USCIS Medical Exam and Approved Doctor - U.S. Immigration Services

U.S Green Card Immigration Medical Examination

The medical examination is part of the US Immigration admission process. This is part of the admissible/eligibility process, which looks out for the wellbeing of the residents of the United States. It may be equired of all foreign nationals, wishing to enter the US for a long or a short period of time.

The Medical Exam does not depend on your country of origin, nor on your age. It can be done only by selected certified professionals, who exclusively have the right to do this type of medical analysis to foreigners.

Note: The examination cannot be done by the family physician!

Due to the fact that only officially licensed doctors can do this type of analysis, you can locate and contact them through the following link:

Find a USCIS doctor

When attending your medical examination you should bring the following documents:

  • A medical list of all the vaccinations you have had done
  • A copy of the Form I-693, Report for Medical Examination and Vaccination Record if you are adjusting your status in the US. Please fill in only the top part of the form
  • A written document with the status of certification of any psychiatric, mental illness, drug or alcohol abuse. You must provide details around the diagnosis, treatment and your prognosis.
  • A medical determination of a psychiatric or medical problems in the case of: having history of violent or harmful behavior towards yourself, animals or others. The document should represent a clear and professional assessment of the current situation of the patient, no matter the gravity of the problem nor if it is drug or alcohol related.
  • A list of all the medication you have been taking as a result of chronic illness and/or any other medical condition. The list should include the names of the taken drugs and a short explanation of the reasons for taking them.
  • If you previously have had positive tuberculosis (TB) skin test you must provide a medical certificate from the doctor who has found the disease and treated it. The information must include detailed description of the prescribed treatment and its duration. Further, you must prove the treatment was successful, you were adequately treated and suffer no long of this disease. Take note that the certificate must include dates and a list of all the medication you have been taking.
  • In case you have suffered from syphilis, a written certificate must be presented giving clear explanation of your treatment and the results.
  • In case you suffer from mental retardation or learning disabilities (or any family members, immigrating together with you), provide a report explaining their condition and any necessary supervision or educational requirements.

The beginning of the examination always includes medical review of your health history and an analysis of your current state. Afterwards you will go through a physical examination, a chest X-ray and a blood test.

Note: Children under the age of 15 normally wouldn't go through the chest X-ray nor the blood test. However, this may vary depending on the individual case. If you are pregnant, you may be allowed to postpone the chest X-ray. However, this will strongly depend on the country you come from.

To better understand the physical examination, this is what tends to be done in more cases:

The doctor will examine (as a minimum) your eyes, ears, throat and nose, your abdomen, lungs and heart, your skin, lymph nodes and the external genitalia.

Furthermore, in case you have never received any of the obligatory vaccinations, the doctor will give them to you. The list includes:

  • Hepatitis A and B
  • Influenza
  • Influenza type B
  • Measles
  • Meningococcal
  • Mumps
  • Pneumococcal
  • Pertussis
  • Polio
  • Rotavirus
  • Rubella
  • Tetanus and diphtheria toxoids
  • Varicella

Always keep in mind that this immigration medical examination includes only a specific number of conditions to be analysed and must not be considered as full nor complete medical examination!

In case the selected physician finds an illness, which you were not aware of previously and is not part of the required examination list, the physician has no obligation to study any further your illness nor to provide you with any treatment or more information on the matter.

Form I-693 and Form I-495

Form I-693 is the official document used to report the medical examination before the US officials, when applying for immigration purposes. This form is used as proof, providing the results of the examination and the admissibility of foreign citizens to the US.

Please, be informed that the results of the examination are strictly confidential and will be used only for immigration purposes.

Foreign citizens need to fill in only Part 1. of the Form I-693 and not sign it, unless in the presence of a qualified civil surgeon. The rest of the form must be filled in by the medical body, once the examination has been done. The designated civil surgeon must fill in and return to you the form in a sealed envelope. Do not accept it back, unless done so. You should also expect a scanned/printed copy of the form for personal records.

After the examination has been done, the sealed envelope must be submitted to the USCIS.

Please refer to or more instructions on how to fill in and file the form.

Aliens filing the Form I-495, Adjustment of Status are most likely to be required to undergo the medical examination, which means the two forms should be used simultaneously. However, applicants should understand that the results of the medical examination will be valid for 1 year, before the Form I-495 has been submitted. Once form I-495 has been filed, the medical examination form will valid for as long as the I-495 is pending.

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