Medical Examination Instructions

Prior to your visa interview you must have a medical examination performed by a medical doctor authorized by this Embassy. You should complete your medical exam at least three weeks prior to your interview date. If you received your appointment date with less than three weeks’ notice, please contact the doctor’s office to schedule your medical appointment as soon as possible.

In general, the medical exam will include x-rays, laboratory tests, and a physical examination. At the discretion of the physician, you may be required to undergo additional tests.

Children under the age of 15 are required to have a physical examination too; x-rays and laboratory tests may also be necessary. The physical exam will include a general check up as well as examination of the eyes, nose, ears, mouth, heart, chest, lungs, abdomen, genitals and limbs.

You must present the following documents at the time of the Medical Examination:

  • Valid passport and appointment letter from the Consular Section and/or from the National Visa Center (NVC).
  • If your passport and/or personal documents show different last names due to marriage or divorce, please bring documents to demonstrate the legal name change.
  • Five color passport-size photographs.
  • Glasses and prescription, If applicable.
  • An original and a copy of your immunization card or a medical certificate, which specifies the day, month and year when the vaccines were provided. By bringing these records you may avoid repeating vaccinations you have had in the past.
  • Medical information regarding any illness you may have had.
  • A list of all medications you are currently taking, including the name, dosage, and frequency.
  • Police and court documents regarding any criminal history, even if the charges may have been subsequently dismissed or expunged. Records for routine traffic infractions are not required, but all documentation related to incidents of driving under the influence of alcohol or drugs is required.

 Important – Please read

  • Please do not schedule your medical appointment until you have all the documents listed above.
  • Please schedule an appointment with only one of the physicians and arrive on time.
  • If you cannot attend the medical exam, please notify the clinic as soon as possible.
  • You do not need to bring the x-ray results to your consular interview.
  • X-Rays and Pregnancy: X-rays are an important component of the medical exam and generally everybody older than 15 must have them done. If you are pregnant, you will have two options:
  • Make your doctor’s appointment and at your own risk accept to have the x-rays taken in order to complete the medical exam. In this case it is absolutely necessary that you inform to the medical staff that you are pregnant.
  • Wait until your child is born to have the entire medical exam performed. If you choose this option, you need to contact the U.S. Embassy in Guatemala in order to reschedule your appointment for a date after your baby is born.
  • Additional examinations and tests: In cases where it is necessary to perform additional laboratory tests or consultations with specialists, you will be responsible for any additional charges, including vaccinations.
  • The physician will inform you of the results of the medical examination but only a Consular Officer can make the determination of whether the immigrant visa will be issued.
  • The medical examination is valid only from 3 to 6 months, depending on the results.

Medical Exam Fees

Children under age 15:                                                $80* (or equivalent in Quetzals)

Persons age 15 or older:                                           $218* (or equivalent in Quetzals)

*Includes review of immunization history, but not the cost for individual vaccines and their administration. This fee also includes the cost of a Gonorrhea test, which a new requirement starting October 1, 2016 for all applicants age 15 or older.

Applicants can select any of the following Panel Physicians approved by the Embassy to conduct the medical examination:

Thomas Bunge
12 Calle 1-25, Zona 10, Torre Norte Oficina 402
Edificio Géminis 10
Tel: 2427-2600 / 2335-3431 / 2335-3433  Fax: 2335-3565
HOURS: 8:00 a.m. to 1:00 p.m. and 3:00 p.m. to 6:30 p.m.

Dra. Iris Cazali
4 Ave. 3-04, Zona 10
Tel: 2334-1743 / 2332-8066 / 2332-8070
HOURS: 10:00 a.m. to 3:00 p.m.
(Thursday from 3:00 p.m. to 6:00 p.m.)

Jorge Mario Figueroa
12 Calle 1-25, Zona 10, Torre Norte Oficina 402
Edificio Géminis 10
Tel: 2427-2600 / 2335-3431 / 2335-3433  Fax: 2335-3565
HOURS: 8:00 a.m. to 1:00 p.m. and 3:00 p.m. to 6:30 p.m.

Sidney Hagen
12 Calle 1-25, Zona 10, Torre Norte Oficina 402
Edificio Géminis 10
Tel: 2427-2600 / 2335-3431 / 2335-3433  Fax: 2335-3565
HOURS: 8:00 a.m. to 1:00 p.m. and 3:00 p.m. to 6:30 p.m.

Additional Information on Tuberculosis Testing:

The Department of State and the Centers for Disease Control and Prevention (CDC) have created new instructions for Panel Physicians regarding tuberculosis (TB) detection. These changes require that, depending on the applicant’s age, some additional tests that were not previously required will have to be done. These tests can extend the time to get results by up to 48 hours. Please carefully read the following chart to see what tests are required for different age groups:

0 years – 2 years: These patients only need the general medical exam unless the doctor requires additional tests.

2 years – 14 years: In addition to the medical examination, all patients in this age group need a PPD test (tuberculin skin test). This test should be reviewed by the panel physician after 48-72 hours. The fee for this test is $28.00. If the test result is positive, the patient will be required to have a chest x-ray. If the PPD test result is negative, the x-ray is not required. The PPD test can be done any weekday except Thursday.

15 years and older: In addition to the general medical exam, all patients need a chest x-ray. The PPD skin test is not required for this age group. If the medical exam and x-rays are normal, the results can be delivered on the same day.

Depending on the results of all the previous tests, additional tests may be required. The doctor will provide more information on any additional exams and associated costs.

If any of the previous tests show evidence of TB infection, the doctor will provide information on any necessary treatment. If this is the case, please do not come to the visa interview. The doctor will inform the Embassy about your results and a new appointment will be rescheduled whenever the treatment is completed.

Additional Information on Blood tests:

All patients over 15 years old must provide a blood sample.

After the examination is done, the physician will prepare a medical report. Please ask your physician’s office when the report will be completed and make arrangements to pick it up before the visa interview appointment date. The report will be placed inside a sealed envelope and given to the applicant to present at the immigrant visa interview.

Additional Information on Vaccines:

The laws of the United States require that immigrant visa applicants obtain certain vaccines (listed below) before an immigrant visa can be issued to them.

As of July 1, 1997, all applicants for immigrant visas should submit evidence of having received the necessary vaccinations.

Prices are listed in Dollars, but you can pay the equivalent in Quetzals.

In order to assist the physician, and to avoid delays in the immigrant visa process, all applicants must bring their vaccination records for review by the physician at the time of their examination. If possible, applicants should obtain a copy of their vaccination record from their personal physician. Note: If you are bringing a vaccination card to the medical appointment, each recorded vaccination MUST be accompanied by the stamp and signature of the physician who performed the vaccination.

If you do not have a vaccination record, the panel physician will discuss with you what vaccinations you need. Some vaccinations can be omitted at the discretion of the panel physician. Only the panel physician can determine what vaccines you need, taking into account your age, medical history, and your current medical condition.

Vaccine Age Required Price
Hexavalente 2 months – 18 months $72
Prevenar (pneumococo) 2 months – 18 months $127
Rotavirus 2 months – 18 months $98
MMR 15 months – 64 years $25
Varicela** 1 year and older $84
Influenza 50 years and older $35
DTAP 5 years and older $50
Pneumo 23 50 years and older $39
Hepatitis A 12 months – 23 months $42
Hepatitis B** 0 to 18 years $32
Polio 2 months – 18 years $9
Meningococcal (MCV4) 11 years – 18 years $160


**Not required if Pregnant