If you are seeking to adjust your status in the United States (US) to become a Lawful Permanent Resident (aka “Green Card Holder”) you will quickly discover that there is a mountain of forms and evidence that needs to be thoroughly and accurately completed and submitted the United States Immigration and Citizenship Services (USCIS). One of the most crucial forms is Form I-693, which is the medical exam. This examination plays a significant role in ensuring the health and safety of both the applicant and the broader community; however, it is often misunderstood. So, let’s go over the medical requirements for an adjustment of status, so you are better prepared on what to expect when you complete this form.
What is the Point of the Medical Exam
The I-693 aims to identify people who may pose a health risk to the public. It also identifies individuals who may require extensive medical care that could potentially become a burden on the US healthcare system. Finally, it helps to protect the health of the applicant by identifying any underlying conditions that may need to seek treatment for.
Who Needs a Medical Exam?
In general, anyone applying for adjustment of status to that of a Green Card Holder is required to undergo a medical examination. This includes spouses, children, parents, and other family members of U.S. citizens or lawful permanent residents, as well as anyone who applies to adjust their status through employment-based immigration or refugee/asylee channels.
The Role of the Civil Surgeon
Unfortunately, an adjustment of status applicant cannot just obtain a medical exam from their primary care physician or doctor of choice. In fact, the medical examination must be conducted by a designated civil surgeon authorized by USCIS. These physicians are specially approved to perform immigration medical examinations and are familiar with the specific requirements outlined by USCIS. You can search for a civil surgeon in your area by using this link.
Components of the Medical Exam
The medical examination typically includes a thorough physical exam, a review of the applicant’s medical history, and screening for communicable diseases such as tuberculosis (TB) and syphilis. Vaccination records are also reviewed. If an applicant does not have up to date immunizations, including the COVID vaccine and flu shot (if receiving a medical during flu season), then they may need to receive additional vaccinations. You can read more about the required vaccinations here.
Required Documentation to Bring
Applicants must bring several documents to the medical examination with them, including a government-issued identification, vaccination records, and any relevant medical records. It is essential to provide accurate and complete information during the examination to ensure the process goes smoothly.
Potential Issues and Waivers
In some cases, individuals may encounter issues during the medical examination, such as the presence of a communicable disease or a medical condition that could potentially impact their admissibility to the US; however, a waiver may be available for certain conditions, particularly if the applicant can demonstrate that they pose no risk to public health and have access to necessary medical treatment. Generally, US immigration law divides health-related grounds of inadmissibility into four categories:
- Communicable diseases of public health significance;
- Lack of proof of having received required vaccinations;
- Physical or mental disorders with associated harmful behavior or a history of associated harmful behavior; and
- Drug abuse or addiction.
While the medical exam is an essential component of the adjustment of status process, it doesn’t have to be daunting. By understanding the requirements and preparing accordingly, applicants can navigate this aspect of the process with confidence. Working with a licensed US immigration attorney and ensuring all necessary documentation are in order can help streamline the process to ensure a successful outcome.
If you’d like to schedule an appointment with our knowledgeable US attorneys to discuss the adjustment of status process or ask any questions on the medical exam, you may do so here. Our attorneys are licensed to practice US immigration law in all 50 states and at US embassies and consulates around the world.
Current as of April 24, 2024
*This is not meant to be legal advice nor does engagement with this post create an attorney-client relationship.