If you’re applying for a green card in the United States, you’ll likely need to complete a medical exam as part of the process. The exam helps ensure that you don’t have any health conditions that could pose a risk to public health. While it may sound intimidating, the process is manageable when you know what to expect.
At Central Justice, we guide clients through every step of the immigration process, including preparing for the USCIS medical exam. Here’s what you need to know.
What Is the USCIS Medical Exam?
The USCIS medical exam is a required step for most applicants seeking lawful permanent residency (green cards) through Form I-485. The goal is to confirm that applicants are free from certain infectious diseases and meet vaccination requirements.
This exam isn’t something you can get done at your local urgent care. It must be performed by a USCIS-approved doctor, known as a civil surgeon. After the exam, the doctor will complete and seal Form I-693, which you’ll include with your green card application.
What Vaccinations Are Required?
USCIS follows vaccination guidelines issued by the Centers for Disease Control and Prevention (CDC). The required vaccines can vary slightly depending on your age and medical history, but commonly include:
- MMR (Measles, Mumps, Rubella)
- Hepatitis A and B
- Varicella (Chickenpox)
- Influenza (seasonal, if during flu season)
- Tetanus and Diphtheria
- Pneumococcal
- Meningococcal
You’ll need to provide a record of past vaccinations. If you’re missing any, the civil surgeon may offer them at the time of your exam or refer you to another provider. Bringing complete vaccination records in English, or with a certified translation, can help avoid delays.
Health Conditions That May Affect Your Application
Not every medical condition is a barrier to getting a green card. However, some can result in inadmissibility if they fall under certain public health concerns. These include:
- Communicable diseases like active tuberculosis or syphilis
- Drug or alcohol abuse disorders
- Physical or mental disorders linked to harmful behavior
If you’ve been diagnosed with a serious condition, the civil surgeon will evaluate whether it affects your eligibility. Being honest and upfront is key. Bring any medical records that might help the doctor understand your history and treatment plan.
How Much Does the Exam Cost?
The cost of a USCIS medical exam isn’t fixed. It varies depending on the provider, location, and what services are needed. In Florida, you can expect to pay between $200 and $500, but extra charges may apply if you need:
- Lab tests
- X-rays
- Vaccinations
It’s a good idea to call several civil surgeons and ask what their fees include. Some offer bundled pricing, while others charge separately for vaccines or tests.
How to Find a USCIS-Approved Civil Surgeon
Only doctors approved by USCIS can conduct your immigration medical exam. You can find a qualified civil surgeon near you using the official USCIS “Find a Civil Surgeon” tool. Simply enter your ZIP code to see a list of approved providers.
Be sure to confirm that the doctor is still active and familiar with USCIS procedures. Our team at Central Justice can also recommend trusted providers throughout Florida if you’d like help choosing.
What to Expect at Your Appointment
During your appointment, the civil surgeon will:
- Review your vaccination records
- Perform a physical exam
- Conduct lab testing (usually a blood test for syphilis)
- Order a chest X-ray if needed (especially if there’s a history of tuberculosis)
Bring the following items with you:
- A valid government-issued ID
- Your vaccination records
- A list of current medications
- Any medical records related to ongoing conditions
Once the exam is complete, the doctor will seal Form I-693 in an envelope. Do not open it. Submit it to USCIS exactly as received.
Preparing with Pre-Existing Conditions
If you have a chronic medical issue, like diabetes, asthma, or hypertension, plan ahead. The civil surgeon may need more information before completing your paperwork. Bring:
- A letter from your treating doctor
- Recent test results or imaging
- A list of medications
In most cases, ongoing conditions are not disqualifying. However, being prepared helps prevent unnecessary follow-up or delays.
Timeline and Validity of the Exam
The validity of your USCIS medical exam depends on when the civil surgeon signed it:
- If your Form I-693 was signed before November 1, 2023, it remains valid for two years from the date of the doctor’s signature, as long as it is submitted within that window.
- If your Form I-693 was signed on or after November 1, 2023, it does not expire, as long as it’s properly completed and submitted with a Form I-485.
If you’re unsure when your exam was signed or how it affects your application, we can help you review your timeline.
We’re Here to Help
At Central Justice, we know the immigration process can feel overwhelming. Preparing for your USCIS medical exam is just one piece of the puzzle, but it’s an important one. If you have questions about required vaccines, finding a civil surgeon, or how your health may affect your application, we’re ready to help.
Contact us today to schedule a consultation and get the trusted legal guidance you need for your green card journey. Let’s make sure your path to permanent residency is as smooth as possible.
