What to Expect During Your Immigration Medical Exam: FAQs

If you’re applying for a green card or adjusting your immigration status, a medical exam is a crucial step in the process. At Atrium Medical Primary Care in Midtown Manhattan, our USCIS-designated civil surgeons are here to guide you through every step of the way. Below, we’ve compiled answers to the most frequently asked questions to help you prepare for your immigration medical exam.
This page was last updated in 2026 to reflect current USCIS Form I-693 requirements, including the March 2025 update regarding COVID-19 vaccination requirements.
What Should I Bring to My Appointment?
To ensure a smooth and efficient exam, please bring the following items:
- Government-issued photo ID: Such as a valid passport or driver’s license.
- Vaccination records: Translated into English if necessary.
- Form I-693: Download the latest version from the USCIS website and complete Part 1. Do not sign it until instructed by the civil surgeon.
- Medical history documents: Including any chronic conditions or treatments.
- List of current medications: Including dosages.
- Payment: Check with our office regarding accepted payment methods.
Bringing these items will help us complete your exam efficiently and accurately.
What Does the Exam Include?
The immigration medical exam is designed to identify any health conditions that could affect your admissibility to the U.S. It includes
- Physical examination: Assessment of your general health.
- Tuberculosis (TB) testing: A chest X-ray or skin test, depending on age and risk factors.
- Blood tests: For syphilis and other communicable diseases.
- Urine test: For gonorrhea screening.
- Vaccination status review: Ensuring compliance with U.S. immigration requirements.
Our goal is to ensure that you meet the health standards set by U.S. immigration authorities.
What Vaccinations Are Required?
USCIS requires proof of vaccination against several diseases, including:
- Measles, Mumps, Rubella (MMR)
- Polio
- Tetanus and Diphtheria
- Pertussis (Whooping Cough)
- Haemophilus influenzae type B (Hib)
- Hepatitis A and B
- Varicella (Chickenpox)
- Influenza (seasonal)
- Pneumococcal disease
- Meningococcal disease
Note: As of March 11, 2025, the COVID-19 vaccine is no longer required for immigration medical examinations.
If you lack documentation for any of these vaccines, we can administer them during your visit or discuss where you can receive them .
What Happens After the Exam?
Once your exam is complete:
- We will provide you with a sealed envelope containing your completed Form I-693.
- Do not open this envelope; it must remain sealed for submission to USCIS.
Submit the sealed envelope to USCIS as part of your immigration application process.
How Long Is the Form I-693 Valid?
The validity of Form I-693 depends on the date it was signed by the civil surgeon:
- Signed on or after November 1, 2023: Valid indefinitely.
- Signed before November 1, 2023: Valid for two years from the date of the civil surgeon’s signature.
Ensure timely submission of your form to avoid any issues with USCIS.
How Can I Schedule an Appointment?
To schedule your immigration medical exam at Atrium Medical Primary Care:
- Phone: Call us at 212-457-1722.
- Online: Visit our Appointments Page.(https://healow.com/apps/
practice/atrium-medical-pc- new-york-ny-18241?v=3&t=2) and choose “USCIS”
The immigration process can be anxiety inducing! At Atrium we have completed hundreds of immigration exams over the years – rest assured that our team is here to assist you through every step of the process.
Are COVID-19 vaccines still required for the immigration medical exam (Form I-693)?
As of March 11, 2025, USCIS no longer requires COVID-19 vaccination for the immigration medical exam. However, applicants must still meet requirements for other routine vaccines depending on age and medical history. If you are unsure what is required for you, we can review your records and guide you through the process.
How long does the immigration medical exam take, and how quickly will I get my sealed I-693 packet?
Most immigration medical exams can be completed in one visit, but timing depends on required lab testing (including tuberculosis screening) and whether any vaccinations are needed. Once all required results are back and your exam is complete, we prepare your sealed Form I-693 packet for USCIS. Our team will let you know the expected timeline at the time of your visit.








