Take your passport and if you have any recent medical records take them. I also am American and they did not ask me for the things you mentioned.CandyCane said:I also had a question for the medical. U.S. Spousal applying outland, are there any immunizations required to update or have/get before the medical exam? I was told Tdap, MMR, Chickenpox, and Flu shot. Then I was told I didn't need anything.