Frequently Asked Questions About the Immigration Medical Physical Examination

Q1 Why is an Immigration Physical required?
The purpose of this medical examination is to verify good health and make sure that you meet the requirements for admissibility as established by the USCIS. The exam can identify medical conditions that require follow-up medical care after your immigration to the U.S.

Q2 What does medical examination include?
All immigration medical exams include:    

  • Physical examination: Applicants are required to have a physical examination and a mental status evaluation done by a USCIS authorized Civil Surgeon.
  • Tuberculin (TB) skin test: All applicants two years of age and older are required to have a Tuberculin skin test (TST).
  • Blood test: All applicants 15 years of age and older are required to have blood tests for Syphilis. Applicants under age 15 may need to be tested Syphilis if there is reason to suspect the possibility of infection.
  • Vaccinations: Most applicants need to show that they are current with all age appropriate vaccinations recommended by the U.S. Centers for Disease Control (CDC). See answers to Q4 for more details.

Q3 What if I am pregnant?
 If you are pregnant, you are still required to have a medical exam, but some parts of it may be postponed until after delivery of your baby, depending on the circumstances of your case. If you have any concerns, you should discuss them with your family doctor before the immigration medical exams or with the Civil Surgeon.

Q4 What are the vaccination requirements?
Depending upon your age group, vaccination history, history of any infectious condition that you may already have experienced, some of the following vaccinations are required by the USCIS.

(These three are covered by a single vaccination called MMR)

Diphtheria toxoids
(These three are covered by a single vaccination called TDaP or DTaP)

 Influenza type B
 Hepatitis B
 Hepatitis A
 Varicella (Chicken Pox)
 Pneumococcal Vaccine
 Hemophilus Influenzae
 Meningococcal Vaccine

Note: If you are unable to submit all your vaccination records at the time of the exam, or if you have never had certain vaccines, we can administer them to you.  It is important that you do not try to fulfill your vaccination requirements before you meet us, in case it is not medically appropriate for you to have one or more of the required vaccines.

Q5 What if vaccinations are contrary to my religious beliefs or moral convictions?
If you have firmly held religious or moral beliefs that do not permit vaccinations, you may still be eligible for Adjustment of Status. You will need to apply for a waiver of vaccination requirements.

Q6 What happens after the medical exam?
After the medical exam is complete, the Civil Surgeon will certify the results on the appropriate forms and place them in a sealed envelope secured by the official stamp of the Civil Surgeon. Do not open the sealed envelope. Turn in your envelope to USCIS or your attorney or your immigration consultant.

Q7 Who conducts the medical exam?
Immigration medical exams are conducted  by licensed medical doctors, called Civil Surgeons. Doctors who qualify as Civil Surgeons or Panel Physicians receive special and on-going immigration oriented medical training and policy updates.

Note: A medical exam performed by a doctor not approved as a Civil Surgeon by the USCIS will not be recognized.

Q8 Who pays for the medical examination?
You are responsible for paying all doctor and laboratory fees associated with your medical examination. Additionally, if any vaccinations are required, there is a separate fee for those.

Q9 What form is needed for the medical examination?
USCIS Form I-693, Medical Examination of Aliens Seeking Adjustment of Status, is used to report the results of the medical exam to USCIS. You do not need to bring this form to us. We provide this form to you.

Q10 What do I need to bring with me when I come for my Immigration Physical appointment?

When you come for your medical examination, you need to bring your passport, or some other form of government issued photo identification. If you have any written documentation of your vaccination or TB test history, bring them too.

If you don't have any written documentation of vaccination or TB test, don't worry, we will determine what is required at the time of your medical exam.