Your Medical Examination

Required Vaccinations

Vaccinations against certain diseases are mandatory.
Currently these diseases are: Mumps, Measles, Rubella, Polio, Tetanus, Diphtheria, Pertussis, Hepatitis A, Hepatitis B, Rotavirus, Meningococcal disease, Varicella, Pneumococcal disease, Haemophilus influenzae type B (Hib), as well as Seasonal Influenza.
Additional vaccinations can be added to this list.

Children must comply with vaccination requirements based their age.

Vaccinations you never got or that you got but cannot prove, will be administered during the examination. Usually vaccinations that you can proof do not have to be repeated. A vaccination book or official vaccination record(s) can be accepted as proof.
Some countries have centralized vaccination records for their population. Then often it is possible to request an official copy of your record.

For vaccination(s) given in the past by a family doctor the information could still be on file. In that case ask for a letter with the name of the vaccination, type of vaccine used, date and time when given, location where given (complete address), and the name of the doctor who administered the shot(s). This affidavit must also be signed/dated by the doctor who writes the letter with his professional information.

Often it is preferable to have missing vaccinations given by your family doctor or at a specialized center in your home country. That way you do not get missing vaccinations all at once. Make sure to get a record of each vaccination.
Medical insurance will sometimes pay for certain vaccinations (but not when administered during the Medical Exam).

Titers

For some (childhood) diseases you do not need a vaccination if you had the disease.
A test called ‘a titer’ can be done to show evidence of antibodies in your blood.
As doctor e.g. your family doctor to order this test.
Ask for it timely as this cannot be done overnight: your doctor must draw some blood and send it to a laboratory.
The doctor who ordered the test must give you a written and signed/dated statement based on the outcome. Bring the statement and the laboratory results of each titer with you to the exam.

Present proof from a titer as well as your vaccination book and/or record(s) to the doctor or the nurse before the exam starts.
The doctor or the nurse can refuse to accept an affidavit or titer result.

Information about mandatory vaccinations is available on the website of the Center for Disease Control (CDC).
Go to www.cdc.gov/immigrantrefugeehealth/laws-regs/vaccination-immigration/revised-vaccination-immigration-faq.html#newcriteria

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