When applying for U.S. immigration, one of the most important steps is completing the USCIS medical exam, also known as the immigration medical examination. This exam ensures that applicants meet the health standards required to live in the United States. While the process may feel overwhelming, understanding the steps, requirements, and expectations can help make it smooth and stress-free.
Why the USCIS Medical Exam is Required
The USCIS medical exam requires this exam to ensure that applicants do not have any health conditions that would make them inadmissible to the U.S. These include:
· Certain communicable diseases, such as tuberculosis (TB) or syphilis.
· Lack of required vaccinations like MMR, tetanus, and COVID-19.
· Physical or mental disorders that pose a danger to others.
· Substance abuse or addiction issues.
By completing this exam, you demonstrate that you meet the public health standards for living and working in the U.S.
Who Needs to Take the USCIS Medical Exam
The medical exam is required for several immigration-related applications, including:
· Green card applicants (through family, employment, or other pathways).
· Refugees and asylees applying for permanent residency.
· Certain visa applicants, especially those adjusting their status inside the U.S.
If you are unsure whether you need the exam, your immigration attorney or USCIS case officer can guide you.
Step 1: Choose an Approved USCIS Civil Surgeon
The exam must be performed by a USCIS-designated civil surgeon. Regular doctors or clinics cannot complete this form unless they are certified by USCIS.
To find an approved physician:
· Visit the USCIS “Find a Doctor” tool on their official website.
· Enter your zip code to see a list of certified civil surgeons near you.
· Schedule an appointment directly with the chosen clinic.
Step 2: Gather Required Documents
Before your appointment, make sure you have the following:
· Government-issued photo ID (passport, driver’s license, or other valid ID).
· Vaccination records showing previous immunizations.
· Any medical records related to chronic conditions or previous surgeries.
· Form I-693, the official USCIS medical exam form (the doctor usually provides this, but you can also download it from the USCIS website).
· Payment for the exam, as insurance typically does not cover immigration medical exams.
Having complete records helps the civil surgeon accurately evaluate your health and determine which vaccines you may need.
Step 3: The Medical Exam Process
During the USCIS medical exam, you can expect the following steps:
1. Health History Review
The civil surgeon will ask questions about your:
· Past illnesses and hospitalizations.
· Current medications or treatments.
· History of mental health conditions or substance use.
2. Physical Examination
The exam typically includes:
· Checking vital signs such as blood pressure, heart rate, and weight.
· Examining the eyes, ears, nose, throat, lungs, and heart.
· Assessing overall physical and mental health.
3. Laboratory Tests
Some mandatory tests include:
· Tuberculosis (TB) screening using a blood test or skin test.
· Syphilis test for applicants over a certain age.
· Urine tests to screen for other health conditions.
4. Vaccination Review
The doctor will review your vaccination history and may administer missing vaccines, such as:
· Measles, Mumps, and Rubella (MMR)
· Tetanus, Diphtheria, and Pertussis (Tdap)
· Varicella (chickenpox)
· Hepatitis B
· Influenza (during flu season)
· COVID-19
Step 4: Completing Form I-693
Once the exam is complete, the civil surgeon will:
· Fill out Form I-693 with your results.
· Seal the completed form in an envelope — do not open it, as USCIS only accepts sealed forms.
· Provide you with a copy for your records.
You will submit this sealed form along with your immigration application package.
Step 5: Submitting to USCIS
Include the sealed Form I–693 with your green card or adjustment of status application. If you have already submitted your application, you can mail it separately or bring it to your USCIS interview when requested.
How to Prepare for the Exam
· Bring all necessary documents, especially vaccination records.
· Wear comfortable clothing for the physical exam.
· Be ready to answer detailed questions about your medical history honestly.
· If you are pregnant or have chronic health issues, bring documentation from your doctor.
After the USCIS Medical Exam
Once completed:
· Track your immigration application status online using your USCIS case number.
· If USCIS needs additional information or clarification, they will issue a Request for Evidence (RFE).
· Keep a copy of the exam results for your personal records.
Tips to Avoid Delays
· Schedule your exam early in the immigration process.
· Make sure your vaccination records are up to date.
· Double-check that your civil surgeon is USCIS-approved.
· Do not break the seal on Form I-693 before submission.
Conclusion
The USCIS medical exam is a vital step in the immigration journey, designed to protect public health and ensure that applicants are ready to live and work in the United States. By understanding the steps, requirements, and expectations, you can approach the process with confidence and avoid unnecessary delays.
