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Official Stamp & ECG question re: Physical Exam done in
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toteach



Joined: 29 Dec 2008
Posts: 71

PostPosted: Sat Dec 14, 2013 1:49 am    Post subject: Official Stamp & ECG question re: Physical Exam done in Reply with quote

The "Physical Examination Record for Foreigner" requires the "Official Stamp" of the physician giving the exam.

I will be having the test done in the USA, so what can my local clinic put in that space to make it "Official" looking enough? Will a signature suffice, or must it really be some sort of stamp?

Also, what should the physician write in the "Chest X-ray Exam" and "ECG" boxes? Will a simple "normal" or "healthy" work, or are they looking for detailed reports?

My physical is next week, so it would be nice to have some info for the doc.
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Toast



Joined: 08 Jun 2013
Posts: 326

PostPosted: Sat Dec 14, 2013 3:58 am    Post subject: Reply with quote

I'd just get them to sign it and stamp it with the clinic's address. For sure they have an address stamp.

"Normal", "Healthy", or "Okay" seem to do the trick. In my experience they never needed the original records, just the completed form this time around.
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Mr. Leafy



Joined: 24 Apr 2012
Posts: 167
Location: North of the Wall

PostPosted: Sat Dec 14, 2013 5:31 am    Post subject: Re: Official Stamp & ECG question re: Physical Exam done Reply with quote

toteach wrote:
...Will a signature suffice, or must it really be some sort of stamp?

My clinic (UK) used their address stamp plus physician signature.

toteach wrote:
Also, what should the physician write in the "Chest X-ray Exam" and "ECG" boxes? Will a simple "normal" or "healthy" work, or are they looking for detailed reports?


My employer suggested that, but my doc was unwilling to write that without seeing films/EKG results. In fact, after I asked her to write 'ok' she made a point of writing she had not seen the results in those boxes before she signed the form. Sad
I had to go to another clinic to get the x-ray done and sent the x-ray and ekg reports along with the health form.
But for China/employer, it seems just writing 'ok' WAS usually enough. Things are changing in other areas so this might be getting stricter too.
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WLamar



Joined: 19 Oct 2013
Posts: 58

PostPosted: Sat Dec 14, 2013 6:22 am    Post subject: Reply with quote

"Sad" ?

You call THAT sad?

You think that a licensed physician should commit fraud? Lie? Lie on a form? Fraudulently report something he/she has no direct knowledge of? Then what will YOU do when later you find that you had lung cancer, TB, massively enlarged heart, or primary dextrocardia? Then you'd happily come back and claim that the doctor didn't do the test, but lied about the result and sue her for $50,000,000. Right?

Just how stupid do you think your doctor is?

Your doctor clearly knows the law and insurance rules. This person knows reality and how to protect himself. You asked this doctor to commit a crime! You clearly demonstrated that you were willing to lie and may change the form later form something to "okay" by manipulating the writing. This doctor was intelligent enough to be sure to write the truth, that she had the forethought to write that she had no knowledge of your x-ray results, having not seen them - the truth - a legal maneuver - called - CYA.

NOTE: I see the poster above removed the word "Sad" after the little smiley face thing.
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roadwalker



Joined: 24 Aug 2005
Posts: 1419
Location: Ch

PostPosted: Sat Dec 14, 2013 6:38 am    Post subject: Reply with quote

I've had two z-visa applications in the US (San Francisco consulate) since 2010. The first time they wanted the lab reports along with the embassy form and the clinic's own letter. The second time they didn't want the lab reports when offered. Neither time did I have an x-ray done. And the doctor/physician assistant wrote "not performed" or something along those lines in the box. I did have the blood test done both times- don't skip that. There was no problem issuing a visa under those circumstances. And yes, I did have to have the same tests and an x-ray done in China upon arrival in order to get the FEC and then the Residence Permit. Good luck.
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Non Sequitur



Joined: 23 May 2010
Posts: 2314
Location: China

PostPosted: Sat Dec 14, 2013 6:47 am    Post subject: Reply with quote

My Doctor wrote 'normal' in the spaces and her name and address stamp also has her Medical Association registration number.
She says that some of the questions were hard to follow. Writing 'normal' WLamar didn't compromise her ethics or duty of care.
She isn't sending me a on a kamikaze mission and I remain her patient.
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JoeThePlumber



Joined: 11 Apr 2010
Posts: 78

PostPosted: Sat Dec 14, 2013 6:55 am    Post subject: Reply with quote

Toast wrote:
I'd just get them to sign it and stamp it with the clinic's address. For sure they have an address stamp.

"Normal", "Healthy", or "Okay" seem to do the trick. In my experience they never needed the original records, just the completed form this time around.

This.
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Mr. Leafy



Joined: 24 Apr 2012
Posts: 167
Location: North of the Wall

PostPosted: Sat Dec 14, 2013 7:00 am    Post subject: Reply with quote

WLamar wrote:

NOTE: I see the poster above removed the word "Sad" after the little smiley face thing.

I never wrote nor removed the word 'sad'. I don't know what you were seeing.

Emotcons aren't perfect, it was just a big hassle (NHS) and quite expensive (because it was elective) for something I knew would have to be repeated as soon as I got to China. I also knew many other clinics were willing to do it. Relax.

edit - also, I'd previously had annual chest x-rays as required of school teachers in Japan so I wasn't worried about health.
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choudoufu



Joined: 25 May 2010
Posts: 3220
Location: Mao-berry, PRC

PostPosted: Sat Dec 14, 2013 7:07 am    Post subject: Reply with quote

WLamar wrote:
Leeeeeeeeeeerooooy Jenkinnnnns!


aw, cmon dubbya, you know better than that. after all, you was a doctor
in one of your previous lifes here.

a doctor be perfectly within their medicinal ethicals to state "normal"
when a patient appears perfectly, um, normal, or to state "not indicated"
when there are no signs of poor fengshui. so additional testing is not
necessary......it's not what the doctor ordered.

Sad
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Bud Powell



Joined: 11 Jul 2013
Posts: 832

PostPosted: Sat Dec 14, 2013 10:07 am    Post subject: Reply with quote

Why would not a doctor not see the X-ray shortly after it was made? This is OLD technology. From start to finish, a chest X-ray takes no more than fifteen minutes. MDs can and do read X-rays.
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Non Sequitur



Joined: 23 May 2010
Posts: 2314
Location: China

PostPosted: Sat Dec 14, 2013 8:25 pm    Post subject: Reply with quote

In my country chest X-rays are done in a clinic separate to the Dr's practice.
The films are taken by a radiographer who emails them to a radiologist who reviews them and sends report to the Dr.
The radiologist's report guides the Dr in completing the Chinese form.
EKG's and ultrasounds have only ever been done in China. Only chest X-rays and bloods in home country.
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Bud Powell



Joined: 11 Jul 2013
Posts: 832

PostPosted: Sun Dec 15, 2013 12:46 am    Post subject: Reply with quote

Non Sequitur wrote:
In my country chest X-rays are done in a clinic separate to the Dr's practice.
The films are taken by a radiographer who emails them to a radiologist who reviews them and sends report to the Dr.
The radiologist's report guides the Dr in completing the Chinese form.
EKG's and ultrasounds have only ever been done in China. Only chest X-rays and bloods in home country.


That's interesting. In my part of the U.S., doctors usually have a radiographer on staff and X-ray equipment as well as a film developer. I think this is because it's old (but still useful) technology that's inexpensive to own and operate.

My doctor reads the X-ray. HOWEVER, MRI's are done in either a hospital or in a clinic that specializes in MRI work and gastroenterology work.

Thanks. I learn something new every day.
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mw182006



Joined: 10 Dec 2012
Posts: 236

PostPosted: Sun Dec 15, 2013 2:25 am    Post subject: Reply with quote

I had some real sticklers reviewing my exam last summer/fall, or the school was just paranoid. To be on the safe side, have the doctor's office stamp every page you plan on sending to China. My school even specified that the stamp on the first page needed to overlap my photo. I had to mail all original documents including x-ray but fortunately did not need to do another exam once I got here (Sichuan).
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Mr. Leafy



Joined: 24 Apr 2012
Posts: 167
Location: North of the Wall

PostPosted: Sun Dec 15, 2013 2:42 am    Post subject: Reply with quote

Non Sequitur wrote:
In my country chest X-rays are done in a clinic separate to the Dr's practice. The films are taken by a radiographer who emails them to a radiologist who reviews them and sends report to the Dr. The radiologist's report guides the Dr in completing the Chinese form.

Same.
Bud Powell wrote:

That's interesting. In my part of the U.S., doctors usually have a radiographer on staff and X-ray equipment as well as a film developer. I think this is because it's old (but still useful) technology that's inexpensive to own and operate.

I think only a large (private?) practice with quite a few doctors can do this. The machines may or may not be cheap, but they need their own room and a radiographer qualified to run them. Not every practice is going to invest in that unless they expect a lot of traffic. An office with three or four docs is not going to keep a radiographer sitting around waiting to be needed. Two countries I've lived send all their x-ray patients to dedicated clinics that do nothing else.
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choudoufu



Joined: 25 May 2010
Posts: 3220
Location: Mao-berry, PRC

PostPosted: Sun Dec 15, 2013 5:22 am    Post subject: Reply with quote

Bud Powell wrote:
Why would not a doctor not see the X-ray shortly after it was made? This is OLD technology. From start to finish, a chest X-ray takes no more than fifteen minutes. MDs can and do read X-rays.


maybe because the x-ray wasn't made! getting an x-ray, or any portion
of the exam, is not the problem. paying for it is.

in china, the whole procedure costs 250-350 rmb. that's $40-60.

in the us, a chest x-ray can cost from $100-500. that's just the x-ray.
add in $50-100 for an ekg, and maybe $350 for blood-work, and it
adds up pretty quickly. on top of that, you still have to pay for the
doctor's time. another couple hundred or so? so total cost (in the us)
for a medical exam can easily run $500-1000. that's heap big wampum
to check off some boxes, when the test will be repeated in china six
weeks later.

almost forgot.......in some hospitals, the gp doesn't read the x-ray.
it goes to another specialist for a reading. and you guessed it! there's
an additional charge for reading the x-ray. add another $100.

the idear behind most of these medical test threads is "how can i save
money on the medical exam?" or "what is the leastest i can get away with?"
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