Green Card Medical Exams in NYC: Your Complete Immigration Health Guide

Introduction

If you are applying for a green card in the United States, one essential step in the process is the USCIS-required medical exam. This examination ensures that applicants meet the health requirements set by U.S. Citizenship and Immigration Services (USCIS) and do not pose a public health risk.

What is a Green Card Medical Exam?

A green card medical exam, officially known as the USCIS immigration medical examination, is a mandatory health screening for individuals applying for permanent residency (a green card) in the United States. The exam must be conducted by a USCIS-authorized civil surgeon and the results recorded on Form I-693 (Report of Medical Examination and Vaccination Record).

The primary goal of this exam is to:

• Screen for infectious diseases that pose a public health risk.
• Ensure applicants meet U.S. vaccination requirements.
• Identify mental health or substance abuse conditions that might affect eligibility.

Who Needs a Green Card Medical Exams NYC?

You must take a Green Card Medical Exams NYC if you are applying for:

• Adjustment of status (green card) within the U.S.
• An immigrant visa abroad (exam is conducted by a panel physician designated by the U.S. embassy or consulate).
• Refugee or asylum-based permanent residency.

If you are already in the U.S., you must visit a USCIS-approved civil surgeon to conduct the examination and complete Form I-693.

How to Find a USCIS-Approved Civil Surgeon in NYC

Since only designated civil surgeons can perform the exam, finding an authorized provider is essential. To locate a USCIS-approved civil surgeon in NYC:

1. Visit the USCIS website and use their civil surgeon locator tool.
2. Contact local medical clinics that offer immigration medical exams.
3. Check reviews and compare prices (since costs vary by provider).
4. Confirm availability and appointment requirements before scheduling.

What to Bring to Your Medical Exam

To ensure a smooth process, bring the following documents to your exam:

• Government-issued photo ID (passport, driver’s license, or birth certificate).
• Vaccination records (if available).
• Medical history records (including previous surgeries, chronic illnesses, or medications).
• Form I-693 (the doctor will complete this after your exam).
• Payment for the medical exam (costs vary, so confirm with the clinic in advance).

What Happens During the Green Card Medical Exam?

The green card medical exam includes several components:

1. Physical Examination

The civil surgeon will conduct a general health assessment, which includes:

• Checking height, weight, blood pressure, and vital signs.
• Examining eyes, ears, nose, and throat.
• Assessing heart, lungs, and neurological function.

2. Tuberculosis (TB) Testing

All applicants aged 2 years and older must undergo tuberculosis screening. The standard test is the Interferon Gamma Release Assay (IGRA) blood test. If results are positive, a chest X-ray may be required.

3. Required Vaccinations

USCIS requires applicants to have certain vaccines before being approved for a green card. Common vaccinations include:

• Measles, Mumps, and Rubella (MMR)
• Hepatitis B
• Varicella (chickenpox)
• Tetanus and Diphtheria (Td or Tdap)
• Influenza (during flu season)
• COVID-19 (as per CDC guidelines)

If you are missing any vaccinations, the doctor may provide them during your visit.

4. Screening for Communicable Diseases

Applicants 15 years and older will be tested for syphilis and gonorrhea. Additional tests may be required based on medical history.

5. Mental Health and Substance Use Assessment

The civil surgeon will evaluate mental health conditions and substance abuse history that may affect eligibility. Conditions requiring institutionalization or a history of substance dependency may require further review.

6. Completion of Form I-693

After the exam, the doctor will complete Form I-693, place it in a sealed envelope, and hand it to you. Do not open the envelope it must be submitted to USCIS in its original sealed condition.

How to Prepare for Your Green Card Medical Exam

To avoid delays, follow these steps before your exam:

• Find a USCIS-approved civil surgeon and schedule an appointment.
• Gather all necessary documents, including vaccination records and medical history.
• Ensure you have proof of vaccinations; if missing, get them before your exam.
• Be honest about medical conditions; hiding information can delay your application.
• Follow any special instructions provided by the doctor (such as fasting if required).

How Long Are the Medical Exam Results Valid?

Form I-693 is valid for two years from the date the doctor signs it. However, to ensure it remains valid throughout your application process, submit it to USCIS within 60 days of the doctor’s signature.

What If You Have a Medical Condition?

If you have a medical condition, your eligibility for a green card depends on the severity and type of condition:

• Treatable diseases (like TB or syphilis) require treatment before approval.
• Missing vaccinations must be completed before submission.
• Mental health conditions may require additional evaluation.

Most conditions do not automatically disqualify you from receiving a green card, but they may require further documentation or treatment before approval.

Conclusion

Getting a green card medical exam in NYC is a crucial step in the immigration process. By understanding the requirements, preparing properly, and choosing a USCIS-designated civil surgeon, you can ensure a smooth and stress-free experience.