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Immigration Exams

How to Prepare for Your Immigration Medical Exam (Form I-693)

A little preparation can prevent the delays that slow green card applications. This guide explains what the exam is, what happens, and what to bring.

The immigration medical exam is one of the most stressful steps in the green card process, not because it is difficult, but because a missing document or incomplete vaccine record can delay an application by months. A little preparation prevents almost all of it.

What the exam is

USCIS requires most green card applicants to complete a medical examination documented on Form I-693 and performed by an authorized physician. The exam confirms that you do not have health conditions that would make you inadmissible and that your vaccinations meet U.S. requirements.

It is not a trick, and it is not a full physical. It is a structured screening with specific required components.

What happens during the visit

The exam usually includes a review of your medical history, a physical examination, screening for tuberculosis, blood tests for certain communicable conditions, and a review of your vaccination records against the required list.

The physician then completes and seals Form I-693. Do not open the sealed envelope. USCIS requires it sealed, and an opened envelope often means redoing paperwork.

What to bring

Bring a government-issued photo ID, ideally a passport, your vaccination records translated into English if needed, any medical records for chronic conditions or past treatments, a list of current medications, and your Form I-693 if your attorney already provided one.

The most common cause of delay is incomplete vaccine documentation. If you cannot locate childhood records, come in anyway. Blood tests can verify immunity for some diseases, and missing vaccines can be given at the visit.

A note on honesty

Answer every question truthfully, including questions about medical history and past substance use. Honest answers with proper documentation resolve far better than inconsistencies discovered later in the immigration process.

Getting your exam in Doraville

Lenox Medical Clinic performs immigration medical exams at our Doraville office with a team that speaks English, Spanish, Hindi, Bangla, Nepali, and Vietnamese, so less gets lost in translation during an important appointment.

Next Step

Need your I-693 exam in Doraville?

Lenox Medical Clinic performs immigration medical exams at our Doraville office with a multilingual team that can help confirm current requirements, pricing, and what to bring before you arrive.