United States
Making your appointment
For appointments, please call 020 7486 7822 (Monday to Friday, 9.00am to 4.30pm) or email
Please have the following information ready when you call us:
- Appointment dates you prefer (this should be at least 5 working days before your interview date).
- Full name and date of birth of all applicants requiring a medical exam.
- Case (LND) number and visa category.
- Police certificate (or a clear copy if original with Embassy).
- Interview date (if already scheduled).
- Contact phone number or email.
You will be charged £100 if you cancel your appointment within 3 working days of the appointment date
What you should bring to your appointment
- Appointment letter from the United States Embassy.
- A valid Passport.
- 4 identical passport-sized photographs (four for each applicant, including babies).
- Medical questionnaire (form IV18a) completed, (one for each applicant, including all children).
- Police certificate.
- Spectacles or contact lenses if worn.
- Vaccination records, with original certification.
- For children of 7 or under, the ‘Red Book’ health record, if available.
- Print-out of medical records summary from GP.
- Copies of GP/specialist reports, if available, for any significant medical conditions, including all psychiatric. If there is any history of TB or tuberculosis contact, please obtain old records, including investigation and treatment details.
- Records for any treatment of STDs.
- When there may be special educational needs, please provide any recent educational, psychological assessments, school reports etc.
What to expect during your medical examination
All applicants will have a full medical examination with one of the Embassy’s appointed doctors.
There will be a full review of past health.
The examination consists, at a minimum, of a physical examination of eyes, ears, nose, throat, extremities, heart, lungs, abdomen, lymph nodes, and skin and includes an evaluation of mental status. The applicant will undress to underwear whilst wearing a gown. Chaperones are available for all applicants.
In addition, applicants aged 15 years and above are required to have a chest X-ray and applicants 18 years and above may require a blood test for syphilis infection and a urine sample for Gonorrhoea testing, depending on age. Sample pots for urine collection will be provided on arrival. If there are any indications of Tuberculosis disease or contact, we are required to consider additional tests which will be offered at NO additional cost.
Pregnant women may defer their chest X-ray until after childbirth, but the medical cannot be conducted without it.
In most instances, your medical results will be sent to the Embassy FIVE working days after your appointment, in time for your visa interview.
Your vaccination records will be reviewed to verify whether you meet the United States vaccination requirement, or if it is medically inappropriate for you to receive any of the vaccinations listed in the vaccination chart you received from the Embassy.
If you do not have a vaccination record of any of the required vaccines, we are able to vaccinate you on the day of your medical examination.
Covid vaccination requirements for US visa applicants from 1st October 2021
All applicants eligible for Covid-19 vaccination under local policy, including K1 visas, Refugees and Non-immigrant visas require proof of 2 doses of a COVID 19 vaccine in order to complete their Visa Medical (With the exception of the Janssen vaccine which is a one dose course).
- Proof of vaccination must be obtained from GP records and NOT vaccination cards unless vaccinated abroad i.e. CDC card.
- Batch numbers/brands are required where available.
- Eligibility for Covid-19 vaccine to be reviewed regularly as per local government policy.
- If an applicant has contra-indications to Covid-19 vaccination, a GP letter to confirm this will be required.
- Only approved COVID-19 vaccines will be accepted authorized for emergency use (EUA) by the US Food and Drug Administration (FDA)external icon or listed for emergency use (EUL) by the World Health Organization (WHO).
Price list
Visa Medicals has implemented the new US Technical Instructions for Tuberculosis Screening and Treatment. This involves more extensive and detailed investigations for applicants with any indication of active or inactive (including previous) TB. These applicants require extra testing. We are instructed to spread this extra cost for TB cases across all applicants.
TB cases will be investigated for no extra charge.
As of December 1st, 2022 the following charges will apply:
| Adults (18+ years) | £380 |
| Child aged (aged 15 to 17) | £350 |
| Child aged (aged 14 and below) | £160 |
| Medical examination for Non-Immigrant visas | £440 |
| Drug Screen fee (each) | £70-£200 |
| Alcohol Screening | £55-£150 |
| DNA Specimen collection (Child) | £65 |
| DNA Specimen collection (Adult) | £115 |
| Bacteriological examination of sputum x 3 (for TB) | N/C |
| QuanitFERON TBGold Plus test | £70 |
Vaccinations
| Diptheria, tetanus and pertussis | £70 |
| Tetanus and diphtheria and polio | £50 |
| Measles, mumps and rubella | £60 |
| Hepatitis B | £50-80 |
| Hepatitis A & Hepatitis B combined | £80 |
| Haemophilis influenzae type B | £32 |
| DTaP + Hib | £70 |
| Pneumococcal (Adult) | £50 |
| Pneumococcal (Child) | £90 |
| Influenza | £20 |
| Hepatitis A | £50 |
| Hepatitis A+B (Child) | £80 |
| Hepatitis B (Child) | £50 |
| Meningococcal MCV | £70 |
| Rotavirus | £70 |