Immigration Physical

Immigration physical is the medical examination performed by a certified health professional or civil surgeonin Chula Vista California in order to declare a person fit and healthy before they could be granted a green card or US citizenship. The exam includes a complete check-up of eyesight and vision, hearing, nose and throat, heart, lungs, skin, external genitalia and lymph nodes.All those who are applying for a US green card or US citizenship arerequired by US immigration law to undergo immigration physical to be performed by an authorized surgeon or physician. The exam would be performed in a comfortable setting with all the blood tests and x-rays done the same day.

A civil surgeon is specially designated and authorized by the immigration authorities to perform this type of physical exam and issue a medical certificate. The US government also requires duly filled Form I-693 to be brought to the clinic where your physical exam would take place. You can obtain this form online at the USCIS website. First you need to find a clinic near you that offers immigration physical and in this case you need to visit a clinic in Chula Vista or San Diego California. It is good to schedule an appointment first and discuss anything you need to discuss beforehand to avoid problems on the day your physical exam takes place.

Immigration Physical

Purpose of an Immigration Physical Exam

The purpose of such a physical examination is to ensure that the person is fit and healthy to stay in the US and that he or she has received all necessary vaccinations to protect the US population in general from certain diseases. These are the health related standards required by the USCIS to determine if a foreign national is healthy with no history of mental illness and sexually transmitted disease or infection. A person may be considered inadmissible to the United States on health-related grounds if;

  • He or she is suffering from a contagious disease of public significance (for example tuberculosis, AIDS or any other STD)
  • He or she has been unable to provide necessary and adequate vaccinations record
  • He or she exhibits or had been exhibiting violent or harmful behavior in the past due to a mental disorder
  • He or she suffers from drug abuse or addiction

Immigration physical is not a comprehensive physical exam as it only involves checking of certain medical conditions and medical history. The person undergoing this exam would tell the doctor about any condition they are currently suffering from, such as hypertension, diabetes, or any other illness for which they are taking medications. The exam would also include screening for tuberculosis and a few sexually transmitted diseases, such as syphilis and gonorrhoea. X-rays and vaccinations are given the same day to complete the procedure in a single sitting.

Medical Conditions / History

In some countries, however, chest examination may be exempted for pregnant women. If that?s the case, you must bring a written certification of pregnancy to the clinic. Females may undergo immigration physical even if they?re menstruating. To determine if a person is suffering from drug abuse or addiction, the physician or civil surgeon will ask specific questions about drug use. Applicants who are found to be drug abusers are considered inadmissible and therefore it is an important part of the immigration physical exam.

If you had a history of a mental disorder or condition or you had been hospitalized for treatment, you need to mention it during your exam. Moreover, if your previous skin test for tuberculosis came out positive, bring that report as well as any other medical record, prescription and certificate to the clinic for the physician?s review to determine if you had been properly treated. A chest x-ray is required for all adults including pregnant women but the clinic would ensure highest standards of safety and protection to ensure a safe procedure and to safeguard the health of the unborn child and the woman.


If you have a record of previous immunizations, you are required to bring that record for review. The examiner would review that card and then determine any additional vaccinations that might be required. In addition to duly filled Form I-693, you also need to bring a photo ID, such as your ID card or driver?s license to the clinic for your immigration physical to be completed.

Here is a list of vaccinations that need to be given for an immigration physical exam;

  • Polio and pertussis
  • Measles and rubella
  • Mumps
  • Hepatitis A and B
  • Influenza and meningococcal
  • Rotavirus and pneumonia
  • Tetanus and diphtheria toxoids

Some other immunizations may also be required so it is important to check the vaccinations card and provide a complete record. Remember that new vaccinations are being added to this list all the time so a previous record might not be valid.

Vaccinations are required for everyone regardless of their age but chest x-rays and blood tests are needed only of adults. Children under 15 years of age will also be required to undergo general physical exam.They are not required to be screened for an STD. The overall cost of the procedure varies from patient to patient depending on the number of tests performed and immunizations given.

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Once all the requirements have been fulfilled, the doctor will fill out a form for the applicant and given them a medical certificate that is to be attached with the application.

Remember that not all doctors and physicians are certified to perform an immigration physical exam. Therefore you first need to choose a doctor and a clinic near you that offers such an exam for your convenience. If you attach a medical certificate by a non-authorized health professional, it will be rejected at the time of your application processing. Bring all the required documents to the clinic along with expected fee in the form of cash or credit card to complete the procedure. In addition to immigration documents, you are also required to bring any medical records or certificates of clearance to prove your previous successful treatment for a condition.


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