Medical Exam and Report

Location of the Migration Health Assessment Center (MHAC)

Applicants for U.S. immigrant visas and transportation letters are required to have medical examinations performed by IOM (International Organization for Migration) Embassy panel physicians.
      
Health Assessments for Immigrants to the US Information Sheet

Health assessments for the immigrants to the US are conducted by the International Organization for Migration (IOM) at the Migration Health Assessment Center.

Working hours: 08:00 – 17:00, Monday through Friday, except national holidays.

Appointments and Information: 08:00 – 17:00, Monday through Friday, except national holidays.  Phone numbers: (+977) 01 44 17 219 and (+977) 01 44 29 599

Address: IOM Migration Health Assessment Center (MHAC), 768/4, Thirbam Sadak, Baluwatar-4 (next to the main IOM office).

What to bring to the health assessment:

1. Appointment letter
2. Passport or other travel document. Photocopies will not be accepted.
3. Three photographs in the same format as for the US visa
4. Vaccination record, if available
5. Previous chest X-rays, if available
6. If you suffer or have suffered from any chronic condition or  underwent major medical or surgical treatment, please bring medical records or hospital reports. Insufficient information may lead to delays and additional testing.

Important notices:

1. Children 2—14 years old must visit the MHAC twice.  On the day of the health assessment, they will have a Tuberculin Skin Test (TST), which will be read 48-72 hours (2-3 days) later. Alternatively, they may come 48-72 hours (2-3 days) before the examination for the TST. For this reason, children under 15 years should not come for TST on Thursdays.
2. Children under 16 years must be accompanied by a parent or a legal guardian, who can sign and take decisions on their behalf.

Service fee

• Adults (15 years and older) – USD 127
• Children (under 15 years) – USD 92

The fees are to be paid in US Dollars or Nepali Rupees at the IOM exchange rate for the month (check exchange rate with IOM staff).
The fee includes:

1. Physical examination
2. Chest X-ray with additional views, if needed
3. Blood drawing, serological test for syphilis, including confirmatory test, if needed and treatment for syphilis, if needed
4. Tuberculin skin test
5. Additional testing for tuberculosis (TB), if needed
6. Treatment for TB, if needed
7. Reviewing and transcribing vaccination records
8. Pregnancy test, if needed

The fee does not include:

1. Vaccinations (charged separately, see below)
2. Any additional investigations, which may be required to establish or clarify a diagnosis, including psychiatric evaluation
3. Any costs associated with the applicant’s stay in Kathmandu, including costs related to a long-term stay for TB treatment
4. Any costs associated with the treatment of side effects that may occur during TB or syphilis treatment

Fees must be paid at MHAC prior to the health assessment (on the day of health assessment or before). Fees for vaccinations must be paid on the day of the health assessment after review of the vaccination history by an IOM health worker.

Immunization fees:

1. Do not conceal medical conditions. Deliberate attempts to hide them will be reported to the Embassy.
2. Do not conceal pregnancy. Pregnancy will not affect your immigration prospects, however, some immunizations are contradicted during pregnancy and could harm your baby.
3. Abstain from drinking alcohol on the day before the examination.
4. Note that your whole body will be examined. Please maintain proper hygiene.
5. Postpone or re-schedule your appointment if you or your child is acutely ill with a high fever or rash.
6. If you use glasses or contact lens, please bring them to the health assessment.

Should the general examination reveal the need for additional tests, the applicant will be responsible for the extra charges.     
     
Applicants who suffer or have suffered from a chronic illness or have had a serious operation in the past should bring medical reports with them and present them to the examining physician.     
     
United States immigration law requires that immigrant visa applicants obtain certain vaccinations (listed below) prior to issuance of an immigrant visa.  Panel physicians will verify that immigrant visa applicants have met those requirements.     
     
Mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, influenza type B (HIB), hepatitis B (up to 18 years of age), varicella, pneumococcal, influenza, rotavirus, hepatitis A, meningococcal, human papillomavirus (HPV) and zoster, and acellular pertussis (10-64 years).     
     
Applicants should make their vaccination records, if any, available for the panel physician’s review at the time of the medical examination.  If you do not have a vaccination record, the panel physician will work with you to determine which vaccinations you may need to meet the requirements.  Only a physician can determine which of the listed vaccinations are medically appropriate for you, given your age, medical history and current medical condition.  Please note that vaccination fees are not included in the fees listed above.  Applicants will be responsible for all fees associated with each vaccination to be administered.     
     
The Embassy-approved physician will send your medical report directly to the U.S. Embassy for the interviewing consular officer's review.