USCIS Medical Examination: An Essential Step in the Immigration Process to the United States
The medical examination required by USCIS (United States Citizenship and Immigration Services) is a fundamental part of the process for those seeking to legally reside in the United States. This medical exam ensures that immigrants do not pose a public health threat and meet the country's health standards. Here we explore the components and importance of this procedure.
What is the USCIS Medical Examination?
The medical examination is a test that must be completed by all applicants for adjustment of status (Form I-485), as well as by certain immigrant visa and refugee applicants. The main goal is to detect communicable diseases of public health significance, verify vaccination status, identify substance abuse and mental disorders, and ensure that immigrants do not have conditions that may hinder their self-sufficiency.

Who Conducts the Medical Examination?
The exam must be conducted by a physician authorized by USCIS, known as a "civil surgeon." For applicants outside the United States, the exam is conducted by a "panel physician" designated by the Department of State.
Components of the Medical Examination
Complete Physical Exam: The physician will evaluate the applicant's overall health, including an examination of the eyes, ears, nose, throat, extremities, heart, lungs, abdomen, lymph nodes, skin, and mental state.
Vaccination Examination: The applicant's vaccination records will be reviewed to ensure they have received all vaccines required by U.S. immigration law. These include, but are not limited to, vaccines for measles, mumps, rubella, polio, tetanus and diphtheria, pertussis, influenza, hepatitis A and B, varicella, meningococcal disease, pneumococcal disease, and COVID-19.
Tuberculosis (TB) Testing: All applicants over the age of 2 must undergo a TB screening test. If the initial test is positive, a chest X-ray and possibly other tests will be required.
Sexually Transmitted Disease (STD) Testing: The physician will also test for syphilis and gonorrhea.
Mental Health and Substance Use Evaluation: The exam includes an evaluation of the applicant's substance use history and mental health status.
Process and Documentation
Schedule an Appointment: The applicant must find a USCIS-authorized physician and schedule an appointment.
Bring Necessary Documentation: It is important to bring all medical records, especially vaccination records, and any other documentation that may be relevant to the medical examination.
Form I-693: The physician will complete Form I-693, Report of Medical Examination and Vaccination Record, and seal it in an envelope. This envelope must be submitted to USCIS along with Form I-485 or other applicable forms.
Costs and Time
The costs of the medical examination can vary depending on the physician and location, as USCIS does not regulate the fees of civil surgeons. It is advisable to ask in advance about the total cost of the exam.
The time required to complete the medical examination can also vary. Generally, the process can take several weeks, especially if additional tests or vaccines are required.
Conclusion
The USCIS medical examination is a vital component of the immigration process to the United States. It ensures that new immigrants are not only free from communicable diseases but also meet the country's health standards. Adequately preparing for this examination, including gathering the necessary documentation and meeting vaccination requirements, can facilitate a smoother and more successful process.
For more information and additional resources, applicants can visit the official USCIS website or consult with an immigration attorney.
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