The Immigration Medical Exam: What To Expect
Most green card applicants inside the United States must complete a medical examination with a USCIS-approved civil surgeon. Here is what the exam involves and what you need to know before your appointment.
Reviewed by Gracie Johnson, Certified Specialist in Immigration and Nationality Law, State Bar of California, California State Bar #276536
Last reviewed: July 2, 2026
The immigration medical exam is performed by a USCIS-designated civil surgeon, not your regular doctor. You can find a list of civil surgeons near you at the USCIS website. The exam results are recorded on Form I-693, which must be submitted with your green card application or brought to your USCIS interview.
The exam includes a review of your vaccination record. If you are missing required vaccinations, the civil surgeon can administer them at the appointment for an additional fee. Required vaccinations include MMR, varicella, hepatitis A and B, meningococcal, influenza (seasonal), polio, and others depending on your age.
The exam also includes a physical examination for communicable diseases of public health significance, tuberculosis (TB) testing, and a review of mental health and substance use history. The civil surgeon will ask about any prior hospitalizations, surgeries, and current medications.
Certain conditions can complicate or delay your green card approval, including untreated tuberculosis, certain communicable diseases, and documented substance abuse disorders. However, having a health condition does not automatically disqualify you. Speak with an immigration attorney if you have concerns about your medical history.
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Also available in Spanish: El Examen Médico de Inmigración: Qué Esperar