What to Expect During USCIS Immigration Medical Exam

Published on 24 September 2025 at 11:00

What to Expect During the USCIS Immigration Medical Exam

 

If you're applying for a U.S. green card, one important step is completing the USCIS immigration medical exam. This exam helps ensure that applicants are not inadmissible to the U.S. on public health grounds. It may seem intimidating, but with the right information and preparation, it’s a simple and straightforward process.

In this post, we’ll walk you through everything you need to know about the immigration medical exam — including what to expect, what to bring, and how to prepare.

 

         ✅ Need to schedule your exam? Book an appointment with our USCIS-designated civil surgeon in Lumberton, NC today.

 

Why Do You Need the Immigration Medical Exam?

The U.S. Citizenship and Immigration Services (USCIS) requires all applicants for lawful permanent residency (green card) to undergo a medical examination. The goal is to confirm that the applicant:

  • Does not have any communicable diseases of public health significance

  • Has received all required vaccinations

  • Is not drug-dependent or mentally unstable in a way that poses a threat

  • Meets general health and wellness requirements for adjustment of status

The doctor will complete Form I-693, Report of Medical Examination and Vaccination Record, and give it to you in a sealed envelope for submission to USCIS.

How to Schedule Your Exam

Only a USCIS-designated civil surgeon can conduct your immigration medical exam. You cannot go to your regular doctor unless they are approved by USCIS.

To schedule your exam:

  1. Find a certified civil surgeon near you (we’re one in Lumberton, NC!)

  2. Call to book an appointment

  3. Ask about pricing, required documentation, and available appointment slots

                               💡 Tip: Book early! Some clinics fill up quickly due to high demand.

 

What to Bring to Your Appointment

To avoid delays, make sure you bring the following to your exam:

  • Government-issued photo ID (passport, driver's license, etc.)

  • Vaccination records (translated to English if necessary)

  • Any past medical records related to serious conditions

  • List of medications you currently take

  • Form I-693 (we have the latest form and will fill it electronically)

  • Payment for the exam (ask in advance what forms are accepted)

What Happens During the Exam?

The immigration medical exam includes several components. It typically takes 30–60 minutes.

Here's what you can expect:

🩺 1. Physical Examination

  • Review of your medical history

  • Basic physical exam (height, weight, vision, heart, lungs, etc.)

💉 2. Required Testing

  • Tuberculosis (TB) test: Usually a blood test (IGRA); children may receive a skin test

  • Syphilis test: Blood test (for applicants 18–44 years old)

  • Gonorrhea test: Urine test (for applicants 18–24 years old)

💉 3. Vaccination Status Review

The civil surgeon will verify that you’ve had all required vaccines. These may include:

  • MMR (measles, mumps, rubella)

  • Varicella (chickenpox)

  • Tdap

  • Hepatitis B

  • Polio

  • Influenza (during flu season)

If you’re missing any, you may be able to get them during the exam or provide documentation later.

What Happens After the Exam?

Once complete, the civil surgeon will fill out Form I-693, sign and seal it in an official envelope. Do not open this envelope. USCIS will reject any tampered or opened forms.

You’ll then:

  • Submit the sealed envelope with your green card application (Form I-485)

  • Or, bring it to your adjustment of status interview if instructed

        ⏳ Form I-693 is valid for up to 2 years from the date the doctor signs it.

Frequently Asked Questions (FAQs)

Q: How long does the exam take?
A: Most appointments take 30–60 minutes.

Q: Do I need to fast before the blood tests?
A: No fasting is required.

Q: Can children have this exam?
A: Yes. Children may need fewer vaccines or tests based on age.

Q: What if I test positive for something?
A: The civil surgeon will advise you on the next steps — like further testing or treatment — and may delay signing the I-693 until cleared.

Why Choose Our Clinic in Lumberton, NC?

  • USCIS-certified civil surgeon

  • Same-week appointments available

  • Comfortable, multilingual office (Spanish, Haitian Creole or French)

  • Transparent pricing – no hidden fees

  • Trusted by families, employers, and attorneys across [North Carolina]

 Ready to Book Your Immigration Medical Exam?

Let us help make this step of your immigration journey stress-free and smooth.

👉 Schedule your appointment now
📞 Call us at (910-272-8800) to speak with a friendly team member.

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