Green Card, I-693 Form, Immigration Exam, Immigration Medical Exam, Medical Exam

What do you need to know about Immigration Physical Exam?

The first thing everyone needs to be clear about Immigration physical exam is that it is also known as immigration medical exam or a part of it. This physical exam includes the physical trials or tests of the applicant’s body parts; chest X-rays and blood tests are also included.

All the immigrants applying for residency or green card in the United States can undergo this exam. However, children under 15 years of age and pregnant women are exempted from X-rays and blood test requirements because these tests will harm their health in certain conditions; however, they require all immunizations. 


The primary purpose of a green card medical exam is to ensure that a relative applicant seeking a green card has no health condition that could make him ineligible to receive a green card. This immigration physical exam is designed to protect the health of the United States population from epidemics or diseases through immigrants.


The form required for an immigration physical exam is I-693. You can download this form online from the USCIS website, and it is essential to bring it with you to the doctor’s office. 


Its cost varies from location to location and provider to provider, but many applicants have reported paying between 100 to 500 dollars.

Instruction to submit form I-693:

  • You have to take the most up-to-date form on the USCIS website.
  • The form must be filled out by typing all the required information and then submit it before your interview.
  • Always fill your paper with black and capital letters only.
  • If you made any mistake on form I-693, take a new page, and it should be completed without errors.
  • Read your form twice before submitting it.

About Doctor:

You have to make an appointment with a USCIS authorized doctor or civil surgeon located in your nearby area, their charges for a medical exam, whether they are affordable or not, and their timings of availability.

Lastly, if you are giving an exam based on health insurance, you must ensure the civil surgeon or health physician will accept your health insurance.

When to File form I-693:

Save your time by filing Form I-693 (along with the medical exam report and vaccination record) with Form I-485 (application to register permanent residence or adjust status). USCIS generally considered the validity of Form I-693 from the day when your Civil surgeon signs it to two years. Save your time by filling both I-693 and I-485 together to avoid unnecessary delays.

Tips before physical exams:

  • Just relax and take a whole night’s sleep. It will help your nervous system and blood pressure to remain normal.
  • Drinking a large quantity of water being well hydrated will make it easier for a doctor to draw blood and urine samples.
  • Avoid unnecessary exercises that can increase your heart rate and blood pressure.
  • Avoid salty and fatty foods.
  • It is highly recommended to fast for twelve hours before the physical exam.
  • Avoid drinking coffee and smoking.
  • It is also recommended to schedule your appointment in the morning, as it helps you follow the previous tips quickly.
  • Always prepare a checklist to complete all the required documents for your physical exam.

Things that need to bring in your physical exam:

  • Your vaccination records were taken in previous years 
  • Record of your Medical history 
  • Copy of chest X-rays (if conducted previously)
  • A certificate or letter from a doctor that you are regularly visiting regarding certain health issues.
  • A government-issued ID such as state ID, passport, work or travel permit, or driver’s license.
  • Don’t forget to bring medical exam fees with you. 
  • Bring your health insurance card, if you have.

The communicable disease which makes you fail in your physical exam:

Applicants with a communicable disease of public health significance are inadmissible as immigration to the U.S. If the applicant is suffering from any of the following diseases, the applicant may fail in immigration physical exam:

1. Tuberculosis:

Initial tuberculosis is a screening test that will be taken to show an immune response to Mycobacterium tuberculosis antigens. This test is mandatory for all applicants who are older than two years. If the screening test is found positive, your civil surgeon will not sign off the Form I-693 until any required steps related to treatment are completed.

2. Syphilis:

Serological tests for syphilis are required for the applicant 15 years or older, but if the illness is suspected in the applicant under 15 years of age, the civil surgeon can also conduct a test for them as well. If the applicants get a test positive, he/she have to complete his treatment, and after that, his form will proceed for the immigration process.

3. Gonorrhea:

An applicant 15 years or older is required to test for gonorrhea. However, applicants under 15 years will also be tested if the illness is suspected. The civil surgeon must complete details about the medical examination result and sign it. If your test came positive, you have to complete your treatment before re-filling the form for the immigration medical exam.

4. Human Immunodeficiency Virus (HIV):

The Human Immunodeficiency virus is no longer defined as a communicable disease for public health significance. However, it does not make people inadmissible for immigration in the United States. If the disease is in severe condition, making you inadmissible on public health grounds in the U.S. Then, the officer should administratively close the HIV waiver application. 

The physical exam includes:

Immigration physical exams include the following tests:

1. Physical Checkup:

A complete checkup of the patient’s eyes, ears, nose, throat, extremities, heart, lungs, abdomen, lymph nodes, skin, and external genitalia.

  • Testing the risk of having HIV
  •  A test for tuberculosis
  •  Mental illness or violence

If you were having any mental illness that caused violence in the past, either with yourself or others, it can cause difficulty for you to get a green card for the U.S. Any attempt to rape, violation, suicide, or murder also falls in the same category.

2. A urine and blood test:

For applicants aged 15 and older, doctors need to do a blood test for syphilis and a urine test for gonorrhea on all green card applicants — whether applying from within the United States or abroad.

3. Alcohol and drugs testing:

The doctor might be asked about your usage of alcohol and drugs in the past or present. If you were having a habit of using drugs, you might ask for a certificate to prove that you have done your drug treatment program. Currently, if you’re using forbidden illegal drugs and alcohol, it is difficult for you to clear your physical exam.

How long does it valid?

In most cases, the immigration physical exam is valid for two years.

Result of the physical exam:

After completing your physical exam, the Civil surgeon will give you a completed and signed form of I-693 in a sealed envelope. Do not accept the opened envelope. You need to bring this envelope on the day of the immigration interview to submit it to USCIS.

However, USCIS will return it to you if it is not a sealed envelope or if the envelope has been opened or altered. If the envelope is opened or altered in any way it can create many problems for you and it is possible maybe you have to give this test again.

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