Applying for a green card in the United States involves several essential steps, one of which is the immigration medical exam. Also referred to as the green card medical exam or immigration physical exam, this evaluation ensures that applicants are not inadmissible due to health-related reasons. If you’re preparing for your appointment, understanding the process can ease your concerns and help you navigate it confidently.
Why the Immigration Medical Exam Is Required
The immigration medical exam is mandated by U.S. Citizenship and Immigration Services (USCIS) as a part of the green card application. The purpose is to:
- Protect public health
- Screen for communicable diseases
- Ensure immunization compliance
- Identify any health issues that could pose risks or require follow-up
This exam must be conducted by a USCIS-approved civil surgeon if applying within the U.S., or a panel physician if applying from abroad.
Step-by-Step Breakdown of the Medical Exam
Step 1: Scheduling the Appointment
Search for a USCIS-designated civil surgeon in your area and schedule your exam. It’s a good idea to call in advance, inquire about required documents, and confirm the cost since it’s usually not covered by insurance.
Step 2: Preparing Your Documents
Bring the following to your appointment:
- Government-issued ID (passport or driver’s license)
- Vaccination records
- Medical history or records of chronic conditions
- A completed copy of Form I-693 (if available)
Step 3: Medical History Review
The exam begins with a thorough discussion of your medical history. The doctor will ask about:
- Past illnesses and surgeries
- Mental health conditions
- Current medications
- History of substance use
Answer honestly and provide supporting documentation if needed.
Step 4: Physical Examination
This part of the immigration physical exam includes:
- Vital signs (blood pressure, heart rate)
- Lung and heart evaluation
- Skin, eyes, ears, and general physical checkup
Step 5: Vaccination Assessment
You must be up to date on certain CDC-required vaccinations, including:
- MMR (measles, mumps, rubella)
- Tetanus, diphtheria, pertussis
- Hepatitis A & B
- Varicella (chickenpox)
- Seasonal flu
If you are missing any, the doctor will offer them during your visit.
Step 6: Disease Screening
Depending on your age, you may undergo:
- Tuberculosis Test: A blood test (IGRA) for applicants 2 years and older. A positive result may require a chest X-ray.
- STD Testing: Applicants 15 and older are tested for syphilis (blood test) and gonorrhea (urine test).
After the Exam
Once complete, the civil surgeon will fill out and seal Form I-693. Do not open the sealed envelope if given one—it must be submitted as-is to USCIS.
In some cases, the doctor may send the form directly to USCIS electronically. Be sure to confirm this with your civil surgeon.
Important Tips
- Dress comfortably and be honest about your health history
- If you’ve had vaccinations overseas, bring translated records
- Plan ahead, as processing can take time
Conclusion
The immigration medical exam is a critical step in your green card application process. It might feel overwhelming, but it’s manageable with the right preparation and understanding of what’s involved.
For assistance or to schedule your green card medical exam, click here to know more. Taking proactive steps ensures a smoother experience as you move closer to becoming a U.S. permanent resident.