Medical Exam for Immigration–Philippines (St Luke’s)

Your wife/fiancée will have to do a medical exam at St. Luke’s towards the end of the spousal or fiancée visa process. Governments require this to ensure people don’t come into the country with contagious diseases, addictions or other health problems that would endanger or burden the public.

Helpful tips for the visa medical exam process:

Here’s what she will need to bring:

  1. 2 copies of her online registration form
  2. 2 copies of her embassy appointment letter
  3. 4 2×2 passport/visa photos (color photo with no earrings, etc)
  4. Her passport and 1 copy of the biographical data page of her passport (the page that has the picture, number, etc).
  5. 1 ballpoint pen
  6. Peso equivalent of about $335

Note: Please check out the St Luke’s website to make sure my information is still accurate.

St Luke's Ermita Extension
St Luke’s Ermita Extension

*The exams for those wanting to go to the USA happen at St. Luke’s Medical Center Extension Clinic in ERMITA. Be sure your wife/fiancée knows this because she may think she is supposed to go to the main hospital or one of the other extensions. Note: you can do the exam for some other countries at other locations—just check out the website for more info.

*It is advisable for her to register online and print two copies of her online registration (the website will give you this option once you are registered). This cuts back on the paperwork she has to do once she gets inside the building and it can help her get processed a little more quickly.

*Arrange for her to stay in a Manila hotel for at least two days. I’d recommend booking a room for her at the Casa Bocobo Hotel starting the night before the interview. The prices are reasonable, the hotel is nice (air conditioning, warm shower, wifi, etc.), and it is located literally right down the street from the medical clinic—she can just walk there. She can probably get by with one of their “petite” rooms (the least expensive) if she’s by herself.  But all the rooms are reasonably priced.  Note: the hotel may require to see a copy of your I.D. and credit card if you pay online.  You may need to call them and work that out if she will be going without you.

*Applicants are met on a first come, first serve basis, which is why it is advisable to be there early (registering online doesn’t change this, but those who have registered online may get served a little more quickly once inside). This is why I recommend staying the night before in Manila. People actually start lining up around 3:00 a.m. outside the building. The guards start giving numbers and allowing people in the building at 5:00 a.m. or before. Tell her to get up and be at St. Luke’s a little before 4:00 a.m. (maybe around 3:45). This will give her a good place in line but only about an hour-long wait outside.

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*The guard will ask for the two copies of both the online registration form and appointment letter as well as the copy of the passport upon entering the building. Go ahead and get these ready once the line starts moving. He will give her a number as she goes in. Later they will ask for one copy of the 2×2 pictures at the time of payment.

*She may also want to bring a light jacket. They keep the building very well air-conditioned. It’s also a good idea to bring a book (or a tablet) to have something to do during the waiting periods.

*I won’t give you a play-by-play of the medical exam, but she’ll be going up and down to different floors and spend most of her time waiting for her name/number to be called.  She’ll be in there at least 7-8 hours.  The staff are pretty organized, efficient, and professional, but they are dealing with an enormous volume of people.

*Advise your wife/fiancee to schedule her appointment when she is not having her menstrual period.  If she goes there during her menstruation it will interfere with some aspects of the exam.  While on the subject, she should also remember the last day of her most recent period–they will ask her this.

*Check the local (Philippine) holidays to make sure the clinic is open on both consecutive days you want for the exam.

*Some applicants have to get a tuberculosis (sputum) test if they see something abnormal on the x-ray.  This will require some follow-up tests/appointments and your fiance/spouse will have to spend more time in Manila (several more days).  Those who are coming to Manila from a provincial area may want to prepare in advance for this possibility (bringing more clothes, not booking a round-trip ticket, etc.).  She will not be cleared medically until she test negative for tuberculosis. Some applicants have to keep coming back for weeks/months to get re-tested if they have a severe case of TB.

*If the x-ray is clear then she’ll just have to go back the next day for vaccinations—the final step. That’s why I said it is usually a two-day process. Only in rare cases is everything finished in one day.  The second day may only take 2-3 hours if all she’s doing is vaccinations.  Note: the intercom is weak when they are calling her on day 2 so she’ll have to listen carefully.

*If you (the foreign fiance/spouse) happen to go with her just keep in mind you will not be allowed inside the medical clinic.  You can get in line and lead her to the door, but after that you’ll need to go back to the hotel (or mall, or wherever else you’d like).  This is another reason to check in at a hotel that is close.

*Lastly I should add something about Ermita/Manila for those who aren’t familiar with it.  It is dirty, polluted, noisy and crowded as are many parts of this city.  I wouldn’t really classify it as “dangerous,” but one should always be on her guard against snatchers, pickpockets, and other petty criminals.  One of the snatchers’ favorite methods is to grab a purse while riding on the back of a motorcycle.  Always be vigilant and street smart.

I hope this is helpful.  The medical exam isn’t too bad if you are prepared (which includes being prepared for all the waiting).

See Also: The US Embassy Interview

RECOMMENDED: REMITLY

Getting Married in the Philippines

I’ve already discussed some of the issues with the Fiancee Visa vs Spousal Visa.
Now I’ll explain what is needed if you decide to marry in the Philippines.  I’ll primarily be discussing the legal aspects.   Please note that this post does not include the requirements to get married in the Catholic Church–the church has additional requirements.

What you (the foreigner) will need to marry in the Philippines:

In order to get a marriage license you’ll need:

1. Your birth certificate–be sure to bring it with you when you come.
2.  Proof of eligibility to marry, which I’ll spend a little more time on.

US Embassy (Philippines)
US Embassy (Philippines)

For US citizens this second requirement comes in the form of an “Affidavit in lieu of a Certificate of Legal Capacity to Contract Marriage.”

Update: Apparently this can now be done locally and does not require a visit to the US Embassy. Check out this article on the US Embassy website for more info.

Below (marked out) is the old way (what I did) and some tips:

There’s information at the US Embassy Manila website on how to go about this (there’s actually a lot of helpful information on that page).

You will need to bring:

*Divorce decree(s) or death certificate(s) required to verify civil status and capacity to marry (be sure to bring this with you when you come from the States).  This obviously doesn’t apply to bachelors.
* U.S. passport.
* Documentation regarding paternal consent or advice, if applicable.
*50 dollars (or peso equivalent of that amount)

You’ll be given the affidavit to fill out at the embassy.

More helpful Hints:

-Try to show up early if you are going to the embassy in Manila.  Traffic is awful in Manila and you don’t want to wait until the last minute.

-Bring your own pen.  Sounds obvious, but you’ll have to fill out and sign a few things while there.

Overall the process is fairly quick.  I believe I was in and out of the embassy within an hour.

RECOMMENDED: I recommend Christian Filipina for those who are serious about finding love in the Philippines.

What she (the Filipina) will need to marry in the Philippines

She’ll need the same things:

1. A birth certificate
2. Proof of eligibility to marriage.

This second requirement for her comes in the form of a CENOMAR (Certificate of No Marriage).  The local courthouse can order this for you, or (better yet) you can just order it online.

Getting Your Marriage License:

For civil (non-Catholic) weddings, the next step is to go to a local courthouse and file for the marriage license.

You’ll also have to attend a government-mandated marriage seminar (the courthouse will tell you where the closest one is).  You’ll have to attend a morning and afternoon session if either one of you is under 25.  Age 25 and up only have to attend the morning session.

You’ll have to wait about ten days from the day you file before you get the license (many use this time to attend the seminar).  They’ll require proof that you attended the seminar before they release the license to you.

Once you have the license you can get a judge, mayor, or pastor to solemnize the marriage.

It’s fine to have a pastor do it, but make sure he is specifically licensed to do weddings. The laws in the Philippines are a little different in that pastors have to register and maintain a license to marry (this is different than in the States, where most ordained ministers automatically have the authority to sign marriage contracts).

Once your are married the official (judge, pastor, or mayor) should file the marriage contract with the local government (you may need to follow up with him and make sure he does it promptly).   You can get the local version of the marriage certificate pretty quickly.  This local certificate, however, doesn’t do you much good as far as her spousal visa goes.

You’ll need the official NSO Marriage Certificate to file for a spousal visa.  It takes about three months before this certificate available.  Just wait until about three months after the wedding and order your NSO Certificate Online.   

You can start working on the spousal visa after you get your NSO certificate.  As I’ve said before, I’d highly recommend you get professional spousal visa help to make sure you do everything right.

See Also: The St Luke’s Medical Exam for Immigration

Filipina Visa: Spousal vs. Fiancee

usphilippinesflags

The next step after meeting your future wife in the Philippines will be to make a decision regarding her visa.  I’ll share a few basic things I’ve learned regarding bringing your wife or fiancee back to the United States (I’m not sure how it works with other Western countries).

Fiancee Visa vs Spousal Visa

The fastest way to get her back to the USA would be through a fiancee visa (get engaged in the Philippines then marry her in the USA).  This process usually takes around six months for the visa to get approved.  Once approved you have 90 days to get married after she arrives in the States.

The decreased waiting time is the primary advantage of the fiancee visa, and this is why many couples decide to go that route.  If you want to be together in the USA as quickly as possible then it is probably the best way to go.

But there are some perks to using the spousal visa which I will describe:

Advantages of the Spousal Visa

The other route is the spousal visa (marrying in the Philippines).  A spousal visa usually takes about nine to twelve months to get approved.  This is slower, but there are a few advantages to it:

*You’ll probably find it less expensive to do a wedding in the Philippines and she would probably love to exchange vows in front of her family.

*Once her visa is approved she’s further along in the process as far as getting a green card goes (if she enters the country on a spousal visa she’ll have her green card within days of her arrival and her social security card within weeks).

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*It is easier to verify the authenticity of your relationship–she can get her married name on her passport and you’ll give them an official government marriage certificate from the National Statistics Office (NSO).

*You can use a cosponsor/joint sponsor for the affidavit of support.  The US Embassy is much more strict about co-sponsorship for fiancee visa.  Here’s why: the affidavit of support filed for a fiancee visa (form I-134) does not really impose any legal obligation on the joint sponsor.  The one for the spousal visa (form I-864), on the other hand, is considered a legally binding contract (the government can sue you and the join sponsor if you use welfare after arriving in the US).

These are just a few more things to consider.

Your wife will need to stay in the USA for about 3-4 years before she can apply for US citizenship.

I’d highly recommend you get the folks at Filipina Fiancee Visa to help you with the visa process.  There are fees involved, but this is one of the best investments you can make.  I’ve had several interactions with this company and I haven’t been able to stump them with my questions (some of which have been quite complicated).

You can try do all the paperwork without assistance, but most of the guys I know decided to get professional help.  The problem is that just one mistake on one line of a form can send it to the bottom of the pile and delay the process for months.  I’ve had several friends warn me about precision with the paperwork.

Note Regarding Tourist Visas

I would strongly advise against trying to get a tourist visa, to shortcut the process.  The US Embassy will smell this from a mile away and you may jeopardize your chance of bringing her to the United States.