Immigrant Visas
Forms for medicals
Once you have received an appointment letter for the immigrant visa interview, you may proceed with obtaining your medical clearance:
In order to conduct the physical examination of visa applicants in whose cases such examinations are necessitated by the United States immigration regulations, the Embassy has appointed a panel of medical practitioners whose names and addresses are given below. Please call on any one of the physicians/facilities below with two copies each of the the following forms:
DS-2053 Medical examination for immigrant or refugee applicant
DS-3024 Chest X-ray and classification worksheet
DS-3025 Vaccination documentation worksheet
DS-3026 Medical history and physical examination worksheet;
(Two copies of these forms are needed for each applicant) The forms and a copy of the chest x-ray together with serological and any other reports will be given to you to be hand carried to the Embassy on the day of your visa interview appointment. To facilitate proper identification, the applicant is advised to produce his/her passport at the time of the examination. All fees must be borne by the examinee. Dr. (Mrs.) G. P. Liyanage Asiri Surgical Hospitals Kirimandala Mawatha Dr. K. Rajendra Medi Center 97 Dharmapala Mawatha Colombo 07 Telephone Nos. 071-4738802 (Consultation: Monday to Friday 5.30 p.m. – 7.30 p.m.) Saturday 4.00 p.m. – 6.30 p.m. Closed on Poya days and Public Holidays




