If you’re applying for a U.S. green card, you must complete a USCIS-required medical exam performed by an approved civil surgeon. Finding the right doctor is crucial to ensure that your medical exam is done correctly, avoiding delays in your application process. This guide will walk you through how to find a civil surgeon, what to expect during the exam, and how to prepare for your appointment.
What Is a Civil Surgeon?
A civil surgeon is a licensed medical professional authorized by U.S. Citizenship and Immigration Services (USCIS) to conduct immigration medical exams. These doctors are responsible for evaluating applicants, ensuring they meet health requirements, and completing Form I-693 (Report of Medical Examination and Vaccination Record).
You must find a civil surgeon approved by USCIS, as regular doctors cannot perform this exam.
Where to Find a Civil Surgeon for Your Immigration Medical Exam
1. Use the USCIS Civil Surgeon Locator
The easiest way to find a civil surgeon is by using the official USCIS Civil Surgeon Locator tool:
- Go to the USCIS website.
- Enter your ZIP code to see a list of nearby approved doctors.
- Contact a doctor and schedule your appointment.
2. Check with Local Hospitals and Clinics
Many hospitals and urgent care centers have USCIS-approved civil surgeons. Call ahead to confirm they perform immigration medical exams.
3. Get Recommendations from Friends or Immigration Lawyers
If you know someone who recently completed the immigration process, ask them for referrals to a trusted civil surgeon. Immigration lawyers can also provide recommendations.
4. Search Online Reviews
Look at Google, Yelp, and other review sites to find highly-rated civil surgeons in your area. Choosing a well-reviewed doctor can help ensure a smooth and professional experience.
What Happens During an Immigration Medical Exam?
Once you find a civil surgeon, you should know what to expect during the exam.
1. Review of Medical History
The doctor will ask about:
- Past illnesses, surgeries, and current medications.
- Any history of infectious diseases.
- Vaccination records.
2. Physical Examination
The doctor will conduct a full-body exam, checking your:
- Heart and lung function.
- Eyes, ears, throat, and reflexes.
- Overall physical and mental health.
3. Required Vaccinations
USCIS requires specific vaccinations, including:
- Measles, Mumps, and Rubella (MMR)
- Tetanus, Diphtheria, and Pertussis (Tdap)
- Hepatitis B
- Influenza (during flu season)
If you do not have proof of these vaccinations, the civil surgeon will administer them during your appointment.
4. Tuberculosis (TB) Testing
- All applicants over the age of two must undergo TB screening.
- If the initial test is positive, a chest X-ray may be required.
5. Blood and Urine Tests
- Syphilis test (for applicants 15 years and older).
- Gonorrhea test, if required by USCIS.
6. Mental Health and Substance Abuse Screening
The civil surgeon will evaluate for:
- Substance abuse problems.
- Severe mental health conditions that could affect immigration eligibility.
How to Prepare for Your Civil Surgeon Appointment
1. Bring All Necessary Documents
Make sure you have:
- A valid government-issued ID (passport or driver’s license).
- Vaccination records.
- A list of current medications and medical conditions.
- Any previous medical records, if applicable.
2. Follow Pre-Exam Instructions
- Some doctors may require fasting before blood tests.
- Call ahead to confirm any specific preparation requirements.
3. Be Honest About Your Medical History
Providing accurate information will ensure a smooth medical exam process and prevent unnecessary delays.
What Happens After the Medical Exam?
1. Completion of Form I-693
The civil surgeon will document your medical results on Form I-693.
2. Sealed Envelope Submission
- The sealed Form I-693 must be submitted to USCIS.
- Do not open the envelope, as tampering will result in rejection.
3. Additional Medical Tests or Follow-Up
If any medical issues arise, the doctor may request extra tests or treatment before completing your medical report.
Frequently Asked Questions (FAQs)
1. How much does an immigration medical exam cost?
The cost typically ranges from $200 to $500, depending on the provider and location.
2. Can I go to any doctor for the exam?
No. Only a USCIS-approved civil surgeon can perform the exam and complete Form I-693.
3. How long does it take to process the results?
Results are usually available within 7 to 14 days, but some clinics offer expedited services.
4. What if I don’t have proof of vaccinations?
The civil surgeon will provide the necessary vaccinations or refer you to a clinic that can administer them.
5. Can I take the medical exam before applying for a green card?
Yes. Many applicants choose to complete the medical exam before submitting Form I-485 to speed up the process.
Final Thoughts
Finding a civil surgeon is a key step in completing your immigration medical exam. By using the USCIS Civil Surgeon Locator, checking local options, and preparing properly for your appointment, you can ensure a smooth and stress-free process.
Book your appointment as soon as possible to avoid delays in your application and ensure you meet all USCIS health requirements.