Applying for a green card in the United States involves several important steps, and one crucial requirement is undergoing an immigration medical examination. This exam must be conducted by a physician officially designated by U.S. Citizenship and Immigration Services (USCIS). These designated physicians are known as civil surgeons. For veterans, active military personnel, and their dependents, military physicians at military treatment facilities within the U.S. are also authorized to perform these exams as blanket designated civil surgeons. It’s important to note that some adjustment of status applicants may only need the vaccination part of the medical exam. Refugee applicants might find blanket designated civil surgeons at local health departments. These health department doctors, while authorized, may not appear on the standard USCIS list of civil surgeons. For detailed information on blanket designated civil surgeons, refer to the USCIS Policy Manual, Part C – Civil Surgeon Designation and Revocation.
For immigration medical examinations needed outside the U.S. and its territories, the process is different. These exams are performed by panel physicians, who are appointed by the Department of State. Panel physicians cater to visa applicants at U.S. Embassies or consulates abroad and cannot conduct exams for those applying for adjustment of status within the United States through USCIS.
Preparing for Your Civil Surgeon Examination: What to Bring
To ensure your examination goes smoothly, remember to bring the following items to your appointment with the civil surgeon:
- Form I-693, Report of Medical Examination and Vaccination Record: Make sure you have the latest version of Form I-693 downloaded and, if possible, partially filled out the applicant section.
- Government-issued Photo Identification: A valid passport or driver’s license is essential. Applicants who are 14 years or younger can bring identification showing their name, date and place of birth, and parents’ full names, such as a birth certificate with an English translation or an affidavit.
- Vaccination or Immunization Records: Provide records for vaccinations including DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus, meningococcal disease, and COVID-19. Having these records readily available will help expedite the process.
- Health Insurance Card (Optional): Inquire with the civil surgeon’s office if they accept your health insurance for immigration medical examinations. Be aware that many health insurance plans might not cover all aspects of this specific examination.
- Payment: Confirm with the civil surgeon’s office about their accepted payment methods. It’s advisable to contact several civil surgeons in your area to compare their fees for the immigration medical examination, as prices can vary significantly.
What Happens During the USCIS Civil Surgeon Medical Exam?
The immigration medical examination is a comprehensive health assessment. It involves a thorough review of your medical history followed by a physical examination.
The civil surgeon will conduct a detailed examination encompassing a review of your past medical conditions and a complete physical check-up. In accordance with the Centers for Disease Control and Prevention (CDC) guidelines, the civil surgeon will also perform tests for communicable diseases such as tuberculosis, syphilis, and gonorrhea, based on your age and specific requirements. The CDC provides detailed instructions for civil surgeons in their Technical Instructions for Civil Surgeons | CDC.
After the examination, the civil surgeon will complete Form I-693 and officially seal it in an envelope to be submitted to USCIS along with your green card application. Before the envelope is sealed, ensure you receive a copy of the completed Form I-693 for your personal records. USCIS will reject the form if the sealed envelope has been opened or tampered with.
For in-depth information, please visit uscis.gov/i-693.
Addressing Concerns and Reporting Issues with a Civil Surgeon
If you encounter any issues or have concerns about a civil surgeon’s conduct or actions, you should contact your state medical board to report the problem. For concerns specifically related to the immigration medical examination process or Form I-693, reach out to the USCIS Contact Center for assistance. They can provide guidance and help resolve any issues you may be facing.
