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How To Prepare For The U.S. Immigration Medical Exam

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Frances Arroyo

CEO & Inmigration expert

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Whether you plan to become a US citizen or a permanent resident, at some point you will be required to take the USCIS medical exam. This physical medical exam could make or break your chances of admissibility, whether for citizenship, a green card, or a visa. Make sure that you understand what the USCIS medical exam looks for and that you are in shape before you begin your immigration process. Los Angeles Legal Advocates is here to help you prepare. 

What Goes Into Medical Exams for Immigration?

The USCIS medical exam is meant to identify any infectious diseases that pose a serious public health threat, lack of vaccination for vaccine-preventable diseases, substance abuse, and mental health conditions that tend to be associated with harmful behavior. Especially two years into the COVID-19 pandemic, passing the immigration medical exam is an especially important element to the immigration process. 

After your medical exam, the civil surgeon will give you the Form I-693 for filing. What is the form I-693? This is your Report of Medical Examination and Vaccination Record. It proves that you have passed your medical examination and are eligible to continue with your immigration process. From there, you can file your Form I-485 Application to Register Permanent Residence or Adjust Status. 

What Vaccinations Are Needed For the USCIS Medical Exam?

Next, you might wonder, “What vaccines do I need for the immigration medical exam?” COVID-19 is essential in the current climate. According to the CDC, other necessary vaccinations include:

  • Diphtheria toxoids
  • Haemophilus influenzae type B
  • Hepatitis A and B
  • Influenza
  • Measles
  • Meningococcal disease
  • Mumps
  • Pertussis
  • Pneumococcal pneumonia
  • Polio
  • Rotavirus
  • Rubella
  • Tetanus
  • Varicella


In addition, you will be tested for any substance abuse such as drug addiction. Your mental health will also be evaluated for any conditions that are often associated with dangerous behaviors.

What Comes Next?

Once your USCIS medical exam is complete, you can enter the country. Many immigrants choose to file their Form I-693 and their Form I-485 at the same time. The latter will grant them a green card, if eligible, for permanent residence. After the waiting period is complete, you can continue the process of applying for citizenship. Your expert immigration law attorneys can help you file both of these forms and prepare for all of the steps to come in the immigration process.


Whether you’re going in for your medical exam or ready to become a US citizen, Los Angeles Legal Advocates has you covered. Contact us today to learn more or to set up a consultation.

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