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Adjustment of Status - I-485

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medical exam
hey guys,

i went for my medical and the doctor told me the tests that will be taking are as follows:
1) TB test
2) blood work
3)drugs
because i read about HIV test not among the test to be given, but i just wanted to get tested, i asked the doctor if i can be tested for HIV and he said i have to pay an additional fee because its not included as part of the test.

my question is i read people say they got tested for syphilis and HIV, is HIV testing truly not necessary?
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