When applying for permanent residency or a green card in the United States, completing an immigration physical is a required step. The medical examination ensures that applicants meet the health standards set by U.S. Citizenship and Immigration Services (USCIS). For many people, this process can feel overwhelming. At Local MD, our mission is to make your immigration physical as smooth, clear, and stress-free as possible.
In this guide, we’ll walk you through what to expect, the documents you need, how to prepare, and why choosing Local MD is the right decision for completing your immigration physical successfully.
What Is an Immigration Physical?
An immigration physical is a comprehensive medical exam required by USCIS for anyone applying for a U.S. green card. The purpose is to ensure applicants do not have health conditions that could pose a public health risk or prevent them from living safely in the United States.
This examination must be performed by a USCIS-designated civil surgeon—not just any doctor. At Local MD, our experienced physicians are authorized civil surgeons who understand the requirements and provide accurate, reliable exams.
Why Is It Required?
The U.S. government requires immigration physicals to:
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Protect public health by screening for contagious diseases.
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Confirm applicants are up to date on vaccinations.
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Identify medical conditions that may need follow-up or treatment.
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Ensure the applicant meets health standards for residency.
By completing this step, you are not only meeting legal requirements but also safeguarding your health and well-being.
What to Bring to Your Immigration Physical
Arriving prepared makes the process faster and easier. Before your appointment at Local MD, be sure to bring:
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Government-issued photo ID (passport, driver’s license, or other official identification).
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Form I-693 (Report of Medical Examination and Vaccination Record): Downloadable from the USCIS website. Do not sign it until your appointment.
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Vaccination records (childhood and adult immunizations).
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List of medications you are currently taking.
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Past medical history documents, including surgery reports or hospital records if relevant.
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Eyeglasses or hearing aids, if you use them.
Having all documents ready helps our physicians complete your exam smoothly without delays.
What to Expect During the Exam
The immigration physical at Local MD is thorough but straightforward. Our team makes sure you feel comfortable and informed throughout. Here’s what typically happens:
Medical history review – Your doctor will ask about past illnesses, surgeries, medications, and lifestyle habits.
Physical examination – A full body check-up including heart, lungs, eyes, ears, and general health.
Required testing – Depending on your age and history, you may need:
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Tuberculosis (TB) blood test or skin test.
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Blood tests for certain conditions.
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Chest X-ray (if TB screening is positive).
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Vaccination review – Our physician will check if you meet USCIS vaccination requirements. Missing vaccines can be administered at Local MD during your exam.
Mental health screening – Basic evaluation to ensure there are no untreated psychiatric conditions that could pose risks.
The entire exam usually takes about one hour, depending on required tests and vaccinations.
USCIS Vaccination Requirements
USCIS requires proof of specific immunizations for immigration approval. Common vaccines include:
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Measles, Mumps, and Rubella (MMR)
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Tetanus and Diphtheria (Td/Tdap)
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Polio
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Hepatitis B
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Varicella (chickenpox)
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Influenza (during flu season)
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COVID-19 vaccine
If you are missing any, Local MD can provide them during your appointment so you don’t need to schedule an extra visit elsewhere.
After the Exam
Once the exam and tests are completed, the civil surgeon will:
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Complete Form I-693 accurately.
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Place it in a sealed envelope that must remain closed. This is the copy you will submit to USCIS.
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Provide you with a copy for your personal records.
Remember: USCIS will not accept your form if the envelope has been opened or tampered with.
Common Questions About Immigration Physicals
How long does the process take?
Most exams are completed in one visit, but if you require additional tests or vaccinations, it may take longer.
What if I don’t have vaccination records?
Don’t worry—our team can run blood tests to check immunity or simply update your vaccinations as required.
How much does it cost?
Costs vary based on age, medical history, and vaccinations needed. At Local MD, we provide transparent pricing before the exam.
Can children also have their immigration physical at Local MD?
Yes, our doctors are trained to provide exams for both adults and children.
Why Choose Local MD for Your Immigration Physical?
At Local MD, we know the immigration process can be stressful. That’s why we focus on making your medical exam easy, professional, and efficient. Here’s what sets us apart:
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USCIS-certified civil surgeons with years of experience.
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Convenient NYC location for local and international applicants.
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Same-day vaccination services to save you extra trips.
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Friendly, multilingual staff who guide you every step of the way.
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Fast turnaround times for your completed I-693 form.
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Patient-centered care that respects confidentiality and cultural sensitivity.
Tips for a Successful Immigration Physical
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Schedule early – Don’t wait until the last minute. Give yourself time in case follow-up tests are needed.
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Bring complete documents – Having ID, vaccination records, and medications list avoids delays.
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Be honest – Provide accurate health history; hiding conditions can complicate your application later.
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Follow doctor’s recommendations – If additional treatment or vaccines are advised, complete them quickly.
Conclusion
Completing your immigration physical doesn’t have to be stressful. With the right preparation and the support of trusted professionals, the process can be straightforward and successful. At Local MD, our certified physicians guide you through every step, ensuring your exam is accurate, complete, and compliant with USCIS requirements.
Your journey toward permanent residency is important, and we’re here to make sure your medical requirements don’t stand in the way. With expert care, convenient services, and compassionate support, Local MD is your trusted partner for completing your immigration physical successfully.
