The USCIS Medical Exam, officially known as the Immigration Medical Examination, is an essential step for anyone applying for a U.S. green card or adjustment of status. Conducted by a USCIS-designated civil surgeon, this medical evaluation ensures that immigrants entering the United States meet the health requirements set by the U.S. Citizenship and Immigration Services (USCIS). Understanding the process, requirements, and what to expect during your exam can help you prepare effectively and avoid unnecessary delays in your immigration journey.
What Is the USCIS Medical Exam?
The USCIS Medical Exam is designed to identify medical conditions that could make an applicant inadmissible to the United States on public health grounds. The purpose of this exam is not to disqualify you but to ensure public safety and confirm that you don’t have any contagious diseases, incomplete vaccinations, or conditions that require medical attention.
This exam must be performed by a USCIS-approved civil surgeon within the United States or a panel physician if you’re applying from abroad. The results are submitted directly to USCIS using Form I-693 (Report of Medical Examination and Vaccination Record).
Who Needs the USCIS Medical Exam?
Anyone applying for a U.S. green card (lawful permanent residency) is required to complete a USCIS medical exam. This includes:
· Family-based green card applicants
· Employment-based green card applicants
· Refugees and asylees applying for adjustment of status
· Diversity visa lottery winners
· Certain non-immigrant visa holders transitioning to permanent residency
The medical exam ensures that all applicants meet U.S. public health standards before receiving permanent resident status.
What to Bring to Your USCIS Medical Exam
Proper preparation can make your medical exam smooth and efficient. Before visiting your civil surgeon, make sure you bring:
1. Government-issued ID: Passport, driver’s license, or other photo identification.
2. Vaccination records: Proof of all your immunizations. If you lack documentation, your doctor may administer necessary vaccines during the exam.
3. Form I-693 (blank, unopened): Downloadable from the USCIS website. Do not sign it until instructed by your doctor.
4. Medical history records: Include information about past illnesses, surgeries, or chronic conditions.
5. Prescription list: Include all current medications you are taking.
6. Payment: The exam fee varies by doctor, so confirm the cost ahead of time.
What Happens During the USCIS Medical Exam
The USCIS medical exam consists of several key components that help evaluate your physical and mental health:
1. Physical Examination
The doctor will perform a comprehensive physical assessment, checking your vital signs, general health, and any symptoms that might indicate communicable diseases. This includes examination of your heart, lungs, abdomen, eyes, ears, nose, throat, and skin.
2. Vaccination Review
USCIS requires proof of certain vaccinations based on CDC guidelines. Commonly required vaccines include:
· Measles, Mumps, and Rubella (MMR)
· Tetanus, Diphtheria, and Pertussis (Tdap)
· Hepatitis B
· Varicella (Chickenpox)
· Influenza (seasonal)
· COVID-19 (if applicable)
If you’re missing any, your civil surgeon can administer the necessary shots during your visit.
3. Tuberculosis (TB) Testing
All applicants aged two and older are required to undergo tuberculosis screening. Typically, this involves a blood test (IGRA) or, in some cases, a skin test (TST). If your test is positive, a chest X-ray may be required to rule out active TB.
4. Blood Tests and STD Screening
Applicants between the ages of 15–79 must be tested for syphilis and gonorrhea, as these are considered communicable diseases of public health significance. Blood and urine samples may be collected during this part of the exam.
5. Mental and Behavioral Health Evaluation
The doctor will assess your mental health to determine if there are any disorders associated with harmful behavior or substance abuse that could pose a risk to others.
After the Exam: What Happens Next
Once your exam is complete, the civil surgeon will:
1. Fill out and sign Form I-693.
2. Seal the form in an envelope. Do not open it, as USCIS requires it to be delivered sealed.
3. Give you a copy for your records.
You will then submit the sealed envelope to USCIS either along with your Form I-485 (Application to Register Permanent Residence) or later in response to a USCIS request.
How Long Are USCIS Medical Exam Results Valid?
As of recent USCIS guidelines, the Form I-693 is valid for two years from the date the civil surgeon signs it, provided it was submitted to USCIS within 60 days of signing. This gives applicants ample time to complete their green card process without repeating the exam unnecessarily.
Common Mistakes to Avoid
To ensure your USCIS medical exam process goes smoothly, avoid these common errors:
· Bringing incomplete vaccination records
· Forgetting a valid ID or Form I-693
· Scheduling your exam too early or too late in the immigration process
· Opening the sealed envelope given by your civil surgeon
Why the USCIS Medical Exam Matters
While the USCIS medical exam might seem like a formality, it plays a vital role in maintaining public health standards in the U.S. It also ensures that new immigrants start their life in America with proper medical documentation and awareness of their own health status.
Completing this exam efficiently and correctly demonstrates your compliance with immigration procedures and helps expedite your green card approval.
Final Thoughts
The USCIS Medical Exam is a crucial part of your path to permanent residency. By understanding what to expect, preparing the right documents, and choosing an approved civil surgeon, you can make this process straightforward and stress-free.
