Before a K-1 fiancé visa or immigrant spouse visa can be issued, the applicant must complete a medical examination performed by an authorized panel physician. For applicants processed through the U.S. Embassy in Manila, the accepted examination is performed at St. Luke’s Medical Center Extension Clinic in Ermita.

The examination checks for medical grounds that may affect admissibility to the United States and includes required vaccination review. A medical examination completed by another doctor will not be accepted for the U.S. visa case.

The exact order can vary, but applicants generally move through several stations. The examination may include:

• Registration, identity verification, and payment
• Review of medical history, medications, prior treatment, and vaccination records
• Physical examination for every applicant
• Interferon Gamma Release Assay (IGRA) tuberculosis testing for applicants age 2 and older
• Chest X-ray for applicants age 15 and older, and for younger applicants when medically indicated
• Blood, urine, syphilis, gonorrhea, or other laboratory testing when required by age or medical indication
• Height, weight, vision, blood pressure, pulse, and other routine measurements

The physician may order additional tests or specialist evaluations when necessary. These can extend the process beyond the usual schedule.

Applicants may return for vaccination, completion of required procedures, or instructions based on the initial examination. Immigration rules require age-appropriate vaccinations, and the standard medical fee includes required vaccines. St. Luke’s states that copies of the immunization worksheet and IGRA result are generally emailed three to five working days after immunization.

Not every case is completed in exactly two days. An abnormal chest X-ray, tuberculosis screening issue, incomplete medical history, pregnancy-related decision, psychological or psychiatric concern, or referral to another specialist may delay completion.

Psychiatric evaluations, outside specialist referrals, and other additional procedures may be charged separately. Payment options listed by St. Luke’s include its online payment portal, cash, and credit card at the clinic cashier. Always confirm the current fee before paying.

• Use the official St. Luke’s website to schedule and pay; avoid unofficial agents or social-media payment requests.
• Enter names, passport details, and case information exactly as shown on the visa documents.
• Bring complete vaccination records and documentation for any significant illness, surgery, hospitalization, medication, or continuing treatment.
• Arrive within the clinic’s permitted appointment window rather than many hours early.
• Do not schedule the medical at the last possible moment before the interview.
• Follow every instruction for additional testing, vaccination, or specialist referral promptly.

This page was updated using the current St. Luke’s U.S. visa applicant instructions and the U.S. Department of State’s Manila immigrant visa guidance. Because medical policies and fees can change, the official clinic and government instructions control.

• St. Luke’s: U.S. Visa Applicant Requirements
• U.S. Department of State: Manila Visa Instructions
• St. Luke’s: Contact and Clinic Schedule