and one (1) photocopy
Immunization record, Original and one (1) photocopy
personal copy (e.g. baby book) or copy of medical chart indicating received vaccines; vaccine card from local health center
complete date of receipt of vaccination
must include signature (license number & full name) of doctor or health worker who administered vaccine
Medical certificate regarding a previously-treated or currently managed clinically significant illness, Original and one (1) photocopy
Medical Treatment
name of medication (brand and/or generic name)
dosage
duration and dates of treatment
surgical procedure done
complete final diagnosis
outcome of treatment or treatment plans and prognosis, if available
SELF-REPORTED VACCINES WILL NOT BE HONORED.
Your vaccination documentation will only be honored if it contains the following details:
The medical certificate should contain the following information:
Physical Examination - Required for all applicants, regardless of age
Interferon Gamma Release Assay (IGRA) Test - Required for applicants 2 years old and above
Chest X-ray (CXR) - Required for all adult applicants aged 15 and above, or children if indicated
Syphilis Test - if indicated
Gonorrhea Test - if indicated
COVID-19 Vaccination
Applicants are asked to bring the original and clear photocopy of their COVID-19 vaccination record.
Important Reminders
All visa applicants 15 years old and above, male or female, are required to have chest x-ray. Pregnant applicants may have an option to defer medical examination including chest x-ray until delivery, however medical will not be release.
Minors (17 years old and below) must be accompanied by their parent or by a legal guardian who has thorough knowledge of the child's medical history.
Letter of Authorization or Special power of attorney stating that the companion is authorized to sign on behalf of the parent
2 photocopies of the Parent's valid government signature bearing ID
Authorized companion's valid government signature bearing ID, original and 2 photocopies
Applicants are advised to take their meals prior to coming over for their medical examination since food is not allowed within the premises. Blood and urine tests do not require a fasting state. However, there are restaurants near St. Luke's Medical Center Extension Clinic and drinking fountains are available within the building.
Immigration law and CDC requires vaccination with age-appropriate vaccines.
The parent or legal guardian must present a valid government signature bearing ID (original and 2 photocopies)
In case the companion is not the legal guardian, the following documents must be presented:
Age | Price |
---|---|
15 years and older | Php 28,650.00 |
less than 15 years old | Php 13,910.00 |
The Medical Examination fee is inclusive of vaccines.
Psychiatric evaluations shall be charged separately, with expenses to be paid by the applicant.
Referrals to sub-specialty clinics outside of St. Luke's Extension Clinic (e.g. neuro-developmental pediatrician, psychologist, dermatologist, interventional cardiologist and radiologist, ophthalmologist, etc.) shall be charged separately, with expenses to be paid by the applicant.
St. Luke's Medical Center Extension Clinic accepts cash and credit card payments at the clinic cashier.
REMINDERS:
Appointment schedule time will be strictly implemented. Applicants will only be allowed to enter the building 15 minutes to 30 minutes before their schedule. This is to avoid over crowding inside the clinic.
Fasting is not required for the medical examination. Food is not allowed inside the facility.
All visa applicants 15 years old and above, male or female, are required to have chest x-ray. Pregnant applicants may have an option to defer medical examination including chest x-ray until delivery, however medical report will not be release.
Minors (17 years old and below) must be accompanied by their parent or by a legal guardian who has thorough knowledge of the child's medical history.
Letter of Authorization or Special power of attorney stating that the companion is authorized to sign on behalf of the parent
2 photocopies of the Parent's valid government signature bearing ID
Authorized companion's valid government signature bearing ID, original and 2 photocopies
Only senior citizens, PWD, pregnant women or minor applicant will be allowed have a companion during the medical exam.
The parent or legal guardian must present a valid government signature bearing ID (original and 2 photocopies)
In case the companion is not the legal guardian, the following documents must be presented:
Day 1 | View Flowchart |
Day 2 (For applicants ages 15 years old and above) |
View Flowchart |
Day 2 (For applicants ages 2 to 14 years old) |
View Flowchart |
Download the printable version (in PDF Format, Requires Adobe Acrobat Reader) |
Note:
Medical results and documents will be released according to the physical examination, x-ray and laboratory results, which will be conducted and processed in accordance with the guidelines set by the U.S. Department of State, the U.S. Embassy and the Center for Disease and Control and Prevention.
Copies of your immunization worksheet and IGRA test result will be emailed to you 3-5 working days after your immunization.