4-Step US Family Visa Process Revealed in June 2025
The U.S. immigration process just became clearer than ever before for families planning to reunite in America. The U.S. Mission in the United Kingdom has officially outlined the full 4-step visa application procedure for family-based immigration—and if you’re looking to bring your spouse, children, or parents to the United States, this is your guide to a smooth journey.
From creating your visa profile to completing your medical, and finally walking into the U.S. Embassy for your interview—this roadmap is now streamlined for every family aspiring to settle together in the United States. So, buckle up for this exciting breakdown that could change your family’s future.
Step 1: Complete the DS-260 & Create Your Visa Profile
Your journey begins with Form DS-260, the Immigrant Visa Electronic Application. Every family member applying for a U.S. immigrant visa must fill this out. But that’s not all. You must also register your online visa account via the Visa Appointment Services website, which will:
- Confirm your visa interview appointment
- Enable you to choose where to pick up your passport after approval
- Allow you to reschedule your appointment (only after your original date)
Don’t forget: You must bring your Courier Confirmation page (proof of registration) with you to the Embassy. No confirmation, no entry!
Step 2: Medical Exam — No Exceptions, No Delays!
All applicants, regardless of age, must undergo a medical examination through the Embassy-approved clinic — Visa Medicals in London. Book early by calling 0207 486 7822, Monday to Friday, 9:00 am to 5:00 pm.
Timeline Warning: Your medical exam must be done at least 2 weeks before your scheduled visa interview. Miss this deadline, and your appointment will be delayed—costing you time and peace of mind.
Step 3: Document Review Day — Don’t Miss It!
Immediately after your medical exam, you’ll head over to the U.S. Embassy’s Immigrant Visa Unit in London for your Document Review between 11:30 AM – 1:00 PM.
What you’ll need:
- The Pink Document Review Sheet handed to you by Visa Medicals
- All your required documents
❌ No Pink Sheet = No Entry. This visit is crucial and serves as your gateway to the final visa interview.
Step 4: Attend Your Visa Interview — The Final Gate
Your second and final visit to the U.S. Embassy is your official visa interview, based on the appointment date confirmed via your online profile.
Bring everything:
- All original documents in the secured plastic envelope you received during your document review
- Any missing documents you were told to obtain
Important Note: If your documents are incomplete, your interview will not proceed, and you’ll be asked to reschedule. So double-check everything.