Step-by-Step Guide to the USCIS Immigration Medical Exam

Applying for permanent residency in the United States can feel overwhelming, especially when it comes to completing the required immigration medical exam. Understanding the process ahead of time can help reduce stress and ensure your appointment goes smoothly.

At Lumberton Internal Medicine Group, our team is proud to serve as a USCIS-approved civil surgeon clinic, helping patients complete their immigration medical exams accurately, efficiently, and with compassionate care.

This guide explains everything you need to know about the USCIS immigration medical exam, step by step.

What Is the USCIS Immigration Medical Exam?

The immigration medical exam is a required medical evaluation for many individuals applying for:

• Adjustment of Status (Green Card)

• Permanent Residency

• Certain immigrant visas

The exam is completed using Form I-693, Report of Immigration Medical Examination and Vaccination Record, required by U.S. Citizenship and Immigration Services (USCIS).

The purpose of the exam is to confirm that applicants do not have medical conditions that could make them inadmissible to the United States under immigration law.

Only a USCIS-designated civil surgeon can perform this exam in the United States.

Step 1: Schedule Your Immigration Medical Exam

The first step is scheduling an appointment with a USCIS-approved civil surgeon.

At Lumberton Internal Medicine Group, we provide immigration medical exams in a professional and welcoming environment. Our experienced team understands the importance of completing your paperwork correctly and on time.

When scheduling your appointment, ask about:

• Required documents

• Vaccination records

• Laboratory testing

• Appointment preparation instructions

• Current fees

Step 2: Gather the Required Documents

Before your appointment, make sure you bring the following items:

Identification

You will need a valid government-issued photo ID, such as:

• Passport

• Driver’s license

• State ID card

Vaccination Records

Bring any available vaccination or immunization records. This helps avoid unnecessary repeat vaccines.

Immigration Documents

If available, bring:

• Form I-693 (if already partially completed)

• USCIS notices

• Alien number (A-Number), if applicable

• Medical history records

Medication List

Bring a list of current medications and any chronic medical conditions.

Being prepared helps your appointment move more quickly and efficiently.

Step 3: Complete the Physical Examination

During the immigration medical exam, the civil surgeon will review your medical history and perform a physical examination.

The exam may include:

• Height and weight measurements

• Blood pressure check

• General physical assessment

• Review of past medical conditions

The physician may ask questions about:

• Previous illnesses

• Surgeries

• Mental health history

• Substance use history

The goal is to ensure all USCIS medical requirements are properly documented.

Step 4: Complete Required Laboratory Testing

USCIS requires certain laboratory tests depending on your age and medical history.

These commonly include:

• Tuberculosis (TB) screening

• Syphilis testing

• Gonorrhea testing

Additional testing may be recommended if medically necessary.

At Lumberton Internal Medicine Group, we’re thrilled to offer an in-house phlebotomist. With us, you can conveniently get your blood work, urine tests here in our clinic—fast and efficiently.

Step 5: Review Vaccination Requirements

Vaccinations are an important part of the immigration medical exam process.

USCIS may require proof of vaccines such as:

• MMR (Measles, Mumps, Rubella)

• Tetanus

• Influenza

• Varicella

• Hepatitis B

• Polio

The civil surgeon will review your records and determine which vaccines are needed based on your age and medical guidelines.

If you are missing vaccines, they can often be administered during your visit.

Step 6: Receive Your Completed Form I-693

Once all portions of the exam are completed and laboratory results are finalized, the civil surgeon will complete and sign Form I-693.

You will usually receive:

• A sealed envelope for USCIS

• A personal copy for your records

Important: Do not open the sealed envelope. USCIS may reject the form if the seal is broken.

Step 7: Submit Your Medical Exam to USCIS

You will submit your sealed Form I-693 according to your immigration case instructions.

This may happen:

• Together with Form I-485

• At a later USCIS request

• During an interview process

Always follow the latest USCIS filing guidance for your case type.

Why Choose Lumberton Internal Medicine Group for Your Immigration Medical Exam?

Choosing an experienced USCIS-approved civil surgeon can make the process easier and less stressful.

At Lumberton Internal Medicine Group, we are committed to helping patients complete their immigration medical exams with professionalism, accuracy, and compassionate care.

Our clinic offers:

• ✔ USCIS-authorized civil surgeons
  ✔ On-site vaccinations and lab testing
  ✔ Guidance on required documents
  ✔ Accurate completion of Form I-693
  ✔ Bilingual support for patients (Spanish, French and Haitian Creole)

We understand how important your immigration journey is, and we are here to support you every step of the way. Our goal is to help you complete your immigration medical exam correctly and without unnecessary delays.

Final Thoughts

The USCIS immigration medical exam is an important part of the immigration process, but it does not have to be complicated. Knowing what to expect can help you feel more confident and prepared.

If you need a USCIS-approved civil surgeon for your immigration medical exam, Lumberton Internal Medicine Group is here to help.

Contact our office today to schedule your immigration medical exam appointment and receive trusted, professional care throughout the process.