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Description of Fiance Visa Medical conducted at St. Lukes, Manila

When one of the couples I was helping was going through the medical at St. Lukes, the American  let me know that this was a very stressful time for his fiancee, and he suggested that it would be very helpful if more information was provided for the gal before the medical.  So here goes.

Thanks to Gerald for his suggestion and help in putting this together.


In order to approved for immigration to the USA each foreign born applicant must undergo a medical examination. This is to demonstrate that the applicant is NOT ineligible for immigration due to public health, mental health or drug abuse issues.

All applicants being processed in the Philippines have their medical’s at St. Lukes Medical Center in Ermita, just a block away from the US Embassy.

Below is a detailed description of the process.

St. Luke’s Medical Center Extension Clinic (SLMCEC)
1177 J. Bocobo Street, Ermita, Manila

Telephone Numbers: (+63 2)521-0020, (+63 2)521-8647

Working Days/Hours: Monday-Friday, 7:30 a.m.-11:30 a.m. and from 1:00 p.m.-4:30 p.m. (Closed on Philippines holidays)

Online Registration:

The medical takes 2 days.

Day 1 consists of all the tests

Day 2 is immunization and collection of results.


$ 213.25 – 15 years and older
$ 185.35 – less than 15 years old

Each Applicant should bring the following

  1. Original Passport and 1x photocopy of passport Info page
  2. 3x recent 2×2 pictures. Ears are visible, and no earrings.
  3. Appointment Email or Letter, plus 2x photocopies
    (if appointment has not been scheduled, instead bring NVC letter with MNL case number)
  4. St. Lukes Online Registration form + 1x photo copy
  5. Vaccination Records
  6. Cash to pay fees
  7. Annulled or divorced applicants bring proof of marriage termination

General Recommendations:

  1. Eat a hearty breakfast (it will be a long day)
  2. Bring Drinking water, in clear container
  3. Bring a black ink, ballpoint pen
  4. Bring envelope or portfolio to contain your documents
  5. The best timing for Day #1 is Wednesday or Thursday.
    (Monday and Tuesday are most busy, and arriving Friday means having Day #2 after the weekend on Monday)
  6. Don’t wear any metal jewelry

Recommendations for female:

  1. You may not undergo exam during your menstrual period. Best to schedule one week after last period is over.
  2. Remember the date, of the first day of your last period. You will be asked this.
  3. Wear loose clothing, that can easily be removed. All UPPER garments will at one point be removed.
  4. There is little privacy so better to avoid wearing full dress.
  5. Bring something to tie long hair with.

Day #1
1. Doors open at  6:00am. People start queuing much earlier.

2. Present documents to guard. He gives you a number.

3. When staff calls the number, queue at her counter.
(Filling out the registration form online the night before speeds this part.)
Staff confirms all required documents are present, photos are acceptable, and scans finger prints.

4. Pay medical fees on 5th floor, on right, beside the elevator.

5. Proceed to the 3rd floor for X-ray. Fill in more forms, change into hospital gowns. No upper garments, bra, or necklace allowed.
Hair should be tied up.

6. Proceed to 4th floor, for Blood sample collection.

7. Proceed to Urine Collection (also 4th floor).

8. Proceed to 5th floor to “USA Counter” located on right. Present documents.

9. Proceed to Visual Exam Room.  There for measuring of body weight, height, and vision.

10. Proceed to Vital Signs Room, for blood pressure  and pulse rate.

11. Proceed to Physical Exam rooms. (Applicants are assigned same gender doctors.)
Doctor first inquires about medical history, such as previous pregnancies, last menstrual period, surgeries and diseases experienced. Then change into a hospital gown and on to examination table. Doctor examines ears, throat, neck, breasts, wrists, arms, abdomen, anus, privates.

12. Proceed to 2nd floor for Immunization Interview. Doctor asks about medical history, prior diseases, prior vaccinations, then prescribes which immunizations would be required.

13. Proceed to Ground Floor. Check out at reception. Staff returns documents, plus a Receipt to be used when returning on following day.

Day #2

1. Arrive for 9:00 am.

2. Guard inspects Receipt, and refers to his computer.

3. If previous days exams were satisfactory, the receipt is marked immunization and you go to 2nd floor for vaccinations.
A copy of exam results are given to you. (you will hand these over when arriving to the USA, at US border control)
and a sealed copy of your exam results is sent directly to the US consulate.

For Most applicants this is the final step prior to the consulate interview.

4. However, if your x-ray showed a possible TB infection, then the receipt is marked sputum and you proceed to undergo a sputum test to confirm if this was a false positive or sign of a real infection.

The doctor gives case specific instructions which normally include requesting a follow up exam at St. Lukes a few months later, to review the sputum results. St. Lukes contacts the consulate directly to postpone your interview. A new interview can be scheduled only after St. Lukes provides clearance.

by Fred Wahl
Fiancee Visa Coach


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