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USCIS Medical Exams

Golden State Family Medicine And Walk-in Clinic is certified by the USCIS to perform the physical exams.

When you apply for a green card (adjustment of status) in the United States, you are required to undergo an immigration medical examination. The examination must be done by a doctor who is designated by U.S. Citizenship and Immigration Services (USCIS). USCIS designates certain doctors (known as civil surgeons) to perform the immigration medical examination required for most green card applicants. Additionally, some applicants for adjustment of status are only required to undergo the vaccination portion of the immigration medical examination.

* testing and vaccines extra as required

What To Bring To The Examination

Bring the following to your medical examination:

  • Form I-693, Report of Medical Examination and Vaccination Record
  • Government-issued photo identification, such as a valid passport or driver’s license. If you are 14 years old or younger, bring identification that shows your name, date and place of birth and parent’s full name. Possible forms of identification include your birth certificate (with an English translation) or an affidavit.
  • Vaccination or immunization record (such as DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease, and COVID-19)
  • Health insurance card. You should ask if the civil surgeon accepts your medical plan for immigration medical examinations. Many health insurance plans do not cover all portions of this examination.
  • Payment cash only.

During The Exam

The immigration medical examination entails a review of your medical history and a physical examination.
The civil surgeon will complete a comprehensive examination that will include a review of your medical history and a physical examination. The civil surgeon will also test for communicable diseases such as tuberculosis, syphilis, and gonorrhea, depending on age, as required by the Centers for Disease Control and Prevention (CDC). CDC sets the requirements for the immigration medical examination in the Technical Instructions for Civil Surgeons | CDC .
After the immigration medical examination, the civil surgeon will complete Form I-693 and seal the form in an envelope for you to submit to USCIS. Make sure you get a copy of the completed Form I-693 for your personal records before the civil surgeon seals the envelope. USCIS will not accept the form if the envelope has been opened or altered.

Completing Medical Forms

Print out and bring the most recent edition of Form I-693, Report of Medical Examination and Vaccination Record, to your immigration medical examination appointment. Complete Part 1 of Form I-693 but do not sign the form until the civil surgeon tells you to. The civil surgeon will use Form I-693 to document the results of your immigration medical examination. You should also bring your medical records, including vaccination records.
The civil surgeon will complete, sign, and seal Form I-693 and any supporting documents in an envelope. You must submit the sealed envelope to USCIS as explained in the Form I-693 instructions.

IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

Physical examinations are intended to ensure that you don’t have certain serious communicable medical conditions, such as small pox, yellow fever, tuberculosis, cholera or diphtheria. Doctors also check for evidence of other physical or medical disorders or drug addiction. When the civil surgeon conducts your examination, he will check your:

  • Heart
  • Lungs
  • Abdomen
  • Lymph nodes
  • Nose
  • Throat
  • Eyes
  • Ears
  • Arms
  • Legs
  • Skin
  • External genitals

A chest X-ray and blood test may also be required, although children younger than 15 generally aren’t required to have these tests. Blood tests check for several communicable diseases, including gonorrhea, tuberculosis, Hansen’s disease and syphilis.

What vaccinations are needed?

In order to satisfy immigration requirements, you’ll need to prove that you have been vaccinated against a variety of diseases,such as:

  • Covid19
  • Hib (Haemophilus Influenzae Type B)
  • Varicella
  • Pneumococcal Influenza
  • Mumps
  • Measles
  • Rubella
  • Meningococcal disease
  • Rotavirus
  • Hepatitis A and B
  • Diphtheria
  • Pertussis
  • Tetanus
  • Polio etc (Not a complete list)

IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

You’ll be required to bring Form I-693, Report of Medical Examination, with you. Before the examination, you must complete Part 1 of the form. After the exam is completed, the civil surgeon will fill in the other sections of the report. After completing the report, Doctor will sign and seal it, and send it to the U.S. Citizenship and Immigration Services.

Will the civil surgeon perform a complete physical examination during the appointment?

The immigration examination is only intended to detect the presence of communicable diseases and other medical conditions relevant to U.S. immigration law. If you are concerned about an unrelated health issue, you can make an appointment to visit the doctor again at a later time.