
What's Involved in an Immigration Medical Exam?

You’re putting in the hard work for your family, gathering documents and completing applications for US residency or citizenship. Now it’s time for the next step towards your American dream: the immigration exam.
Lina Nie, MD, PhD, strives to make this part of the process go as smoothly and efficiently as possible at her pediatric practice in Brooklyn, New York, Nie Lina MD PC.
Dr. Nie is a licensed United States Citizenship and Immigration Services (USCIS) civil surgeon, authorized to perform immigration medical exams and complete the necessary documentation for your application (form I-693).
Wondering what’s involved in an immigration exam? Let’s walk through what to expect so you can go in feeling confident and prepared.
How to prepare for the immigration medical exam
To ensure a smooth, stress-free experience, there are a few important documents and items you’ll need to bring. By having these at the ready, Dr. Nie can complete the exam efficiently and you can avoid potential delays. Here’s what you need:
- Valid government-issued identification: This could be a passport, driver’s license, or other official photo ID for both you and your child
- Recent color photographs, according to the US government’s specifications
- A copy of your USCIS appointment notice
- Vaccination records
- Any prior medical records, certificates, or imaging results, such as chest X-rays
- List of current medications with names, dosages, and frequency
- Any corrective eyewear, such as glasses or contact lenses
- The address of your intended US residence
Of course, you also need to obtain and bring along form I-693 (Report of Medical Examination and Vaccination Record). You can complete part one (applicant information) and two (applicant’s statement), but do not sign until instructed by Dr. Nie during your appointment.
What to expect during the exam
Immigration medical exams protect public health by screening for conditions that could pose a risk to the US population. This process also confirms your (or your child’s) vaccination status and ensures you’re healthy and ready for your new life here in the United States.
Here’s what it typically involves:
Medical history and vaccination review
Dr. Nie reviews your or your child’s medical history, including any records you provide. She confirms all vaccinations are up to date, providing or discussing options for any missing immunizations.
Physical exam
During the physical exam, Dr. Nie begins by checking vital signs like temperature and heart rate. She then carefully examines your or your child’s eyes, ears, nose, and throat, looking for any signs of communicable diseases or other health concerns.
For children, especially younger kids, Dr. Nie prioritizes a reassuring and gentle approach that ensures their comfort throughout the exam.
Required tests
Certain tests are a standard part of the immigration medical exam, depending on age. For individuals 15 years and older, these include a chest X-ray, gonorrhea test, and blood test. Tuberculosis testing is required from age 2. Dr. Nie can explain each test and address any questions you have during your appointment.
Getting your child ready
Helping your child feel comfortable and prepared can make the immigration exam process an easier experience for everyone. Here are some tips:
- Talk to them about what to expect in an age-appropriate way
- Make sure you and your child get a good night’s sleep before the appointment
- Pack essentials, like water, snacks, and a favorite toy or book, to keep them comfortable and occupied during any waiting periods
New experiences are often overwhelming for kids. Be patient and understanding if your child feels anxious about the exam, and remember, a calm and supportive approach can make a big difference.
Want to learn more about the USCIS medical exam? Dr. Nie is happy to guide you and your family through the process. Schedule an appointment at Nie Lina MD PC in Brooklyn’s Sunset Park neighborhood online or by phone today.
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