Understanding Immigration Medical Examination: A Guide For Immigrants

Published on 6 August 2025 at 10:13

Understanding Immigration Medical Examinations: A Guide for Immigrants

 

  As an immigrant obtaining U.S. residency one of the key steps you will encounter is the immigration medical examination. Understanding the process can help alleviate any confusion and ensure that you meet all requirements efficiently.

 

  To start the medical examination, you must visit a civil surgeon designated by the U.S. Citizenship and Immigration Services (USCIS). It's very important to choose a surgeon who is authorized to perform the exam. The examination will be documented using Form I-693, which is essential to your application.

 

Preparing for the Medical Examination

  When attending your appointment, it’s important to bring any existing medical records, including vaccination history. The civil surgeon will review these documents to ensure that you meet the required health criteria. After the examination, the surgeon will complete and seal Form I-693 in an envelope. This sealed envelope is critical; you must submit it to USCIS without breaking the seal, as any alterations will result in the rejection of your form.

 

Required Health Evaluations

  The medical examination consists of many assessments to evaluate your health status. Here are the critical components:

 

    1. Communicable Diseases of Public Health Significance: As part of the examination, you will be tested for certain communicable diseases, including tuberculosis, syphilis, and gonorrhea.

 

        a. Tuberculosis (TB): 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.

 

        b. Syphilis and Gonorrhea: Both of these screenings are necessary to ensure the applicant’s health and that they do not pose a risk to public health.

 

   2. Physical or Mental Disorders: The examination will also assess any diagnosis of mental or physical disorders that might impact the ability to adapt to life in the U.S. This includes any substance-use disorders.

 

   3. Drug Addiction and Drug Abuse: The civil surgeon will review your medical history and ask specific questions regarding any current or past drug use.

 

Vaccination Requirements

  A critical part of the immigration medical exam involves vaccination documentation. To qualify for adjustment of status, applicants must provide proof of vaccination against a variety of diseases. The civil surgeon will evaluate your vaccination history to determine whether you have received the necessary vaccinations. You should not attempt to meet the vaccination requirements before the civil surgeon evaluates you in case any of the required vaccines are not medically appropriate for you.

 

Partnering with Lumberton Internal Medicine Group

  Navigating the immigration medical examination process can be daunting, but it doesn’t have to be. At Lumberton Internal Medicine Group, we specialize in completing the USCIS Form I-693 and Form N-648, assisting individuals on their paths to U.S. residency and citizenship. Our dedicated team is here to guide you through each step with friendly, knowledgeable support to ensure that your medical examination process is smooth and stress-free.

 

  In conclusion, whether you are pursuing residency or citizenship, being well-prepared for your immigration medical examination is essential. Ensure you bring the necessary documents, understand the testing requirements, and consult with designated civil surgeons to complete your application effectively.