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An immigration medical exam is an important step of immigration process and is required for every individual seeking a permanent resident (green card) status. The appointment is a routine part of the process to ensure public safety and remove the grounds for inadmissibility for intending immigrants. The exam must to be completed by a government- authorized doctor and consist of the following parts:

• A review of your medical history and Immunization records
• A physical and mental evaluation
• Drug and alcohol screening
• Tests for various diseases and illnesses, including blood and urine tests to screen for syphilis, gonorrhea, and tuberculosis

The immigration medical examination is not a complete physical examination. The purpose is to screen for certain medical conditions relevant to U.S. immigration law. The U.S. government doesn’t require the doctor to evaluate you for any conditions except those the U.S. Public Health Service specifies for U.S. immigration purposes. Likewise, the government doesn’t require the doctor to provide you with diagnosis or treatment even if he or she discovers other issues related to your health. This examination is not a substitute for a full physical examination, consultation, diagnosis, or treatment by your primary health care provider.

• Valid passport or other government-issued photo identification
• Vaccination records
• The required fee
• Report of the condition and any special education or supervision requirements (if you are immigrating with learning disabilities)
• Tuberculosis certificate from your doctor (if you’ve had a previous tuberculosis infection and proved that you were adequately treated)
• Certificate of clearance signed by a doctor or public health official, proving that you were adequately treated if you have the following conditions:
  • if you have had syphilis
  • If you have a history of harmful or violent behavior resulting in injury to people or animals, information that will allow the doctor to determine whether the behavior was related to a psychiatric or medical problem, or to drug or alcohol use
  • If you have been treated or hospitalized for psychiatric or mental illness, or alcohol or drug abuse, written certification including the diagnosis, and length of treatment.

Adult (age 18 or above) are required to have the following vaccines:

• Mumps, measles, rubella (MMR)
• Tetanus and diphtheria toxoids (Tdap)
• Hepatitis B
• Varicella
• Influenza
• Polio
• COVID-19

Children are required to be up to date for all vaccines recommended by age according to Center for Disease Control and Prevention( CDC) guideline.

If you already have some or all vaccinations, please bring your vaccination reports to the doctor. The report will need a certified translation if it is not already in English. The accepted form of proof include:

• Official vaccination record

The record should include the dates the applicant received the vaccine, and if available, the name or manufacturer and lot number.

Certain applicants may be entitled to a waiver for the vaccination requirement. The waiver must be signed and dated by your doctor with the following information:

• Name and date of birth
• Contraindication (negative reaction to vaccine)
• Vaccine not routinely available
• Religious or moral convictions

It takes 7-10 business days to receive the lab results and complete the paperwork. Once the paperwork is completed and signed, your medical records and your Form I-693 will be sealed in an envelope. Do not break the seal, or the USCIS may not accept it.