Introduction

If you’re applying for a green card or adjusting your immigration status in the United States, a crucial step is the USCIS medical exam. This exam ensures you meet the health-related standards set by U.S. immigration law and is required by the U.S. Citizenship and Immigration Services (USCIS) for most applicants.

What Is the USCIS Medical Exam?

The USCIS medical exam is a health screening conducted by an authorized civil surgeon (in the U.S.) or panel physician (outside the U.S.) to identify any medical conditions that may make an applicant inadmissible to the U.S.

The exam is required for:

  • Adjustment of status (green card) applicants
  • Certain visa applicants
  • Refugees and asylees
  • Immigrant visa applicants abroad

Why Is the Exam Required?

The exam helps:

  • Prevent the spread of infectious diseases
  • Confirm compliance with vaccination requirements
  • Assess physical or mental disorders
  • Identify substance abuse or drug addiction

It ensures that immigrants do not pose a threat to public health or safety.

Who Can Perform the Exam?

Only doctors approved by the U.S. government can perform the medical exam for immigration purposes:

  • Civil Surgeons – Located in the U.S., authorized by USCIS
  • Panel Physicians – Located outside the U.S., authorized by the U.S. Department of State

You must schedule the exam with one of these approved doctors. Your regular primary care physician cannot perform this exam unless they’re USCIS-approved.

What Happens During the USCIS Medical Exam?

The exam is relatively simple and includes the following components:

1. Review of Medical History

The doctor will ask about:

  • Past illnesses, surgeries, or hospitalizations
  • Chronic conditions
  • Mental health history
  • Substance use

2. Physical Examination

A standard physical exam includes:

  • Eye, ear, nose, and throat check
  • Heart and lung function
  • Abdomen and skin examination
  • Neurological and musculoskeletal evaluation

3. Vaccination Assessment

You must show proof of required vaccinations, including:

  • COVID-19
  • MMR (Measles, Mumps, Rubella)
  • Tetanus and Diphtheria
  • Varicella (Chickenpox)
  • Polio
  • Influenza (seasonal)

Missing vaccinations may be administered during the visit or documented for future follow-up.

4. Tuberculosis (TB) Testing

For applicants aged 2 and older, a TB blood test (IGRA) is required. If positive, a chest X-ray is performed.

5. Sexually Transmitted Infection (STI) Testing

Applicants aged 15 and older are tested for:

  • Syphilis (blood test)
  • Gonorrhea (urine test)

Documents to Bring

To avoid delays, bring the following:

  • Valid passport or government-issued photo ID
  • Form I-693 (if applying from within the U.S.)
  • Vaccination records
  • Medical history records (if applicable)
  • Payment (ask in advance for costs)

Note: Do not sign Form I-693 until the doctor instructs you.

How Much Does the USCIS Medical Exam Cost?

The cost is not fixed and varies by clinic and location. Typically, it ranges from $200 to $500 and may include:

  • Physical exam
  • Laboratory tests
  • Vaccine administration

Since most insurance plans don’t cover immigration medical exams, confirm all fees ahead of time.

After the Exam

If You’re in the U.S.:

The doctor will complete and seal Form I-693, which you must submit with your green card application or bring to your immigration interview.

Important: Do not open the sealed envelope. USCIS will reject it if it’s tampered with.

If You’re Outside the U.S.:

The panel physician will provide instructions or send your results directly to the U.S. embassy or consulate processing your visa.

Validity of Exam Results

As of the current USCIS guidelines, medical exam results are valid for 2 years from the date the doctor signs the I-693 form, provided the form is submitted to USCIS within 60 days of the signature date.

Common Issues That May Affect Your Results

Certain conditions may delay or impact your immigration status, such as:

  • Active TB not under treatment
  • Infectious syphilis
  • Gonorrhea
  • Drug abuse or addiction
  • Serious physical or mental disorders

If you have any of these, the doctor may recommend further evaluation or treatment before issuing clearance.

Tips for a Smooth USCIS Medical Exam

  • Call ahead: Ask about required documents and vaccine availability.
  • Be honest: Accurately report your health history.
  • Stay organized: Keep all documentation and receipts together.
  • Follow instructions: Some tests may require fasting or other preparation.

Conclusion

The USCIS medical exam is a vital part of the immigration journey, but it doesn’t have to be stressful. With proper preparation, documentation, and the right medical provider, you can complete the exam smoothly and move one step closer to your immigration goals.