Green Card Aspirants

The Green Card Physical and You

In order to smoothen the process for all those aspirants wishing to take part in the visa application process in the United States of America we at easyIME make it that much easier for you – we actually hand-hold you through the medical examination! We at easyIME coordinate between you and the USCIS-appointed Civil Surgeons – help you get the appointment fixed and then follow up with the doctor’s clinic to ensure that your entire experience is a seamless one!

easyIME helps applicants and green card aspirants to take the medical and physical  examination across the country of the United States – our website helps you choose between the doctors in and around your area – it gives you a price listing so that you can compare between Civil Surgeons and then choose the most appropriate one. Once you fix up the appointment online, we will then monitor the entire process – and then see that the medical goes by smoothly. This way, you have the freedom to choose between doctors and you also have the choice of fixing up an appointment at your convenient time.  Once the medical is conducted – all the tests are taken and the stipulated vaccinations too are received by you, the Surgeon will hand you over all the reports in a sealed cover, which will then have to be forwarded by you to the appropriate authorities.

It is as simple as that!

Log on to today, and see what a difference there will be in your entire experience of taking the Immigration Medical Examination!

What The Applicant Should Expect At The Green Card Medical

The applicant’s passport or some other photo identification should be presented at the time of appointment for the Immigration Medical.

The applicant should also present to the Civil Surgeon the appointment letter.

The medical examination will include a complete body review, physical examination, chest X-ray and blood tests for syphilis. All this will be conducted by the USCIS-approved Civil Surgeon.

At the time of the examination the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes, skin and external genital will be examined.

If the applicant is appearing for the Green Card Medical outside of the United States the results of the exam will be sent by the panel physician to the U S Embassy/Consulate directly. This is the routine followed in some countries. In some countries the applicant will be given the results in a sealed envelope and x-rays which have to taken for the interview.

Please note that the Immigration Medical is not a complete physical examination. Its purpose is to prove that the applicant is eligible for immigration to the United States. This examination is not a substitute for a complete physical examination, diagnosis, or treatment by a primary health care provider of the applicant

Some Frequently Answered Questions on Communicable Diseases:


Checking for any communicable diseases forms an important part of the Immigration Medical Examination, an exam that is conducted by USCIS-approved Civil Surgeons. Here are some frequently asked questions on tuberculosis that we answer here.

Q: How long are TST/IGRA and chest X-ray results valid after they are obtained by the civil surgeon?

A: As the immigration medical examination is intended to be used as a preview or “snapshot” of the applicant’s medical status it would be prudent to ensure that any TST/IGRA and chest X-ray results of the applicant must be closely related in time to the physical examination and laboratory results.

Q: Can the civil surgeon accept   TST or IGRA results  submitted by an outside doctor’s office and taken prior to the date of the immigration medical examination,  in lieu of performing the TST or IGRA himself?

A: The USCIS Surgeon should not accept the results of TST or IGRA tests taken many days or months prior to the USCIS examination date. This is because the Civil Surgeon must verify for himself that the person applying for immigration benefits is the person who is appearing for the immigration  exam (including any required tests such as the TST).

However, there are exceptions to this. A tuberculosis test maybe accepted for a positive TST or IGRA result, based on an exception outlined in the TB TIs and updates.

When should an applicant be classified with latent TB infection (LTBI)?

A: An applicant can be classified with latent TB infection, provided the applicant:

  • Has recently arrived in the US (he or she should have arrived within the last 5 years), and if he or she has arrived at the US from countries that have high TB prevalence.
  • Has a TST reaction of 10mm or greater of induration, AND
  • Has no evidence of TB disease.
  • The treatment for Latent TB infection is recommended, but it is not required.


There are ways one can apply for a green card (permanent residence):

  • Through your family
  • A job offer or employment
  • Refugee or asylum status
  • Other provisions.

In some cases an applicant may be able to do what is called a “self-petition”, or have a record created for permanent residence on his behalf.


In general, to meet the requirements for permanent residence in the United States one must:

  • Be admissible to the United States
  • Have an immigrant visa immediately on hand
  • Maintain an immigrant petition that is filed and approved
  • Be eligible for immigration in one of the immigrant categories established in the Immigration and Nationality Act (INA).

We shall discuss the first point here:

Admissibility to the United States

All persons who apply for an immigrant visa or adjustment of status must be able to prove to immigration or consular officials that they are admissible(eligible for admission) to the United States.

To become inadmissible there are many grounds that can make an applicant inadmissible:

  • Health-related
  • Security- related and
  • Other grounds.

In some exceptional cases or specific situations, even if you are found inadmissible to the United States you may still be eligible to file for a waiver on Form I-601, Application for Waiver of Ground of Inadmissibility, or I-602 – Application by Refugee for Waiver of Grounds of Excludability (form required for refugees and asylees) that will excuse your inadmissibility.


Anyone applying for a Green Card or an immigrant visa into the United States must undergo a medical exam including a vaccination assessment. Here are some of the applicant categories who are required, or need not go through the Immigration Medical Examination as a mandatory part of the Green Card or Immigrant visa procedure:

K and V temporary visa applicants: K Visa applicants are fiancées or spouses of a US citizen. V Visa applicant categories consist of spouses or children of a lawful permanent resident. Applicants in both these categories are required to appear for the Immigration Medical Examination, but are not required to comply with the vaccination requirements at that time.

Refugees:  People who stay outside of the United States and who apply for a visa must undergo the Immigration Medical Examination. They are not required to comply with the vaccination requirements at this time.

Asylees: Individuals who are already in the United States and who are applying for Asylum are not required to appear for the Medical Examination.

Refugee adjustment applicants: To become eligible for Adjustment of status refugees one year has to elapse- one year after their initial refugee admission. When they apply for Adjustment of Status, however, they will not be required to repeat the medical examination that they had overseas, unless a medical ground of inadmissibility has been discovered.  But these refugee adjustment applicants must still comply with the vaccination requirements and submit the vaccination sign-off form that supports the Adjustment of Status application.