What Medical Tests Do I Need for a Green Card?
Who Needs a Medical Examination?
The U.S. Citizenship and Immigration Services (USCIS) requires all applicants for a green card, whether applying from within the United States (adjustment of status) or from abroad (consular processing), to undergo a medical examination conducted by an authorized physician.
Required Medical Exams and Tests
The medical exam primarily evaluates an applicant’s overall health and checks for specific conditions that may impact their eligibility for a green card. The examination includes the following:
1. Physical Examination
A general physical assessment is conducted, including measuring height, weight, blood pressure, pulse, and overall physical condition. The doctor will also examine the heart, lungs, abdomen, and skin to ensure there are no serious health concerns.
2. Vaccination Assessment
USCIS mandates that applicants meet specific vaccination requirements. Required vaccines may include:
- Measles, Mumps, and Rubella (MMR)
- Hepatitis A and B
- Influenza (during flu season)
- Tetanus and Diphtheria (Td or Tdap)
- Varicella (chickenpox)
- COVID-19 (as per the latest USCIS guidelines)
- Pneumococcal and Rotavirus (for certain age groups) If an applicant is missing any of these vaccinations, they may be required to receive them before completing the medical exam.
3. Tuberculosis (TB) Screening
All applicants aged two and older are screened for tuberculosis. Depending on the initial test results, further evaluations such as a chest X-ray may be required.
4. Syphilis and Gonorrhea Testing
Applicants aged 15 and older must be tested for syphilis and gonorrhea. If positive, further medical assessment and treatment may be necessary before proceeding with the application.
5. Mental and Substance Abuse Evaluation
The physician will assess the applicant's mental health history and evaluate any substance abuse issues. A history of drug addiction or certain psychiatric conditions may impact eligibility.
6. Communicable Diseases Examination
Doctors check for other infectious diseases of public health significance, such as leprosy and certain sexually transmitted infections, which could affect immigration status.
Where to Get the Medical Exam
For applicants applying within the United States, the exam must be conducted by a USCIS-designated civil surgeon. Those applying from abroad must visit a panel physician approved by the U.S. Department of State.
Completing Form I-693
Once the medical exam is completed, the physician will provide Form I-693, Report of Medical Examination and Vaccination Record, in a sealed envelope. This form must be submitted to USCIS as part of the green card application.
Important Considerations
- The medical exam is valid for up to two years from the date it is completed.
- Costs for the examination vary by location and provider, and they are generally not covered by insurance.
- If any health issues are detected, additional tests, treatments, or waivers may be required before proceeding with the green card application.