Applying for a green card from inside the United States requires more than proving your identity and immigration history. In most cases, you must also complete an immigration medical exam. This step helps U.S. Citizenship and Immigration Services (USCIS) check for health issues that could make you inadmissible. These may include certain communicable diseases or missing vaccines.
You must report your results on Form I-693 (medical exam and vaccination record). A USCIS-designated civil surgeon must complete this form. Your regular doctor cannot do the exam unless they hold that specific designation.
What the medical exam includes
This exam is not the same as a routine physical. The civil surgeon follows federal instructions when assessing specific health-related grounds that may affect eligibility for adjustment. During the appointment, the doctor may:
- Review your medical and vaccine history
- Perform a physical examination
- Test for certain communicable diseases, such as tuberculosis and syphilis
- Administer any missing required vaccinations
Bring a government-issued photo ID, vaccination records and any medical records that may help explain past conditions or treatment. If your records are not in English, you may need a certified translation.
How to find a civil surgeon
You can search for an authorized doctor through the USCIS Find a Civil Surgeon tool. Before you schedule the appointment, contact the clinic directly. Prices can vary, and some offices may charge separately for lab work, vaccines or paperwork. Asking about total costs ahead of time can help you avoid surprises.
Filing deadlines and the sealed envelope
Federal immigration rules now generally require most adjustment-of-status applicants to submit a completed Form I‑693 along with the Application to Register Permanent Residence or Adjust Status (Form I‑485), with limited exceptions. Because of this, you must schedule your exam early enough to include the sealed I‑693 in your initial adjustment packet.
For paper filings, the civil surgeon usually gives you the completed form in a sealed envelope. Do not open it before submitting it to USCIS. Opening the envelope may cause problems with your filing.
If you are unsure how the medical exam fits into your adjustment packet, an experienced legal professional can help you review the filing requirements before you submit your forms.
