Your Guide to Green Card Medical Exams NYC: Requirements and What to Expect
Learn everything about the green card medical exam process in NYC. Understand the health requirements, vaccinations, TB testing, and how to prepare for your immigration medical exam.

If you are applying for a green card in New York City, one of the essential steps in the immigration process is completing a green card medical exam. This exam ensures that applicants meet the necessary health requirements for entry into the U.S. and helps protect public health. The medical exam is typically conducted by a USCIS-approved civil surgeon and includes various health checks, vaccinations, and screenings.
What is the Green Card Medical Exam?
The Green Card Medical Exams NYC is a health screening required by the United States Citizenship and Immigration Services (USCIS) for individuals applying for lawful permanent residence (a green card). The exam is designed to ensure that applicants do not have medical conditions that could pose a threat to public health or make them inadmissible to the U.S.
The exam is a mandatory step in the green card application process and must be performed by a USCIS-approved civil surgeon. In New York City, many physicians are qualified to conduct the exam and complete the necessary paperwork.
Who Needs a Green Card Medical Exam?
Almost all individuals applying for a green card are required to undergo a medical exam. However, the specific circumstances in which a medical exam is required may vary. Here are the main situations where the green card medical exam is necessary:
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Adjustment of Status Applicants: If you are already in the U.S. and are applying for adjustment of status (Form I-485) to become a lawful permanent resident, you will need to complete a green card medical exam.
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Immigrant Visa Applicants: If you are applying for a green card through consular processing (i.e., outside the U.S.), you will also need to complete the medical exam at a designated embassy or consulate before you can receive your immigrant visa.
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Refugee or Asylee Applicants: If you are applying for a green card based on refugee or asylum status, you will still be required to complete a medical exam before being granted permanent residence.
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Certain Waivers: Some applicants may be required to submit additional medical documentation for waivers related to health conditions or vaccinations.
It’s important to note that the green card medical exam is a critical component of your application, and failure to complete it properly or on time could delay the processing of your green card application.
What Does the Green Card Medical Exam Include?
The green card medical exam includes several key components designed to assess your overall health and ensure that you meet the necessary medical requirements for U.S. immigration. Below are the main elements of the exam:
1. Physical Examination
The civil surgeon will conduct a comprehensive physical examination to evaluate your overall health. This will typically include checking your:
- Height and weight
- Blood pressure
- Eyes, ears, and throat
- Heart and lungs
- Skin for any signs of disease or conditions
The physician will also ask about your medical history, including previous illnesses, surgeries, and chronic health conditions.
2. Vaccinations
Vaccination requirements are an important part of the green card medical exam. The U.S. government has established specific vaccination requirements to prevent the spread of diseases among immigrants. As part of the exam, you will be asked to provide records of your vaccinations. If you have not received the required vaccines, the civil surgeon will administer them during the exam.
The vaccinations you may need to receive include:
- Measles, mumps, rubella (MMR)
- Polio
- Diphtheria, tetanus, and pertussis (DTaP)
- Hepatitis B
- Influenza (seasonal flu vaccine)
- Varicella (chickenpox)
- Meningococcal disease
If you have received vaccinations in the past but cannot provide records, you may need to take a blood test to confirm immunity or be given additional doses.
3. Tuberculosis (TB) Test
One of the most important components of the green card medical exam is the tuberculosis (TB) test. TB is a highly contagious disease, and USCIS requires applicants to undergo testing to prevent the spread of TB in the U.S. Depending on your age and risk factors, the civil surgeon may require:
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Tuberculin Skin Test: A small amount of tuberculin (a substance derived from the bacteria that causes TB) is injected under the skin of your forearm. If the area becomes swollen after 48 to 72 hours, it may indicate a TB infection.
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Chest X-ray: If you test positive for TB or have a history of TB, the civil surgeon may require a chest X-ray to confirm whether you have active TB.
If you have a history of TB, make sure to inform the civil surgeon and bring any relevant medical records with you to the appointment.
4. Blood Tests
In addition to the TB test, the civil surgeon may conduct blood tests to check for certain diseases, including:
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Syphilis: Syphilis is a sexually transmitted infection that USCIS considers a disqualifying condition. If you test positive for syphilis, you may need treatment before your green card application can proceed.
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Other Tests: Depending on your health history and the civil surgeon’s evaluation, additional blood tests may be ordered to assess your overall health and identify any other conditions that may need attention.
5. Mental Health Evaluation
Although mental health conditions are generally not grounds for inadmissibility, the civil surgeon may ask about your mental health history to ensure there are no conditions that could pose a risk to public safety or your ability to adjust to life in the U.S. Conditions like severe mental illness may require additional documentation or treatment.
How to Prepare for Your Green Card Medical Exam in NYC
Proper preparation is crucial to ensure the smooth completion of your Green Card Medical Exams NYC. Here are a few tips to help you get ready for your appointment:
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Gather Your Medical Records: Bring any available medical records, including vaccination records, past surgeries, chronic health conditions, and any treatments you are currently undergoing. This will help the civil surgeon assess your health history accurately.
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Vaccination Records: Be sure to bring documentation of any vaccinations you have received in the past. If you don't have records, the civil surgeon may administer the necessary vaccines during the exam.
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Prepare for the TB Test: If you have a history of tuberculosis or suspect you may have been exposed, inform the civil surgeon beforehand. They may require additional tests, such as a chest X-ray.
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Be Honest: Make sure to answer all questions truthfully about your medical history, current health conditions, and any medications you are taking. This information is essential for the civil surgeon to provide an accurate evaluation.
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Bring Identification: Ensure you bring a valid photo ID, such as a passport or driver’s license, to your appointment.
Where to Get the Green Card Medical Exam in NYC
In New York City, numerous USCIS-approved civil surgeons can conduct the green card medical exam. You can search for an approved physician in your area through the USCIS website or ask your immigration attorney for recommendations.
It's essential to choose a doctor who is familiar with the green card medical exam process and can provide the necessary documentation (Form I-693) for your application.
Conclusion
The green card medical exam is an important and mandatory part of the immigration process. It ensures that applicants meet the health requirements for entry into the United States and protects public health. In New York City, many USCIS-approved civil surgeons can conduct the exam. By understanding the requirements, knowing what to expect, and preparing properly, you can navigate this part of the green card application process with confidence.
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