Reschedule My Immigrant Visa Appointment / Schedule IV 221G Follow up Appointment

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The visa appointment system is intended for eligible immigrant visa applicants who have received written notification from the U.S. Embassy, Islamabad that they must schedule an appointment.

Who is eligible to reschedule an immigrant visa appointment

All eligible immigrant visa applicants (Not including K, SB1, Expedited, Age out and Follow-to-join visa applicants) are able to reschedule their immigrant visa interview appointment if they have missed their original appointment scheduled by NVC or KCC, or have been asked by the Embassy to schedule a 221G follow up appointment.

If your answer is ‘Yes’ to any one or more of the below mentioned questions, you may reschedule an immigrant visa appointment online if the Embassy has asked you do so.

  • I failed to attend the IV interview appointment scheduled by the NVC or KCC;
  • My medical report was not ready or I was asked to perform medical tests again, and the IV Unit at the U.S. Embassy in Pakistan has asked me to reschedule the IV appointment through online.

Please note, if you meet any of the following conditions, you will not be able to schedule an immigrant visa interview appointment online at this time.

  • You have been interviewed, and have NOT been asked by the Embassy to schedule 221G follow up appointment;
  • You have a future appointment date which is scheduled by NVC or KCC;
  • You have not received any written instruction from Embassy to schedule an appointment online.

How to Apply

­­­­­­­­­­­­­The information below explains how to set an interview appointment online and what documents are required for the interview.

Step 1: Medical Examination

Complete your medical examination with an approved panel physician. The list of approved panel physicians can be found here. Please be sure to bring your sealed medical examination results with you to the Embassy.

Step 2: Filling Out the Immigrant Visa Electronic Application (DS-260)

Carefully read the guidelines for completing the Immigrant Visa Electronic Application (DS-260) before filling it out.  All information must be correct and accurate.  Once the form is submitted, you cannot make any changes.  If you need assistance, you may consult a translator or immigration attorney. The call center cannot help you complete your DS-260. You will need the ten (10) digit barcode number from your DS-260 confirmation page to book your appointments.

Step 3: Creating A User Account and Scheduling Your Visa Appointment

Go to and create a user account.

To create an account, you will need your passport.  After creating the account, the system will prompt you to select Visa category and Visa class, enter Passport details, add dependents (applying together) and select a passport pickup location.

You are almost ready to schedule your visa appointment!

You will need the following information to schedule your appointment:

  • Your passport number.
  • The ten (10) digit barcode number from your DS-260 confirmation page.
  • Case Number (ISL followed by 10 digits).
  • Click on Schedule Appointment located on the left-hand side menu. This will start the process for scheduling your appointment.

Important notes for IV 221G Follow up Appointment:

  • Immigrant Applicants who have been asked by the Embassy to schedule 221G follow up appointment need to select “IV 221G Follow up Appointment” as Visa category while scheduling the appointment.
  • Different cases which have the same petitioner (for example IR-5 cases, IR-1/IR-2 cases, or CR1-CR2 cases) should not schedule separate appointments if they are applying together. They should only schedule one appointment and add all other applicants as dependents applying together when scheduling the appointment.

Step 4: Supporting Documents:

On the day of your interview, please bring the following items (originals, copies, and English translations of all civil documents):

  • A copy of your NVC interview letter.
  • The confirmation page for a completed Electronic Visa Application Form DS-260,
  • Original Birth Certificates, Marriage Certificates, and Divorce/Death Certificates for all prior marriage with certified copies.
  • Original/ certified copy of birth certificates for all children of the principal applicant is also required.
  • If you are older than 16 years of age, police certificates are not required from Pakistan. However, an original police certificate is required from any country that you resided in for more than 6 months.  For more information on obtaining these certificates, visit Reciprocity by Country.
  • Applicants must provide medical examination results from an Embassy designated physician. The list of these physicians is available here. If the panel physician informs you that your medical reports will be transmitted electronically you will not receive the physical reports.
  • Two (2) visa photos (front view) with white background (2x2 inches) of each person applying for the Visa- photos must be un-cropped and without any editing or enhancements. Please click here for instructions. (see our photograph requirements.)
  • A passport valid for travel to the United States with a validity date at least six months beyond your intended period of stay in the United States (unless country-specific agreements provide exemptions). If more than one person is included in your passport, each person desiring a visa must submit an application and possess their own valid passport.
  • Appointment confirmation letter.

For family-based applications:

  • An Affidavit of Support (form I-864) with all supporting documents from the petitioner and/or a qualified Joint Sponsor, click here if an original affidavit of support has not already been submitted to NVC in the United States.
  • If applicable, a contract between the Sponsor and a Household Member (I-864A).
  • An Affidavit of Support Waiver (Form I-864 W) for children of a U.S. Citizen that are under 18 years of age (These children are exempted from the Affidavit of Support I-864).

Immigrant Visa Fees:

If your petitioner has not previously paid the immigrant visa application processing fee, you will be required to pay the fee at the time of the interview. The fee must be paid in cash (dollars or the equivalent amount in Pakistani currency).  Please bring exact change.

Note that the fees are per person

  • US$325 - For immediate relatives and family-based visa categories (IR and F cases).
  • US$345 - For employment visa categories (E cases).

NOTE: Please be sure to bring your sealed medical examination results with you to the Embassy. If you appear without your medical results, your appointment may be rescheduled, delaying your case. There is no need to bring your x-ray CDs to the Embassy. You are advised NOT to make travel plans or life-changing decisions, such as quitting a job or selling a house, until after a visa is issued to you.