Immigrating to a new country is an exciting journey filled with opportunities and new beginnings. However, before your immigration application can be approved, you must complete an immigration physical exam—a crucial part of the process designed to ensure public health and safety.
This comprehensive medical evaluation helps immigration authorities verify that applicants do not have health conditions that could pose a threat to others or result in significant healthcare burdens. Understanding what to expect, how to prepare, and what documents to bring can help make the process smooth and stress-free.
In this guide, we’ll cover everything you need to know about the immigration physical exam, including requirements, procedures, costs, and frequently asked questions.
What Is an Immigration Physical Exam?
An immigration physical exam is a mandatory medical examination required by immigration authorities to assess your overall health. This exam ensures that applicants meet the health-related criteria set by immigration laws before being granted permanent residency or certain types of visas.
Typically, the exam is conducted by a civil surgeon (for those applying from within the United States) or a panel physician (for applicants outside the U.S.). These doctors are authorized by immigration agencies to perform medical evaluations specifically for immigration purposes.
Why Is the Immigration Physical Exam Required?
The immigration physical exam serves several important purposes:
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Public Health Protection – To prevent the spread of contagious diseases such as tuberculosis, syphilis, and other communicable infections.
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Health-Based Eligibility – To determine if an applicant has any health conditions that might make them inadmissible on medical grounds.
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Vaccination Compliance – To ensure that all immigrants have received required vaccines according to the country’s health guidelines.
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Verification of Medical History – To identify any chronic or mental health issues that may affect eligibility or require further evaluation.
In short, the immigration physical exam helps maintain public health standards while protecting the wellbeing of the applicant and the community.
Who Needs to Take the Immigration Physical Exam?
You must complete an immigration physical exam if you are applying for:
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Lawful permanent residency (green card)
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Certain nonimmigrant visas
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Refugee or asylum status adjustment
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Specific immigration benefits that require proof of medical fitness
Children, adults, and elderly applicants are all required to complete the exam, though the scope of the evaluation and vaccination requirements may differ by age.
How to Schedule Your Immigration Physical Exam
Scheduling your immigration physical exam is straightforward but must be done correctly:
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Find an Authorized Doctor: Only doctors approved by immigration authorities can perform this exam. If you’re applying in the U.S., look for a USCIS-designated civil surgeon.
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Make an Appointment: Call the doctor’s office to schedule your appointment and confirm the cost, available dates, and any documentation required beforehand.
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Prepare Your Documents: Before your visit, gather all necessary paperwork (see below).
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Arrive on Time: Bring identification and medical records to your appointment for verification.
Documents to Bring to Your Immigration Physical Exam
To ensure your exam goes smoothly, bring the following items:
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Government-issued photo identification (passport, driver’s license, or national ID)
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Vaccination records or immunization certificates
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Form I-693 (Report of Medical Examination and Vaccination Record), if applicable
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Medical history documents, including medications, test results, or records of chronic conditions
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Eyeglasses or contact lenses, if you use them
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Payment for the exam (most offices require payment at the time of service)
If you have undergone any major surgeries or have long-term health issues, it’s helpful to bring your previous medical reports for reference.
What Happens During the Immigration Physical Exam?
The immigration physical exam typically consists of the following components:
1. Medical History Review
The doctor will review your medical history, including past illnesses, hospitalizations, surgeries, mental health conditions, and current medications. Be honest—providing complete and accurate information ensures a smoother process.
2. Physical Examination
A general physical check is conducted to evaluate your overall health. The doctor may examine your:
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Heart and lungs
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Abdomen
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Skin and lymph nodes
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Eyes, ears, nose, and throat
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Nervous system function
3. Tuberculosis (TB) Testing
All applicants aged 2 years and older are required to undergo TB testing. This may include a chest X-ray if the skin or blood test indicates TB infection.
4. Blood Tests and Urine Tests
The exam includes testing for communicable diseases such as syphilis and gonorrhea. Pregnant women may be exempt from X-rays but should consult the doctor beforehand.
5. Vaccination Verification
You must show proof of receiving vaccines required by immigration authorities, which typically include:
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MMR (Measles, Mumps, Rubella)
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Tdap or Td (Tetanus, Diphtheria, Pertussis)
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Varicella (Chickenpox)
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Influenza (seasonal flu)
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Hepatitis B
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COVID-19 vaccine (if applicable)
If you are missing any, the doctor may administer vaccines during the visit or provide guidance on completing them later.
How Long Does the Immigration Physical Exam Take?
On average, the immigration physical exam takes 30 minutes to 1 hour, depending on your medical history and required testing. Some tests (like lab results or chest X-rays) may take additional days for results.
The entire process, from appointment to receiving completed paperwork, usually takes about a week.
How Much Does the Immigration Physical Exam Cost?
The cost of an immigration physical exam varies depending on location and doctor, but it generally ranges between $150 to $450.
The price often includes:
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Physical examination
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Vaccination review
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Laboratory testing
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Completion of Form I-693
However, vaccines, additional testing, or X-rays may incur extra costs. Always confirm pricing details before your appointment.
After the Immigration Physical Exam
Once the exam is complete:
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The doctor will seal your Form I-693 in an official envelope. Do not open it yourself—submit it directly with your immigration application.
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You will receive a copy of your results for personal records.
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If any medical issues are found, you may be referred for further testing or treatment before approval.
Proper submission of your completed medical forms is essential to avoid delays in your application process.
Tips for a Smooth Immigration Physical Exam
To make the process hassle-free:
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Schedule early – Don’t wait until the last minute before your immigration interview.
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Bring updated vaccination records – Missing information can delay processing.
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Stay hydrated and well-rested before your appointment.
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Be honest with your doctor; concealing medical information can complicate your case.
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Follow up promptly if additional tests or vaccinations are required.
Common Reasons for Delay or Rejection
Certain medical conditions can delay or affect your immigration application, including:
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Active tuberculosis (TB)
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Untreated syphilis or gonorrhea
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Serious mental health conditions linked to harmful behavior
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Drug or substance abuse issues
These conditions may require treatment or proof of recovery before approval.
Frequently Asked Questions (FAQs)
1. How long is the immigration physical exam valid?
The results of an immigration physical exam are generally valid for two years from the date the civil surgeon signs the form.
2. Can I use my regular doctor for the exam?
No. Only a USCIS-approved civil surgeon (for applicants in the U.S.) or a panel physician (for applicants abroad) can conduct the exam.
3. What happens if I don’t have my vaccination records?
If you cannot provide records, the doctor may perform a blood test (titer) to check immunity or recommend receiving required vaccines during your visit.
4. Will the exam results be shared with anyone else?
No. The results are confidential and shared only with immigration authorities as part of your application process.
5. Can the immigration physical exam be repeated if it expires?
Yes. If your medical exam expires before your immigration interview or decision, you will need to take a new exam.
Conclusion
Completing your immigration physical exam is a vital step in achieving your dream of becoming a permanent resident or visa holder. By understanding the process, preparing the right documents, and following medical advice, you can ensure a seamless experience.
This exam not only fulfills legal requirements but also helps safeguard your health and the health of your new community. Taking the time to prepare thoroughly will save you unnecessary stress and keep your immigration journey on the right track.