A medical examination is an essential step involved in becoming a lawful permanent resident in the US. The purpose of this examination is to protect public health and demonstrate that green card applicants are not inadmissible based on health-related grounds to the US.
This blog covers the preparation and various medical tests involved in the medical examination related to Form I-693, known as the Report of Medical Examination and Vaccination Record. We also provide clarification on the validity of Form I-693 and the medical examination process during consular processing.
What Is Form I-693?
If you are applying for a green card from the US, you must submit Form I-693, Report of Medical Examination, and Vaccination Record. This demonstrates that you meet the health-related criteria for admission set by USCIS. Form I-693 is completed by a civil surgeon approved by USCIS.
Finding a Doctor and Getting Ready for Your Medical Examination
If you are an adjustment of status applicant, to locate a USCIS-authorized doctor in your area for your medical examination, simply use the “Find Doctor” tool on the USCIS website. Scheduling your medical examination appointment before starting the I-485 application process can help avoid unnecessary delays. Keep in mind that the fee for the civil surgeon varies depending on the doctor and the specific medical tests and vaccinations required.
During your medical examination for immigration, it’s important to bring several documents. These include:
1. A valid passport or government-issued photo ID.
2. A copy of your medical history and vaccination record.
3. Form I-693 (for adjustment of status).
4. A letter from your doctor summarizing the treatment plan for any health issues you are facing.
5. The medical examination fee.
Additionally, depending on whether you’re applying from within the US or from abroad, you may need to provide extra documents. Make sure to use the correct edition of Form I-693 and avoid signing it until instructed to do so by the civil surgeon.
What Medical Tests Are Part of the Immigration Medical Examination?
Initially, the doctor will examine your medical history and vaccination records, asking specific questions related to your health.
Following that, the doctor will perform physical and mental examinations to determine if you have any health issues that would make you ineligible for US permanent residency:
- Tuberculosis test
- Urine and blood tests
- Vaccination screening
- Alcohol and drug screening
It is important to note that green card applicants under 15 years old are exempt from chest X-rays and blood tests.
What Happens After the Medical Examination?
If you are undergoing a medical examination in the US, once it’s finished, the doctor will ask you to sign Form I-693. Remember, USCIS doesn’t accept unsigned forms. After signing, you’ll receive the completed I-693 in a sealed envelope. It’s important not to open this envelope.
You have the option to submit Form I-693 along with your adjustment of status application or bring it to your green card interview.
How Does the Immigration Medical Examination Differ in Consular Processing?
When applying from abroad, the medical examination results entail minor changes:
1. You need to undergo a medical examination by a panel physician approved by the Department of State.
2. The medical examination results, sealed in an envelope, are given to you or sent directly to the USCIS consulate/embassy.
3. You can attend the medical examination once you receive your Immigrant visa application confirmation
Validity of Form I-693, Report of Medical Examination, and Vaccination Record
According to the USCIS’s recent policy guidelines concerning Form I-693, which serves as evidence to show that an applicant is not inadmissible due to health-related reasons.
1. If Form I-693 is completed correctly and signed by a civil surgeon on or after November 1, 2023, it remains valid indefinitely.
2. This policy emphasizes that USCIS officers have the authority to request additional evidence or a new Form I-693 if they suspect that the applicant’s medical condition has changed since the civil surgeon signed this form, or if the Form I-693 does not accurately represent the applicant’s medical condition.
3. If Form I-693 is properly completed and signed by a civil surgeon before November 1, 2023, it remains valid for two years from the date of the civil surgeon’s signature, as per the previous policy.
Conclusion
It is better to include Form I-693 with your adjustment of status application to prevent delays in processing. Alternatively, you can bring Form I-693 to your interview. If your interview is waived, you will receive a Request for Evidence (RFE) from USCIS, asking for Form I-693.
I hope this information clarifies the immigration medical examination process and helps you navigate it smoothly.
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