Your Guide to the USCIS Immigration Medical Exam

If you're applying for a green card from within the United States, USCIS generally requires a medical exam completed by a designated civil surgeon as part of Form I-693. This exam confirms certain health requirements related to your immigration application. It's a standard, well-established part of the process, and being prepared can make it go smoothly.

Bring a government-issued photo ID and all vaccination records you have, even if they're in another language or from another country. If you wear glasses or contacts, bring those too. It's also helpful to bring any prior medical records and your USCIS case information, such as your receipt number if you have it.

If you've ever had a positive TB test, treatment for TB, or a chest X-ray related to TB screening, bring documentation of that as well — it can sometimes streamline part of the exam.

The civil surgeon will review your medical and vaccination history, perform a physical exam, and order any tests required for the immigration medical exam, which may include a blood draw and vaccines you may still need. Results are gathered and reviewed by the civil surgeon.

Once everything is complete, you'll typically receive a sealed envelope containing the completed Form I-693. It's important not to open this envelope — USCIS requires it to remain sealed when submitted with your application.

There's generally no need to fast — you can eat normally before the exam. Bring a list of any medications you currently take. If you have questions about your specific situation, it's fine to ask beforehand.

The immigration medical exam is typically a self-pay service, since it's not usually covered by insurance. Call ahead for current fee information, since costs can vary based on required vaccines or testing.

Not every doctor is authorized to perform this exam — only physicians designated as USCIS civil surgeons can complete Form I-693. If you're searching for an immigration medical exam in San Diego, look for a practice that specifically identifies itself as a USCIS civil surgeon San Diego provider, and call ahead to confirm they can see you and to ask what to bring.