USCIS Medical Exam: Everything You Need to Know for Immigration Success

Introduction

The USCIS medical exam is a crucial step in the immigration process for individuals applying for a green card (lawful permanent residency) in the United States. This mandatory examination ensures that applicants meet the health-related requirements set by U.S. Citizenship and Immigration Services (USCIS). Understanding the requirements, process, and preparation for the medical exam can help applicants avoid delays and successfully complete their immigration application.

What is the USCIS Medical Exam?

The USCIS medical exam, also known as the immigration medical examination, is conducted by a designated civil surgeon to evaluate an applicant’s overall health and screen for medical conditions that may affect their eligibility for a green card. The results of the exam are recorded on Form I-693, Report of Medical Examination and Vaccination Record, which must be submitted to USCIS as part of the application process.

Who Needs to Take the USCIS Medical Exam?

The USCIS medical exam is required for:

• Individuals applying for adjustment of status (green card) from within the U.S.
• Refugees applying for permanent residency
• Certain non-immigrant visa applicants if requested by the consular officer

This exam is not required for those applying for temporary visas, such as visitor (B-1/B-2) or student (F-1) visas.

What to Expect During the USCIS Medical Exam

1. Finding a Designated Civil Surgeon

The medical exam must be conducted by a USCIS-designated civil surgeon (for applicants in the U.S.) or a panel physician (for applicants outside the U.S.). You can find a list of approved civil surgeons on the USCIS website.

2. Required Documents

Before your medical exam, ensure you bring the following:

• A government-issued ID (passport, driver’s license, or birth certificate)
• Vaccination records
• Form I-693 (the civil surgeon will complete this form after the exam)
• Medical history records, including previous diagnoses, surgeries, or chronic conditions
• List of medications you are currently taking
• Payment for the exam fee (varies by provider, so check with the doctor beforehand)

3. Components of the Medical Examination

The USCIS medical exam consists of several key evaluations:

a. Physical Examination

The doctor will conduct a general physical exam, which includes checking:

• Height and weight
• Blood pressure
• Heart and lung function
• Vision and hearing
• Overall health assessment

b. Tuberculosis (TB) Testing

Applicants aged 2 years and older must undergo a tuberculosis (TB) test. The standard test is the interferon-gamma release assay (IGRA) blood test. If positive, further testing, such as a chest X-ray, may be required.

c. Vaccination Requirements

USCIS requires applicants to be vaccinated against certain diseases, including:

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

If you do not have proof of these vaccinations, the doctor may provide them during the exam.

d. Screening for Communicable Diseases

Applicants will be tested for syphilis and gonorrhea (for individuals 15 years and older). If tests return positive, treatment will be required before proceeding with the immigration process.

e. Mental Health and Substance Abuse Screening

The civil surgeon will assess for mental health conditions or substance abuse issues that might pose a public health risk. Severe conditions requiring institutionalization may impact eligibility for a green card.

4. Completing Form I-693

Once the exam is complete, the doctor will fill out Form I-693 and seal it in an envelope. Do not open this envelope it must be submitted to USCIS in its sealed condition. Some applicants may be required to submit the form in person at their adjustment of status interview.

How to Prepare for the USCIS Medical Exam

To ensure a smooth and hassle-free medical examination, follow these tips:

• Locate a designated civil surgeon and schedule an appointment in advance.
• Gather necessary documents, including vaccination records and medical history.
• Check the vaccination requirements and get any missing vaccines before the exam.
• Be honest about your medical history; attempting to conceal conditions can cause delays.
• Follow instructions from the civil surgeon regarding additional tests or treatments if required.

How Long Are the Medical Exam Results Valid?

Form I-693 is valid for two years from the date of the civil surgeon’s signature. However, you must submit the completed form to USCIS within 60 days of the doctor signing it to avoid any issues with your green card application.

What Happens If You Have a Medical Condition?

If the exam reveals a medical condition, the next steps depend on the severity and type of illness:

• Communicable diseases (like tuberculosis or syphilis) require treatment before approval.
• Mental health conditions or drug abuse history may require further evaluation.
• Missing vaccinations can be addressed by getting the required shots before submission.

Most medical conditions do not automatically disqualify an applicant but may require follow-up actions before approval.

Conclusion

The USCIS medical exam is a critical step in obtaining a green card, ensuring that applicants meet U.S. health standards. Proper preparation, understanding the requirements, and working with a USCIS-authorized civil surgeon will help make the process smooth and stress-free.