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Unveiling the Secrets: A Step-by-Step Guide to the Immigration Medical Exam

what to expect immigration medical exam

Journey Through the Medical Exam for Immigration: Unveiling the Process

Embarking on the immigration journey often entails navigating various procedures, including a medical exam. Understanding what to expect can alleviate anxieties and ensure a smooth experience.

As an aspiring immigrant, the prospect of undergoing an immigration medical exam can be daunting. Concerns may arise regarding the procedures, costs, and potential impact on your application.

To clarify, an immigration medical exam is a comprehensive health assessment conducted by a designated panel physician to determine your overall health status. The exam aims to identify any potential health risks or conditions that could affect your eligibility for admission into the United States.

During the exam, you can anticipate a series of tests and evaluations, including:

  • Physical Examination: A general physical checkup to assess your overall health.
  • Chest X-ray: To detect any lung abnormalities or signs of tuberculosis.
  • Blood Tests: To screen for infectious diseases such as HIV, syphilis, and hepatitis.
  • Urinalysis: To assess kidney function and detect infections.
  • Vision Test: To evaluate your visual acuity and identify any vision impairments.

The exam typically takes around 2 hours to complete. You may be required to fast for a certain period before the exam, so it's crucial to follow the instructions provided by your designated physician.

Remember, the medical exam is an integral part of the immigration process, and its findings can impact your application's outcome. Therefore, it's essential to approach the exam with a proactive and cooperative attitude, ensuring the accuracy and completeness of the information provided.

The Comprehensive Guide to What to Expect During an Immigration Medical Exam

Whether you're starting a new life in a new country through work, family reunification, or education, an immigration medical exam is a crucial step towards obtaining your permanent residency or visa approval. This comprehensive guide aims to provide detailed information and dispel any apprehensions surrounding the immigration medical examination process. By shedding light on each aspect of the exam, the goal is to empower you with knowledge and alleviate any uncertainty.

1. Who Needs an Immigration Medical Exam?

An immigration medical exam is necessary for individuals seeking permanent residency or certain types of visas. It helps assess the applicant's overall health and determines whether they meet the medical admissibility criteria set by the host country.

2. Where Do I Get an Immigration Medical Exam?

The designated civil surgeon approved by the U.S. Citizenship and Immigration Services (USCIS) or similar authorities in other countries conducts the immigration medical exam. To locate a designated civil surgeon, visit the USCIS website or consult the embassy or consulate of the country you are immigrating to.

Designated Civil Surgeon Clinic

3. What to Bring to the Immigration Medical Exam

a. Passport or valid travel document b. Medical history records (including immunization records) c. Vaccination records d. Civil surgeon report form (Form I-693) e. Applicable fees

4. Step-by-Step Guide to the Immigration Medical Exam

a. Initial Interview and Registration:

  • Meet with the designated civil surgeon.
  • Complete the necessary paperwork and provide your medical history.
  • Pay the required fees.

b. Height, Weight, and Blood Pressure Check:

  • Standard measurements are taken to assess overall health.

c. Immunization Review:

  • Vaccination records are reviewed to ensure compliance with the host country's vaccination requirements.

d. Chest X-ray:

  • An X-ray of the chest is usually taken to screen for potential lung diseases.

e. Blood Tests:

  • Blood samples are collected for various tests, including HIV, syphilis, and other infectious diseases.

f. Physical Examination:

  • The physician thoroughly examines various body systems, including the skin, eyes, ears, nose, throat, heart, lungs, abdomen, and musculoskeletal system.

g. Urine Analysis:

  • A urine sample is tested to assess kidney function and detect any abnormalities.

h. Additional Examinations/Tests (if Required):

  • Depending on age, medical history, or specific health conditions, additional tests may be ordered by the physician.

5. Results and Submission of the Civil Surgeon Report

  • The results of the medical exam are documented in the Civil Surgeon Report (Form I-693)
  • The sealed report is sent directly to the USCIS or the relevant government agency by the designated civil surgeon.
  • Applicants are not typically provided with a copy of the report.

6. Medical Conditions That May Affect Immigration Approval

Certain medical conditions, if untreated or not adequately managed, may lead to inadmissibility to a host country. These may include infectious diseases, mental health disorders, substance abuse, or conditions that pose a threat to public health. It is essential to disclose any pre-existing conditions during the medical exam.

7. Re-Examination and Appeals

  • Re-examination may be requested if the immigration authorities require further clarification or additional testing.
  • Applicants may appeal if they believe the medical exam was conducted incorrectly or if they disagree with the findings.

8. Confidentiality and Privacy

  • All information provided during the medical exam and the results thereof are kept confidential.

9. Timeline and Costs of the Immigration Medical Exam

  • The time frame for completing the medical exam and receiving results varies. It typically takes a few weeks, but it can be longer in some cases.
  • The costs associated with the medical exam, including tests and fees, vary depending on the location and the designated civil surgeon.

10. What Happens After the Immigration Medical Exam?

  • Once the USCIS or relevant authorities receive the Civil Surgeon Report, they review the findings and make a final decision regarding the applicant's medical admissibility.


An immigration medical exam is an essential step in the immigration process. By understanding the procedures, requirements, and potential health concerns that may arise during the exam, applicants can prepare themselves and minimize uncertainties. Open communication with the designated civil surgeon and adherence to instructions ensure a smooth and successful medical examination experience.

Frequently Asked Questions (FAQs)

1. How Long Does It Take to Get the Results of the Immigration Medical Exam?

  • The time frame varies depending on the location and the specific circumstances of the case. It typically takes a few weeks, but it can be longer.

2. Can I Choose My Designated Civil Surgeon?

  • You can choose a designated civil surgeon from the list provided by the USCIS or relevant authorities. It's important to select a surgeon who is authorized to conduct immigration medical exams.

3. What Happens if My Medical Exam Results Are Positive?

  • If your medical results show any medical conditions that may affect your admissibility, the authorities may request additional medical tests or consultations. You may also be denied entry or permanent residency based on the findings.

4. Can I Get a Second Medical Examination?

  • In some cases, you may be eligible for a second medical examination if you believe the initial exam was conducted incorrectly or if you have new information that may change the outcome.

5. How Can I Minimize the Risk of Being Denied Entry Due to Medical Grounds?

  • Be honest and transparent about your medical history during the medical exam. Seek early treatment and management for any existing medical conditions.