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?

A chest X-ray is generally required if there is a positive Tuberculosis test.

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.

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