Immigration Medical Exam Frequently Asked Questions

1) What is the purpose of the immigration medical exam?

It is required by U.S. Citizenship and Immigration Services (USCIS) to ensure that applicants for green cards or certain other immigration benefits do not have health conditions that would make them inadmissible to the United States.

2) Who needs to take the medical exam?

Most applicants for permanent residency (green card holders) and certain other immigrants must take the exam.

3) What does the exam involve?

The exam typically includes a review of medical history and vaccination records, a physical and mental evaluation, and screenings for diseases like Tuberculosis, Syphilis, and Gonorrhea. A drug and alcohol screening may also be included. 

4) What are the health-related grounds of inadmissibility?

Conditions that can make a person ineligible for U.S. admission include certain communicable diseases, lack of required vaccinations, physical or mental disorders with harmful behavior, and drug abuse or addiction.

5) What vaccinations are required?

Required vaccinations include MMR, Polio, Tetanus, Hepatitis B, Varicella and seasonal influenza (if applicable).

6. Do I need a chest X-ray?

All applicants aged two years and older must undergo a TB test. If the initial test yield a positive result, a chest X-ray is required. If any abnormalities are found, you may need to be referred to your local health department for further evaluation.

7) What documents should I bring?

You should bring a valid photo ID, vaccination records, payment, your past medical history, and a list of your current medications.

8) What happens after the exam?

The civil surgeon will complete and seal Form I-693 for submission to USCIS. Do not open the sealed envelope.

9) Do children need an immigration medical exam?

Yes. Every applicant, regardless of age, must complete an immigration medical exam as part of the visa or green card process.

10) What does the exam include for children?

The exam includes a physical check-up, review of medical history, and vaccination updates as needed.

11) Are vaccines required for the immigration medical exam for children?

Yes. Vaccines such as MMR, Polio, DTP, Varicella, and Hepatitis B are required under immigration health guidelines.

12) Can parents stay with their child during the exam?

Yes. Parents are welcome to stay with their child during the appointment for reassurance and support.



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