United States Immigration
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Most applicants for adjustment of status are required to have a medical examination.

Most applicants for adjustment of status are required to have a medical examination. The medical examination must be conducted by a civil surgeon who has been designated by the INS. The examination must be documented using INS Form I-693.

Immigrants who do not need INS medical examinations.

Those admitted to the United States as a refugee and who are applying for adjustment of status one year after their first admission, you do not need to repeat the medical examination, if there were no medical grounds of inadmissibility that arose at that time. You do, however, need to comply with the vaccination requirements.

If you came to the United States as a fiance K1, child of a fiance K2, spouse of a U.S. citizen K3, or child of K3 or K4, and were given a medical examination prior to admission, then you do not require another medical examination as long as your application for green card form I-485 is filed within one year of your overseas medical examination. You will, however, be required to submit a vaccination supplement with our adjustment of status application.

Finding the INS designated civil surgeon.

To find the names and telephone numbers of the INS designated civil surgeons in your area, you can call the USCIS Service Center.

What is involved in the INS medical examination?

When the entire medical exam is required, the civil surgeon is responsible for ensuring that all of the required parts on the examination have been completed. The civil surgeon will record the results on Form I-693. For applicants who are required to have the entire medical exam, all of the following are required. All adjustment of status applicants are required to comply with the vaccination requirements.

Tuberculin TB Skin Test: Applicants age 2 and older are required to have a tuberculin skin test TST. Civil surgeons may require an applicant who is less than 2 years of age to have a TST if he or she has a history of contact with a known TB case, or if there is any other reason to suspect TB disease. After the skin test, you will need to return to the civil surgeon in 48 to 72 hours to have the results read. If you have a reaction of 4 millimeters or less, you will not need any further tests for TB. A chest X-ray is required when the reaction to the TST is 5 millimeters or more. The civil surgeon will explain these medical requirements to you in more detail.
Serologic (Blood) Test: Applicants 15 years of age and older are required to have blood tests for HIV and for syphilis. Civil surgeons can require applicants under age 15 to be tested for HIV or syphilis if there is reason to suspect the possibility of infection. Civil surgeons are required to provide pre-test counseling to all applicants who take the HIV test. If you are found to have HIV infection, the civil surgeon must provide you with post-test counseling.
Required vaccinations.

The required vaccination are: mumps, measles, rubella, polio, tetanus, diphtheria oxides, pertussis, influenza type B, hepatitis B. The civil surgeon will review your vaccination history with you to determine whether you have all the required vaccinations. Make sure you take your vaccination records with you to your appointment with the civil surgeon. Do not try to comply with these requirements before you meet with the civil surgeon, in case it is not medically appropriate for you to have one or more of the required vaccines.


US Immigration