Medical examination for the intending immigrants to the U.S. is carried out as a requirement by the US state department. This examination is done according to the guidelines provided by the Center for Disease Control (CDC) Atlanta, Georgia USA. A complete physical examination is carried out on all applicants. Applicants may take their meals prior to coming over for their medical examination as all the initial blood and urine tests do not require a fasting state. Children between 2-14 years of age shall be screened for TB by cell-mediated immune response test (QFT PLUS OR TB SPOT). The QFT-Plus assay requires blood to be collected in specialized tubes. The medical report will not be completed unless blood specimen is obtained and the required test is performed at amc. X-ray chest and blood test is also done for applicants above 15 years of age. These investigations are done at the center and tests brought from other medical facilities are not accepted. In addition to these tests the doctor may ask for additional tests as deemed necessary to the process the medical report.
Please also see the following U.S. Embassy Islamabad medical instructions.

According to the CDC guidelines the first dose of the vaccines is given to every applicant. These vaccines are specific for specific age groups. All the immunizations are carried out at amc.

With the implementation of eMedical, online appointments need to be confirmed after locating your case in eMedical portal. This may take 24-48 working hours after the online appointment is submitted. You shall receive an email providing you with the details as well.

1. All applicants must appear in person for medical examination
2. Original Valid Passport
3. Two coloured photocopies of the passport data page.
4. For eMedical cases one recent passport size photograph with white background. For paper medical 6 recent passport size photographs with white background are required.
5. DS form 260 bearing your Consular Electronic Application Center (CEAC) barcode and the interview letter. DS form 260 can be completed online by visiting the site https://travel.state.gov/content/travel/en/us-visas/visa-information-resources/forms/online-immigrant-visa-forms/ds-260-faqs.html
6. Any previous medical/surgical notes and prescription for medications (if any)
7. You are requested to bring original Polio certification and one copy of the certificate from authorized centers of Governments hospitals only. *For visa purpose polio vaccine can be given at the medical center at an additional cost. Failure to provide with an authentic valid Polio certificate may result in delay of your visa process.
8. You may complete the medical history form and submit it online or bring a print out on the day of the appointment. This will save you time and inconvenience. You may visit the following link to fill the form https://www.amcpk.com/amc/MedicalForm.aspx
9. Fee for medical examination in Pak Rupees or in US dollars.

*Please check with medical center about the availability of the polio vaccine.

All applicants are requested not to bring any large bags or wear unnecessary jewelry on the day of medical examination. Any accompanying person with the applicant may not be allowed in the medical center. Please do not bring along with you any other person as an attendant or escort. Only those applicants requiring special assistance are allowed one attedant to accompany them in the medical center. If you require special assistance please inform the medical center before coming for medical examination.

EMedcial requires that all the medical reports are submitted electronically through the eMedical portal. Applicants’ shall however will be provided with a copy of vaccination sheet and a chest X-ray CD, that they will have to hand carry to the port of entry of the United States of America. Copy of the vaccination record and the chest X-ray CD can only be provided after 3 working days. You may collect these items after your interview at the US consular section.
Medical examination report is highly confidential and no other reports can be released to the applicant as per the policy of the US department of state and the Center for Disease Control USA.
You may request to courier the vaccination sheet and the Chest X-ray CD to the address provided by you at the time of the examination. This will incur additional cost for the courier service charges.

PLEASE BE ADVISED THAT THE MEDICAL EXAMINATION CANNOT BE CARRIED OUT UNLESS YOUR INTERVIEW HAS BEEN SCHEDULED BY THE US EMBASSY CONSULAR SECTION.
You are advised not to book an appointment for the medical examination earlier than three weeks from the date of interview due to 6 months of validity for the normal medical examinations and 3 months validity in the examinations with abnormal chest x ray.
If your medical examination is normal and no further investigation is warranted then the report will be submitted electronically in 3-4 working days.
If you are coming from a different city your vaccination sheet and the chest x ray CD can be delivered at the address provided by you through a courier service. You are liable to pay for the courier charges.

• Any intentional attempt to hide medical or physical condition shall be informed to the embassy.
• If you are pregnant please inform the staff at the registration desk so that vaccines which are contraindicated are not given to you. These vaccines may be harmful to your baby.
• Complete physical examination is required by the CDC and whole body shall be examined. Please take in account hygiene and cleanliness.
• If you or your child has high grade fever or severely ill please re-schedule your appointment and only come for medical examination when you or your child has recovered completely.
• Please bring your vision glasses or contact lenses at the time of medical examination. Please also bring your previous prescriptions of medications or surgical notes if any.
• Applicants are required to provide complete postal address in Pakistan and complete address with zip code of the United States where they intend to stay.
• Children between 2-14 years of age shall be screened for TB by cell-mediated immune response test (QFT PLUS OR TB SPOT). The QFT-Plus assay requires blood to be collected in specialized tubes. The medical report will not be completed unless blood specimen is obtained and the required test is performed at amc.
• You are advised to wear loose and easy to wear clothing on the day of the examination.
• For Pregnant Females:
  Applicants who are pregnant will have to undergo chest x ray carried out irrespective of the term of pregnancy. The x rays are done under double lead guard cover to protect the foetus from any danger of being exposed to radiation. Please note that your medical report cannot complete with out chest x ray. These are the guidelines laid out by the CDC.
• Passports having less than 3 months of validity are not acceptable as per instructions form the US embassy consular section.