If you’re applying for a green card or other immigration benefits through the U.S. Citizenship and Immigration Services (USCIS), one of the important steps in the process is completing a USCIS medical exam. This exam is a mandatory part of your application and helps ensure that you meet the health requirements set by U.S. immigration law.
What Is the USCIS Medical Exam?
The USCIS medical exam is a physical examination conducted by a USCIS-designated civil surgeon or panel physician. It’s required for applicants seeking adjustment of status (green card applicants), certain visa applicants, and immigrants seeking admission to the United States.
The exam checks for communicable diseases, vaccination requirements, physical or mental health conditions that could pose a public health risk, and any substance abuse issues.
Why Is the Medical Exam Required?
USCIS requires this exam to:
- Protect public health in the United States
- Identify medical conditions that might make someone inadmissible
- Confirm that applicants meet vaccination requirements as per CDC guidelines
- Detect any physical or mental conditions that could impact the applicant’s ability to care for themselves or others
Without a completed medical exam, your application for immigration benefits may be delayed or denied.
Who Can Perform the USCIS Medical Exam?
Only doctors authorized by USCIS — known as civil surgeons — can perform this medical exam in the U.S. If you’re applying from outside the U.S., you’ll need to visit a panel physician designated by the U.S. embassy or consulate.
It’s important to choose a qualified and experienced civil surgeon to ensure your exam is done properly and your paperwork is correctly completed.
What Does the USCIS Medical Exam Include?
1. Medical History Review
The doctor will review your medical history and ask questions about your past illnesses, surgeries, vaccinations, and any current health concerns. Be honest and thorough to ensure accurate evaluation.
2. Physical Examination
The physical exam will include a general health checkup:
- Vital signs (blood pressure, heart rate, temperature)
- Head, eyes, ears, nose, and throat check
- Heart and lung examination
- Abdominal exam
- Neurological and mental health assessment
3. Tuberculosis (TB) Testing
Applicants 2 years and older are typically tested for TB through a skin test (Mantoux) or blood test (IGRA). If the test is positive, additional chest X-rays or evaluations may be required.
4. Screening for Communicable Diseases
The exam screens for diseases such as:
- Syphilis
- Gonorrhea
- Leprosy
- Other diseases that pose public health risks
5. Vaccination Review and Requirements
The civil surgeon reviews your vaccination history and ensures you meet the vaccination requirements set by the CDC for immigration purposes. This may include vaccines for:
- Measles, Mumps, Rubella (MMR)
- Polio
- Tetanus and Diphtheria
- Influenza (seasonal)
- COVID-19 (as per current guidelines)
- Varicella (chickenpox)
- Hepatitis B
- Meningococcal
If you are missing any vaccines, you will be required to get them before the medical exam is complete.
How to Prepare for the USCIS Medical Exam
- Bring your vaccination records or any medical records you have
- Bring a valid photo ID
- Be prepared to discuss your medical history honestly
- Wear comfortable clothing for the physical exam
- Schedule your appointment well in advance to avoid delays in your immigration process
- Check if you need to fast or prepare in any special way (usually not required)
After the Medical Exam
After your exam, the civil surgeon will complete Form I-693, Report of Medical Examination and Vaccination Record. This form is sealed in an envelope and given to you to submit to USCIS as part of your application.
Keep the envelope sealed until you submit it to USCIS. Do not open or tamper with the form, as it could delay your application.
Common Questions About the USCIS Medical Exam
How long is the medical exam valid?
The medical exam is typically valid for two years from the date the civil surgeon signs Form I-693.
What if I have a medical condition or communicable disease?
Certain conditions can make you inadmissible, but waivers or treatment plans might be available. Consult your civil surgeon or immigration lawyer.
Is the medical exam covered by insurance?
Often, the exam is not covered by insurance, so be prepared for out-of-pocket costs. Fees vary depending on the provider.
Final Thoughts
The USCIS medical exam is a crucial step in the immigration process that helps protect public health while ensuring applicants meet necessary health standards. By understanding what the exam entails and how to prepare, you can help ensure a smooth and timely immigration application.