United States Visa Medicals

Items to bring
1) Original valid passport.
2) Case number letter (Letter from the US Embassy or National Visa Center/ NVC)- printed hard copy.
3) 4 photographs (Height 4cm × Length 3cm) for paper-based exams (ie. K-1/ Diversity/ Non-Immigrant, DUIvisas)**Photos are not required for eMedical applicants****Please confirm if your case is eMedical or paper-based when making your appointment**
4) Vaccination records (if available). (please bring paper copies, no apps or photos). All vaccination recordsshould be in English or Japanese. Records in other languages should be brought with a translation.
Records not translated into English or Japanese will not be accepted.
5) Pregnant applicants must present proof of pregnancy such as a medical certificate from an OBGYN doctor ormother-baby book.
6) Applicants with serious medical conditions should bring details (medical certificate in English) regarding
treatment and current health status.
7) Applicants with a history of tuberculosis infection should bring previous treatment records, medical certificatesfrom the treating doctor, and medication details.
8) Children under 6 years old should bring their “Mother & Child Notebook” if available.
9) Glasses or contact lenses (if worn)** Please bring printed hard copies of all proof documents (medical certificates, vaccination records, etc.)
No digital files, photos, or apps. **Precautions:● Examinations are performed by appointment only (no walk-ins).
● When taking the chest x-ray: You will be asked to remove clothing covering the upper body (including shirts/
undershirts/ bras/ tank tops, etc.) before taking the chest x-ray. Please avoid clothing that cannot be taken off
quickly such as dresses/ overalls/ jumpsuits/ bodysuits, etc. The chest x-ray must be performed to complete thisexam. A protective covering will be used over the pelvic area for pregnant applicants. Please consult your regularobstetrician if you have concerns about taking the chest x-ray.
● Female applicants may undergo the medical during menstruation. If you are pregnant, please inform our staff
when making your appointment.
● The examination will take approximately 2 hours (for one applicant). Applicants will be called in order of appointment time (not in the order of arrival or check in).
● Please come at the set appointment time. Examinations cannot be started early for those who come early. Pleaseavoid coming in 1-2+ hours before your appointment time.
● Fasting is not required for this examination.
● Please inform our staff if you have history TB infection/ treatment, or other medical conditions.

Pre-Examination preparations
For paper-based exams (K-1/ Diversity/ Non-Immigrant, DUI visas): Applicants who have scheduled theirappointment and undergoing paper-based exams are asked to complete an on-line medical questionnaire by 2
working days before the examination day so all necessary forms can be prepared before their visit. Please
complete and submit the medical questionnaire through this link: https://tmsc.jp/us-visa-application-form
For eMedical exams (Immigrant visas): E-medical applicants do not have to complete the on-line questionnaires
in advance, but large families or groups may be asked to do so when making their appointments. Our staff willadvise you if necessary.

Cost of Examination (tax included)
Age

Content of Examination

Cost

0-14

Measurements, Doctor’s consultation,Tuberculosis blood test **15 andolder

Measurements, Doctor’s consultation, Chest Xray, blood/urine test (if age appropriate)

15,400 yen
・Tuberculosis blood test (IGRA)→ 11,550 yen (chargedadditionally if done)

31,900 yen** Children aged 2-14 may require a tuberculosis blood test which will be decided by the doctor.
* Vaccination fees are not included in the price above.
* If all the required vaccinations are administered the total cost could add to more than 80,000 yen for applicants aged
15 and older; or more than 100,000 yen for applicants aged under 15.
* Accepted forms of payment: cash or credit card (Visa/ Mastercard/ AMEX/ JCB/ Diners/ Discover)

Vaccinations
The requirements of vaccinations vary depending on your age. In some cases vaccinations can be exempt:
1) Applicants who have an official record of the applicable vaccinations.
2) Applicants who have had varicella (chicken pox) infection.
3) Live vaccinations, (Measles, Mumps, Rubella and Varicella) are exempt for pregnant applicants.
4) All vaccinations are exempt for applicants applying for IR-3/IR-4 (Orphans, Refugees and adopted children aged 10and under.)Required Vaccinations
Age Group

Required Vaccinations

Over 65 years

Td/Tdap, Varicella, Pneumococcal, Covid-19

60-64 years

Td/Tdap, Measles, Mumps, Rubella, Varicella, Covid-19

19- 59 years

Td/Tdap, Measles, Mumps, Rubella, Varicella, Hepatitis B, Covid-19

18 years

7-10 years

Td/Tdap, Measles, Mumps, Rubella, Varicella, Hepatitis A, Hepatitis B, Meningococcal(ACWY), Covid-19
Td/Tdap, Measles, Mumps, Rubella, Varicella, Hepatitis A, Hepatitis B, Polio, Meningococcal (ACWY), Covid-19
Td/Tdap, Measles, Mumps, Rubella, Varicella, Hepatitis A, Hepatitis B, Polio, Covid-19

5-6 years

DTP/ DTap, Measles, Mumps, Rubella, Varicella, Hepatitis A, Hepatitis B, Polio, Covid 19

1-4 years
9 months- 11 months

DTP/ DTap, Measles, Mumps, Rubella, Varicella, Hepatitis A, Hepatitis B, Polio, Hib, Pneumococcal (PCV), Covid-19
DTP/ DTap, Hepatitis B, Polio, Hib, Pneumococcal (PCV), Covid-19

6 months- 8 months

DTP/ DTap, Rotavirus, Hepatitis B, Polio, Hib, Pneumococcal (PCV), Covid-19

8 weeks (2 months)- 5months
6 weeks- 7 weeks

DTP/ DTap, Rotavirus, Hepatitis B, Polio, Hib, Pneumococcal (PCV)

Birth- 5 weeks

Hepatitis B

More than 6 months

Influenza (between October- March)

11-17 years

Hepatitis B, Rotavirus

Please see technical instructions from CDC for detailed information relating to vaccinations:
https://www.cdc.gov/immigrantrefugeehealth/pdf/Vaccine-Requirements-According-to-Applicant-Age-p.pdf
https://www.cdc.gov/immigrantrefugeehealth/panel-physicians/vaccinations.html#tbl1

** Regarding Polio Virus** Due to the on-going risk of polio transmission, CDC has announced that individuals who
have lived in certain countries for 4 weeks or more within 12 months of the immigration medical examination shouldpresent proof of polio vaccination. If no vaccination records are available, you may be advised to have the polio vaccination at the time of examination.
Please refer to this link for more information about polio vaccination requirements:
https://www.cdc.gov/immigrantrefugeehealth/panel-physicians/polio-addendum.html

New vaccination requirements for all applicants:
All applicants aged 6 months and older who have started but not completed the primary vaccination series for Covid-19
may be eligible for a blanket waiver.
Please refer to this link for more information about Covid-19 vaccination requirements for visa applicants:
https://www.cdc.gov/immigrantrefugeehealth/panel-physicians/vaccinations.html#covid-19-vaccination
https://www.cdc.gov/vaccines/covid-19/clinical-considerations/interim-considerations-us.html#covid-vaccines
https://www.cdc.gov/vaccines/covid-19/downloads/COVID-19-immunization-schedule-ages-6months-older.pdf*Regarding Antibody tests: Those who do not have vaccination records may choose to do antibody tests for measles,
mumps, rubella, varicella, and hepatitis B. These results will take about 3-4 working days. If any tests come backnegative, report completions will be put on hold until the required vaccinations are complete.

Report Completions (for paper-based exams)
Normal ServiceAge 0-14: Report will be completed in 5-7 working days not including the examination day (if tuberculosis blood test
is not done)**Age 15 and older: Report will be completed in 5-7 working days (not including the examination day) if all results arenormal and no further test results are pending. **** The above time frames for report completions apply only to applicants with normal results and have no medical
issues **** Paper-based reports can be picked up or posted (by Letterpack) for an additional mailing fee of 550 yen.

Report Completions (for eMedical exams)
Age 0-14: Results will be submitted on-line directly to US Immigration through the eMedical system within 5-7 working
days not including the examination day (if tuberculosis blood test is not done)
Age 15 and older: Results will be submitted on-line directly to US Immigration through the eMedical system within
5-7 working days (not including the examination day) if all results are normal and no further test results are pending.
** The above time frames for report completions apply only to applicants with normal results and have no medicalissues **Appointments are made (by telephone only) through our Visa Line: 03-3432-5181
Monday through Friday 10:00 am- 5:00 pm, (closed Sat/Sun/ National holidays)
Please check-in directly at the Physical Examinations Room on the 2nd Floor, Room #15.

June, 2023