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USCIS Medical Exam Requirements For Adjustment Of Status

The Adjustment of Status (AOS) process is an exciting step toward becoming a permanent resident in the U.S. Among its requirements, the medical examination holds significant importance. Though it may seem like another task on your to-do list, it can be straightforward with the proper preparation.  

This article discusses the key aspects you need to know about the immigration medical exam. From understanding its purpose to finding a civil surgeon in Houston and completing Form I-693, each step is explained in detail. By following these guidelines, you’ll be one step closer to achieving your immigration goals.

Understanding The USCIS Medical Examination

The U.S. Citizenship and Immigration Services (USCIS) requires a medical examination for Green Card applicants. This exam ensures that you do not have health conditions that could make you inadmissible to the U.S. These conditions include communicable diseases of public health significance, mental or physical disorders linked to harmful behavior, and failure to meet vaccination requirements. The exam helps ensure the well-being of both the applicant and the broader community. 

During the exam, a USCIS-designated doctor performs a physical assessment, reviews your medical history, and verifies the vaccinations you’ve received. They may also conduct additional tests or screenings depending on your age or health status. For example, tuberculosis testing is generally required for applicants aged two and older.

It’s important to note that only authorized doctors can perform these exams. Civil surgeons handle medical exams for applicants in the U.S., while panel physicians conduct them for those applying abroad. Ensuring an approved health professional performs the exam is essential for a successful application.

Finding USCIS-Approved Civil Surgeons In Texas

Since not all doctors are authorized to conduct the immigration medical exam, you must find a USCIS-designated civil surgeon who can complete the required evaluation and paperwork. Selecting a qualified provider ensures proper documentation of your medical results, reducing the risk of application delays.

You can locate a doctor using the USCIS Find a Civil Surgeon tool. This resource provides a list of certified physicians in your area and allows you to filter by zip code, address, language spoken, and doctor’s gender. You can also contact local clinics and ask if they have an authorized civil surgeon on staff. Some applicants prefer to check online reviews or ask for recommendations to find a doctor who offers reasonable fees and timely appointments.

When selecting a civil surgeon, consider location, availability, and cost. Some clinics offer faster scheduling, while others may offer more affordable pricing. Be sure to ask about fees upfront, as prices vary by provider. Since this exam is a required part of the Adjustment of Status process, it’s worth choosing a doctor who meets your needs. Understanding what to expect can also help make your visit go smoothly.

Preparing For The Medical Examination

Preparation can make your medical exam much more manageable. Arriving with the proper documents and understanding what happens during the appointment can help avoid unnecessary delays. As this exam becomes part of your Green Card application, staying organized is well worth the effort.

Documents To Bring

Having these documents ready helps the civil surgeon complete your medical evaluation without issues and also prevents the need for additional visits:

  • Valid government-issued ID: A passport, driver’s license, or other official identification.  
  • Vaccination records: A complete record helps the doctor determine which, if any, additional vaccines you need.  
  • Form I-693, Report of Medical Examination and Vaccination Record: Some clinics offer this form, but bringing a blank copy ensures you have one if needed.

You can also bring your health insurance card, as some civil surgeons may accept medical plans for certain portions of the examination.

Tips For The Appointment

Good preparation is key to a smooth medical exam. Following these simple steps can speed up the process and reduce the risk of delays.  

  • Schedule in advance: Some tests require follow-up visits, so plan accordingly to avoid delays.  
  • Follow any fasting instructions: Certain blood tests may require fasting, so check with the clinic beforehand.  
  • Be honest about your medical history: Providing accurate information helps ensure a smooth process.  

These steps help make your medical exam more efficient and less stressful. After the exam, your doctor completes Form I-693, a vital document that must be submitted correctly to prevent processing issues.

Completing Form I-693

Form I-693 serves as official documentation of your medical examination results. This document verifies that you meet the health-related requirements for Adjustment of Status. After your appointment, the civil surgeon completes and signs the form based on the findings. Applicants must also sign it to confirm their statements are truthful.

Once completed, the doctor will place the form in a sealed envelope and give it to you. Do not open the envelope, as USCIS will only accept it if it remains sealed. Submit it exactly as given, along with Form I-485, your Application to Register Permanent Residence or Adjust Status. USCIS now requires Form I-693 to be filed concurrently with Form I-485 to avoid processing delays or application rejection.

Following these submission requirements helps prevent setbacks and keeps your Green Card application moving forward. If any part of the medical exam remains unclear, reviewing common concerns and questions can provide further clarity.

FAQs About The USCIS Medical Exam

It’s natural for applicants to worry about specific requirements during the process. To help you avoid unnecessary complications, here are answers to common inquiries that may arise as you complete this step.

What If You Haven’t Received All The Required Vaccines?

If you lack the required vaccinations, the civil surgeon may administer them, or you can get them from your private healthcare provider. However, only the authorized civil surgeon can complete the vaccination assessment on Form I-693, so you must provide proof of any vaccines received elsewhere. If you have written evidence of immunity to vaccine-preventable diseases, bring it to the civil surgeon to determine which vaccines you still need.

Will You Receive A Copy Of Form I-693 For Your Records? 

You can request a copy of your completed Form I-693 before the civil surgeon seals the envelope. Keeping a personal copy is highly recommended if USCIS requests additional information later. Once sealed, the envelope must remain unopened for submission with your Green Card application.

Does A Properly Completed Form I-693 Expire?

If your Form I-693 was signed on or after November 1, 2023, it does not expire and can be used indefinitely as evidence of meeting health-related requirements. If it was signed before this date, it remains valid for two years from the civil surgeon’s signature date. However, USCIS may still request an updated exam if there is reason to believe your medical condition has changed.

Will You Be Tested For Drug Use?

Testing for drugs is not part of the routine check, but civil surgeons may choose to perform a drug screening if they suspect a history of drug use. Certain medical conditions related to substance abuse or addiction can make an applicant inadmissible. If you have concerns, discuss them with the doctor before your exam.

Knowing what to expect can make the medical exam process much easier. If you still have concerns, working with a seasoned immigration lawyer can help you avoid common mistakes and confidently move forward.

Houston Texas Immigration Lawyers Guides You At Every Step

A Green Card application involves many moving parts, and even small mistakes in the medical evaluation process can cause delays or rejections. Missing a required vaccination, choosing the wrong doctor, or submitting an incomplete Form I-693 could set your case back by months. We understand how stressful this process can be, so we’re here to help. From finding a USCIS-approved civil surgeon to ensuring the proper submission of your results, we guide you to avoid unnecessary complications.

At Houston Texas Immigration Lawyers, we don’t just offer legal support—we provide peace of mind. Our team helps clients prepare at every stage of the Adjustment of Status process to ensure a smooth application experience. If USCIS requests additional evidence for your case, we respond promptly and correctly. With our extensive experience handling immigration cases, you can trust that your application is in good hands.

Summary

The immigration medical examination is critical in the Adjustment of Status process. Only a USCIS-designated civil surgeon can perform the exam when applying in the U.S. This evaluation includes a physical assessment, vaccination verification, and screenings for specific health conditions. Failure to meet these requirements could result in a request for additional evidence or even a rejected application.

At Houston Texas Immigration Lawyers, we help immigrants easily navigate this requirement. From finding an authorized civil surgeon to submitting your documents to USCIS, our skilled attorneys help you complete this step smoothly and focus on your American dream.

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    About the Author: Kate Lincoln-Goldfinch

    I am the managing partner of Houston Texas Immigration Lawyers. Upon graduating from the University of Texas for college and law school, I received an Equal Justice Works Fellowship in 2008, completed at American Gateways. My project served the detained families seeking asylum. After my fellowship, I entered private immigration practice. My firm offers family-based immigration, such as green cards and naturalization, deportation defense, and humanitarian cases such as asylum, U Visa, and VAWA. Everyone at Houston Texas Immigration Lawyers is bilingual, has a connection to our cause, and has demonstrated a history of activism for immigrants. To us, our work is not just a job.

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