You’ve found a civil surgeon and booked the appointment. Now, what actually happens during the USCIS medical exam? Understanding the USCIS medical exam process helps you prepare documents, avoid delays, and estimate the total cost.
The USCIS medical exam is not a typical check-up. Instead, it is a targeted screening designed to meet the requirements of the Department of Homeland Security. Therefore, knowing what to expect during the immigration medical exam can help you prepare necessary records and plan your budget accordingly.
What Happens During the Exam?
The appointment usually lasts 30 to 60 minutes. The process typically involves:
- Paperwork Review: The civil surgeon will review your Form I-693 and your vaccination records.
- Physical Examination: A standard physical check of vitals (heart, lungs, abdomen, eyes, ears, nose, and throat).
- Medical History: Discussion of past illnesses, surgeries, and current medications.
- Mental Health Screening: A review to determine if there is any history of harmful behaviour related to a mental or physical disorder.
Required Medical Tests and Vaccinations
This is the most critical part of the exam. The civil surgeon will order tests based on your age and medical history.
Common Tests:
- Tuberculosis (TB) Screening: For applicants aged 2 and older. Usually done via an Interferon-Gamma Release Assay (IGRA) blood test.
- Syphilis Test: Required for applicants aged 15 and older.
- Gonorrhoea Test: Required for applicants aged 15 and older.
Required Vaccinations:
You must be up to date on the following (unless waived for medical or religious reasons):
- Mumps, Measles, and Rubella (MMR)
- Tetanus, Diphtheria, Pertussis (Tdap)
- Varicella (Chickenpox)
- Hepatitis A & B
- Influenza (during flu season)
- Pneumococcal (for those over 65)
Note: If you are missing a vaccine, the civil surgeon can often administer it during the appointment.
Form I-693 Completion
Once the tests come back negative (or positive with appropriate treatment completed) and vaccinations are verified, the civil surgeon will:
- Complete and sign Form I-693.
- Place the form in a sealed envelope.
- Give you the envelope (or send it directly to USCIS if electronic processing is available).
Crucial: Do not open the envelope. USCIS will reject an opened envelope.
Cost Breakdown: How Much Does It Cost?
The cost of the USCIS medical exam varies significantly based on location and the doctor’s office. You should expect to pay between $200 and $700.
Factors influencing the cost:
- Base Exam Fee: The doctor’s consultation fee.
- Blood Work: Lab fees for TB, syphilis, and gonorrhoea testing (often billed separately).
- Vaccinations: If you need shots, each vaccine can cost between $50 and $150.(based on the location)
- Office Overhead: Some clinics bundle the price; others itemize.
Tip: When using a service like easyIME, you can compare the total cost (exam + labs + vaccines) upfront, ensuring there are no hidden fees when you show up for your appointment.
