Green Card Medical Examination

CDC updated policy on TB test for Green Card Applicants

The Center for Disease Control and Prevention (CDC) has updated the policy by releasing an instruction about medical screen for tuberculosis (TB) for green card applicants. As per the new policy dated October 1, 2018, the TB blood test will be considered as the first TB screening method. Before this instruction, the tuberculin skin test (TST) was considered as primary tuberculosis (TB) method.

USCIS conducts necessary medical examination for the applicants who are willing to get permanent citizenship or want to change their status of immigrants. For this, USCIS has appointed authorized doctors who can provide immigration medical exam service to almost all the green card applicants.

TB is quite difficult to detect through skin testing. IGRA testing methods nowadays are considered more accurate and credible than the traditional skin test method. This is the prime reason for the CDC to update the testing methods for medical immigration.  Applicants may ask USCIS approved civil surgeon, whether they are familiar with the CDC TB test update requirement.

Are you looking for immigration medical service and want to find out your nearest USCIS authorized civil surgeons? Check out the EasyIME website and find out your nearest and cheapest immigration medical doctors.


There are several steps involved in applying for a green card in the United States. One of the important and mandatory steps is the Immigration Physical, better known as the Green Card Medical Exam. The objective of the exam is to ensure that the applicant is eligible to enter and reside in the country on public health capacities.


Only an authorized surgeon, qualified to conduct the immigration exam can perform the medical. The immigration authorities in the United States of America appoint these surgeons, called USCIS Civil Surgeons, who in turn can then perform the examinations. Special training is accorded to these surgeons who become compliant with the immigration rules and procedures, with the capacity to certify applicants towards further immigration.


For those residing within the United States of America an adjustment of status will have to be done, and the applicant will have to appear for the immigration physical after getting an appointment fixed up with a USCIS  Civil Surgeon in the area of choice.

For those staying abroad the US embassy or Consulate there will have to be contacted, and the applicant will have to appear for the immigration medical prior to attending the visa interview.   And there is always help at hand for applicants who reside in the United States of America. Visit to know more and find either a USCIS Civil Surgeon near your area or an Immigration Lawyer to help you with your immigration needs!


Whether your application for the green card is founded on any of the visas – family, visa lottery, employment, political asylum etc. one thing is certain – everyone has to go in for what is called the Green Card Medical Examination, or the Immigration Physical. Especially, if you want to acquire the visa quickly then it becomes even more imperative that you have a properly conducted medical examination – it will help you on your immigration journey.


Do not worry! An illness like the flu, cold or illnesses related to old age will not block your admission, or catapult your Green Card status into jeopardy – the Medical Exam is only to look at those health issues that are relevant to the sphere of immigration.

There are only certain medical conditions that render a person inadmissible to the United States. These conditions fall under the purview of the Immigration and Nationality Act, with sections 212(a) and 221(d) governing the regulations. And it is prudent to note here that some of these conditions can be taken for waiver, if so needed. We at easyIME recommend that you go through the services of an immigration lawyer, who will be in a better position to understand your case, give you a complete analysis of your status and help you fill up the waiver application.

 What are the steps involved in the Immigration Medical Examination?

All individuals taking the Immigration physical have to necessarily go through a process – we shall take up each in detail in our next blog.

Keep watching  this space!

A Quick Step by Step Guide to the Green Card Medical!

We have been talking a lot about the Green Card Medical in this space, with detailed instructions as to how to go about it and what are the things to be kept in mind while appearing for the exam, as a visa applicant.

Here is a quick overview – shall we say a quick step guide to the entire process?

So here goes…

STEP 1: Download and fill up form I 693, a form that is required to be downloaded, filled up and submitted by all those who are adjusting status in the United States. All your personal information has to be filled up by you, and then the same has to be carried with you to the Civil Surgeon conducting the Green Card Medical.

STEP 2: Search for a doctor – only a USCIS-approved Civil Surgeon can conduct the exam. Remember, it cannot be done by your family doctor!

STEP 3: Carry your:

Filled out I-693 form (in part)

List of vaccines taken by you

List of chronic medical conditions, if any

Doctor’s certification if there is history of drug abuse, mental illness or any other grave condition


Depending upon your medical condition you may receive vaccines and other tests may also be conducted.

STEP 5: A sealed envelope will be handed over to you by the doctor or the results may be sent directly to the visa authorities.

Two Important things You should know about the Green Card Medical!

Green card medical exam

It is now required by Form- i693, the form which records details and results of an applicant’s Green Card Examination, that the chest X-Ray should include an X-ray copy and report along with the I-693 packet. What type of report is this and what is acceptable?

Only a complete, formal chest report and X-ray, performed by a radiologist, sealed and signed appropriately on a medical office letterhead is accepted by USCIS. Any handwritten report submitted on a preliminary basis will be considered null and void. Most times, the Civil Surgeon who conducts the medical examination will have to wait for the x-ray report that comes in – this usually takes a day or so – the I-693 form is not deemed to be complete without this report, so it cannot be sent before the radiologist’s report is enclosed.

The requirements for the medical referrals have been revised by both, CDC and USCIS, as has been notated on Form I-693. What are the instances in which referrals mentioned in Part 5 should be completed?

Only if the referral is required should this be done. For instance a referral will be required if a class A situation is suspected and a further evaluation is required.