Applying for a green card in the United States is a major milestone, and part of this process includes undergoing a mandatory immigration medical exam. Often called a green card medical exam or immigration physical exam, it’s not just routine paperwork—it’s a vital step that plays an essential role in protecting public health and ensuring your admissibility into the country.
What Is the Immigration Medical Exam?
The immigration medical exam is a comprehensive evaluation required by the U.S. Citizenship and Immigration Services (USCIS) for individuals applying for permanent residency. This exam is performed by a USCIS-designated civil surgeon and ensures applicants do not have any health conditions that would render them inadmissible under immigration laws.
The exam screens for communicable diseases, checks for vaccination compliance, and assesses the applicant’s physical and mental fitness. It is designed to safeguard both the applicant and the broader U.S. population.
Key Components of the Medical Exam
1. Medical History Review
You’ll be asked about past illnesses, surgeries, chronic conditions, mental health history, and current medications. Be ready to provide documentation if you have a history of significant medical conditions.
2. Physical Examination
This includes a general checkup of your vital signs and organ systems. The civil surgeon will examine your heart, lungs, skin, ears, eyes, and other basic health indicators.
3. Vaccination Status Check
Your vaccination records will be reviewed to ensure you meet CDC immunization requirements. Commonly required vaccines include:
- Measles, mumps, rubella (MMR)
- Tetanus and diphtheria toxoids
- Pertussis
- Hepatitis A and B
- Influenza (seasonal)
If any vaccinations are missing, you may be offered them during your appointment.
4. Tuberculosis (TB) Test
Applicants aged 2 and older must undergo TB testing, which usually starts with a blood test (IGRA). If results are positive, additional testing such as a chest X-ray may be required.
5. STD Screenings
Applicants 15 and older are typically required to take blood and urine tests to screen for syphilis and gonorrhea.
Who Needs the Exam?
Most individuals applying for a green card through family, employment, asylum, or diversity visa programs must undergo this exam. If you’re adjusting status within the U.S., you’ll need to find a civil surgeon locally. For those applying from abroad, a panel physician designated by the U.S. Department of State will conduct the exam.
How to Prepare for the Exam
Preparation can make your experience much smoother:
- Bring a valid photo ID (passport, driver’s license)
- Carry your immunization records
- Bring medical records, including treatment history for any chronic conditions
- Be prepared to talk honestly about your health history
- Follow any instructions given by the clinic, such as fasting if required
After the Exam
Once the exam is complete, the civil surgeon will fill out Form I-693, which will either be:
- Given to you in a sealed envelope to submit with your green card application, or
- Sent directly to USCIS electronically (depending on procedures in place at the time)
Do not open the sealed envelope yourself if given one—USCIS will reject it if tampered with.
Common Questions
Is the Immigration Medical Exam Covered by Insurance?
In many cases, it is not covered by insurance. Costs vary by provider, so it’s a good idea to call ahead and ask for pricing.
How Long Is the Exam Valid?
The results of the green card medical exam are valid for up to two years, provided the form is signed by the civil surgeon no more than 60 days before filing your green card application.
Final Thoughts
The immigration medical exam is a key requirement in your journey toward permanent residency. It may seem intimidating at first, but with the right preparation and understanding of the process, it becomes manageable and straightforward.
If you’re looking for guidance or need help scheduling your immigration medical exam, click here to know more. Partnering with experienced professionals can help you avoid delays and ensure every requirement is met accurately.
Approach your green card process with confidence, starting with a clear understanding of what to expect from the medical exam.