January 3, 2025

“Class A or B (TB) )…requires attn of USPHS at POE ” Annotation On Your U.S. Immigrant Visa

Please note that your immigrant visa has an annotation “Class A or B (TB)…requires attn of USPHS at POE.”

This notation refers to a finding related to tuberculosis (“TB”), a communicable disease of public health significance. During the required medical examination, the panel physician assessed whether you may have Class A or Class B tuberculosis. Class A TB applies if you have active, infectious tuberculosis. If so, you are generally inadmissible to the United States until you have completed treatment and no longer pose a public health risk. Class B TB applies if you have a history of tuberculosis, evidence of latent TB infection, or findings suggestive of non-infectious TB that require further evaluation or follow-up.

If you want to learn more about how medical conditions can affect your visa, we recommend reading our guide on Medical Reasons for Visa Rejection.

The annotation “requires attn of USPHS at POE” means that you must be referred to the U.S. Public Health Service (“USPHS”) at the U.S. port of entry for further medical review or instructions. Upon arrival in the U.S., a Customs and Border Protection officer will review your medical documents and may direct you to a designated public health official or agency for further evaluation. This may include:

Additional medical evaluations.
Referral to a local health department for monitoring or treatment.
Submission of medical records to confirm compliance with U.S. health requirements.

This review may take additional time at the port of entry so please plan for your arrival or onward flight connections accordingly.

If your visa is revoked upon arrival by CBP, find out what steps to take in our article Nonimmigrant Visa Is Revoked By CBP At Port-of-Entry.

To avoid confusion on how your name appears in visa or passport records, especially for Vietnamese citizens, see our explanation on How Vietnam Passport Name Order Listed.

If your visa category is immigrant-based, such as family-sponsored or employment-sponsored, read more in our section on Immigrant Visa.

If you are required to submit financial documents during your immigrant visa process, learn about “What is Form I-864 Affidavit of Support?”, which is commonly needed to demonstrate financial sponsorship.

If you have questions or concerns about this annotation, contact Enterline & Partners via info@enterlinepartners.com.

ENTERLINE & PARTNERS CONSULTING  

Ho Chi Minh City, Vietnam Office  

146C7 Nguyen Van Huong St, Thao Dien Ward,  
District 2, Thu Duc City  
Ho Chi Minh City, Vietnam  

Tel: +84 933 301 488  
Email: info@enterlinepartners.com  
Facebook: Enterline & Partners – Dịch vụ Thị thực và Định cư Hoa Kỳ  
YouTube: @EnterlineAndPartnersConsulting  
Website: http://enterlinepartners.com  

Manila, Philippines Office  

LKG Tower 37th Floor 
6801 Ayala Avenue  
Makati City, Philippines 1226  

Tel: +63 917 543 7926  
Email: info@enterlinepartners.com  
Facebook: Enterline and Partners Philippines  
Website: https://enterlinepartners.com/language/en/welcome/  

Copyright 2025. This article is for information purposes only and does not constitute legal advice. This article may be changed with or without notice. The opinions expressed in this article are those of Enterline & Partners only. 

Categories: Immigrant Visa, Immigration, U.S. Visa, Uncategorized

Tags: annotation, immigrant visa, POE, USPHS

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“Class A or B (TB) )…requires attn of USPHS at POE ” Annotation On Your U.S. Immigrant Visa

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