Green Card Medical Exams in NYC: Your Complete Guide to USCIS Requirements

If you are applying for a green card in New York City, one of the essential steps in the process is completing the green card medical exam. This exam, required by the U.S. Citizenship and Immigration Services (USCIS), ensures that applicants meet the necessary health requirements for lawful permanent residency.

What is the Green Card Medical Exam?

The green card medical exam, officially known as the USCIS Immigration Medical Examination, is a mandatory health screening for individuals applying for U.S. permanent residency (green card holders). It is designed to identify any health conditions that may make an applicant inadmissible under immigration law. The exam must be conducted by a USCIS-designated civil surgeon within the United States. If you are applying from outside the U.S., a panel physician approved by the U.S. embassy or consulate in your country must perform the exam.

Who Needs a Green Card Medical Exam?

You will need to undergo the medical exam if you are:

• Applying for a green card through adjustment of status (Form I-485).
• Applying for an immigrant visa from outside the U.S.
• A refugee or asylee adjusting your status.
• A K fiancé(e) visa holder transitioning to a marriage-based green card.

Where to Get a Green Card Medical Exam in NYC

To complete your medical exam in New York City, you must visit a USCIS-designated civil surgeon. You can find an approved civil surgeon near you by using the USCIS Find a Doctor tool on their website.

Some of the most popular locations for immigration medical exams in NYC include:

• Private medical clinics offering USCIS exams.
• Large hospitals and healthcare facilities.
• Immigration-focused health centers specializing in green card medical exams.

It is essential to call ahead and schedule an appointment, as some clinics may have long wait times.

What to Expect During the Green Card Medical Exam

The Green Card Medical Exams NYC includes the following components:

1. Medical History Review

The doctor will ask about your medical history, past surgeries, chronic illnesses, and any history of drug or alcohol abuse.

2. Physical Examination

The physician will perform a general physical exam, checking your:

• Height and weight
• Blood pressure and heart rate
• Eyes, ears, nose, and throat
• Heart and lungs
• Skin, lymph nodes, and abdomen
• Mental health status

3. Tuberculosis (TB) Testing

• Applicants 2 years or older must be screened for tuberculosis.
• A TB blood test (IGRA) is typically used.
• If results are positive, a chest X-ray may be required.

4. Required Vaccinations

USCIS requires green card applicants to be up to date on specific vaccinations, including:

• Measles, Mumps, and Rubella (MMR)
• Tetanus and Diphtheria (Td or Tdap)
• Polio
• Hepatitis B
• Varicella (Chickenpox)
• Influenza (during flu season)
• COVID-19

If you do not have proof of these vaccinations, the civil surgeon may provide them during your exam.

5. Blood and Urine Tests

• Syphilis and Gonorrhea testing is required for applicants aged 15 and older.
• Additional tests may be conducted based on your medical history.

6. Mental Health and Substance Use Assessment

The doctor will assess any history of mental illness, drug addiction, or alcohol dependency that may affect your eligibility for a green card.

Documents to Bring to Your Medical Exam

To ensure a smooth process, bring the following documents:

• Government-issued ID (passport, driver’s license, or state ID).
• Form I-693 (Report of Medical Examination and Vaccination Record) – some clinics provide this form.
• Vaccination records (translated into English if necessary).
• Medical history records (especially for past TB, mental health, or chronic illness treatments).
• List of medications you are currently taking.
• Payment (fees vary by clinic).

After the Medical Exam: Submitting Form I-693

Once your exam is complete, the civil surgeon will:

• Fill out Form I-693 and place it in a sealed envelope.
• Hand it to you for submission to USCIS (do not open the envelope).

You must submit the sealed Form I-693:

• With your Form I-485 green card application.
• In response to a USCIS Request for Evidence (RFE).
• During your USCIS interview, if requested.

Medical Exam Validity Period

• The exam is valid for two years from the date of completion.
• If your green card processing is delayed, you may need to take a new exam.

Common Reasons for Medical Inadmissibility

In some cases, an applicant may be found inadmissible due to medical conditions, including:

• Communicable diseases (e.g., untreated TB, syphilis, gonorrhea).
• Drug or alcohol abuse disorders.
• Failure to provide proof of required vaccinations.
• Certain mental health conditions associated with harmful behavior.

If you are deemed inadmissible, you may be eligible for a waiver depending on the situation.

Tips for a Successful Green Card Medical Exam in NYC

• Schedule your appointment early to avoid processing delays.
• Bring all required documents to prevent issues with your exam.
• Make sure your vaccinations are up to date before your exam.
• Follow any special instructions given by the clinic (e.g., fasting if required).
• Ensure your Form I-693 is sealed properly before submitting it to USCIS.

Conclusion

The green card medical exam in NYC is a vital step in obtaining permanent residency. By understanding the process, gathering the necessary documents, and choosing a reputable civil surgeon, you can complete the exam smoothly and avoid unnecessary delays.