What Does Immigration Physical Check For?
September 10, 2025
Applying for a U.S. green card or adjusting immigration status involves more than completing paperwork. One of the required steps is undergoing an immigration physical, also called an immigration medical examination. This exam ensures applicants meet health-related standards defined in U.S. immigration law.
At Immigration Medical Exam Clinic, we understand that many people feel unsure about what to expect. This guide explains in detail what an immigration physical checks for, why it is required, and how applicants can prepare for the process.
Why an Immigration Physical Is Required
The immigration medical exam is designed to protect public health and confirm that applicants do not have certain medical conditions that could make them ineligible for entry or adjustment of status. The process is not meant to deny healthcare but to identify health issues that may require treatment or follow-up.
The U.S. Citizenship and Immigration Services (USCIS) requires this exam for most green card applicants. A civil surgeon, approved by USCIS, must conduct the evaluation.
What an Immigration Physical Checks For
The immigration medical exam is comprehensive and focuses on several main areas:
1. Communicable Diseases of Public Health Significance
Civil surgeons are required to check for diseases that may spread quickly in communities. These include:
- Tuberculosis (TB): All applicants aged 2 and older undergo tuberculosis screening, often with a skin test or blood test. If results are positive, a chest X-ray may be required.
- Syphilis: Applicants aged 15 and older are tested for syphilis through a blood test.
- Gonorrhea: A urine test is used to screen applicants aged 15 and older.
- Other infectious diseases: The physician also considers other communicable diseases defined in CDC and USCIS guidelines.
If any of these conditions are diagnosed, treatment or follow-up may be required before the immigration process continues.
2. Vaccination Requirements
Applicants must show proof of vaccinations against diseases outlined by the Centers for Disease Control and Prevention (CDC). Some of the common vaccines required include:
- Measles, mumps, and rubella (MMR)
- Polio
- Tetanus and diphtheria
- Pertussis (whooping cough)
- Varicella (chickenpox)
- Hepatitis B
- Influenza (during flu season)
- COVID-19
If you are missing any vaccinations, the civil surgeon can provide them during the exam. The purpose is to ensure that applicants are protected and not at higher risk of spreading preventable diseases.
3. Mental and Physical Health Evaluation
The physician will ask about medical history and conduct a physical assessment. This part of the exam checks for:
- Physical health concerns that might affect an applicant’s ability to care for themselves or contribute to dependence on government services.
- Mental health conditions that may cause harmful behavior, such as a history of violence or self-harm.
Importantly, having a medical or mental health condition does not automatically make someone inadmissible. What matters is whether the condition poses a safety concern or requires ongoing treatment.
4. Substance Use and Drug Screening
Civil surgeons also assess for drug or alcohol abuse. They may ask about current or past use and review medical records if necessary. Documented drug abuse or addiction can affect eligibility, while past use without ongoing issues generally does not.
5. General Physical Examination
In addition to specific screenings, the immigration medical exam includes a standard check-up. The physician may:
- Measure height, weight, and blood pressure
- Check eyes, ears, nose, throat, heart, and lungs
- Evaluate skin, lymph nodes, abdomen, and extremities
- Review any chronic medical conditions
This helps establish a complete health record and ensures that applicants are fit to meet immigration standards.
Documents and Information to Bring
To make the immigration physical smooth, applicants should bring:
- Government-issued ID (passport or driver’s license)
- Vaccination records
- Form I-693 (Report of Medical Examination and Vaccination Record), if instructed by USCIS
- List of medications currently taken
- Any relevant medical history or test results
Bringing complete information helps avoid delays and ensures accurate documentation.

What Happens After the Exam
Once the immigration physical is complete, the civil surgeon will:
- Fill out and sign Form I-693.
- Place the completed form in a sealed envelope (this must remain sealed for submission to USCIS).
- Provide a copy of the form for the applicant’s records.
If additional treatment or vaccinations are needed, the applicant may return to the clinic before the final paperwork is sealed.
Common Misconceptions About Immigration Physicals
Because the immigration medical exam is part of a legal process, applicants often have concerns. Here are some clarifications:
- It is not a full diagnostic exam. While thorough, it does not replace a regular annual check-up with a personal doctor.
- It does not test for every disease. The focus is on communicable diseases, vaccinations, and conditions outlined by USCIS guidelines.
- Having a medical condition does not always mean denial. Many applicants with chronic health issues still meet the requirements once conditions are treated or managed.
How Immigration Medical Exam Clinic Supports Applicants
At Immigration Medical Exam Clinic, our civil surgeons are experienced in handling the process with professionalism and care. We:
- Conduct thorough and compliant physical examinations
- Provide missing vaccinations when needed
- Guide applicants on any additional medical steps required
- Complete and securely seal all documentation for USCIS submission
Our goal is to make the process as clear and stress-free as possible so that applicants can focus on their immigration journey.
Preparing for Your Immigration Physical
To prepare, applicants should:
- Gather medical and vaccination records early
- Take any prescribed medications as usual
- Be ready to answer questions about medical history honestly
- Plan ahead, since some conditions may require additional visits or treatment
By being organized and informed, applicants can move through the process more smoothly.
Choose Immigration Medical Exam Clinic for Your Immigration Medical Physical in Gulfton
When it comes to your immigration journey, every step matters including your immigration medical physical. In Gulfton, applicants choose Immigration Medical Exam Clinic because we make the process simple, accurate, and stress-free.

Why Choose Us in Gulfton?
1. Experienced Civil Surgeons
Our team is USCIS-designated and highly experienced in performing immigration medical physicals. We know exactly what the process requires and guide you every step of the way.
2. Complete Services in One Place
From vaccinations to lab testing, we provide everything needed for your immigration physical in Gulfton under one roof. This saves you time and avoids multiple appointments elsewhere.
3. Fast and Accurate Documentation
We complete and seal your Form I-693 quickly and correctly so you can submit it to USCIS without delays.
4. Convenient Location for Gulfton Residents
Located right in the Gulfton area, our clinic is easy to reach, making it simple for families and individuals to get the care they need close to home.
5. Supportive, Stress-Free Experience
We understand the importance of this step in your immigration process. That’s why our staff provides clear instructions, answers your questions, and ensures you feel confident throughout the exam.
Get Your Immigration Medical Physical Done Right in Gulfton
Your immigration medical exam should never be a source of stress. At Immigration Medical Exam Clinic, we make the process straightforward, professional, and reliable, helping you move one step closer to your immigration goals.
📞 Book your appointment today and complete your immigration medical physical with confidence in Gulfton!
Immigration Medical Exam Clinic Serving the Gulfton Community and Beyond in Houston
Immigration Medical Exam Clinic is dedicated to serving the diverse needs of the local community of Houston, including individuals residing in neighborhoods like Gulfton. With its convenient location near landmarks such as the Burnett Bayland Park and major intersections like Gulfton St. and Renwick Dr. (coordinates: 29.71670369714994, -95.48345486219654), we offer immigration medical physical services.
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Final Thoughts
What does an immigration physical check for? It checks for communicable diseases, required vaccinations, mental and physical health conditions, substance use, and overall wellness. The exam ensures that applicants meet U.S. immigration health requirements while protecting public health.
At Immigration Medical Exam Clinic, we are dedicated to helping applicants complete this important step with accuracy, professionalism, and care. By understanding the process and preparing ahead of time, applicants can approach their immigration physical with confidence.
FAQs
1. What does the immigration medical physical check for?
The immigration medical physical checks for communicable diseases like tuberculosis, syphilis, and gonorrhea, verifies vaccination records, reviews mental and physical health history, and screens for drug or alcohol use. It also includes a general physical exam to confirm overall health.
2. Do I need all my vaccinations before the immigration medical exam?
Not necessarily. If you are missing some vaccines, the civil surgeon can provide them during your exam. Required vaccinations usually include MMR, polio, tetanus, pertussis, hepatitis B, influenza, varicella, and COVID-19, depending on your age and medical history.
3. What documents should I bring to my immigration physical?
Applicants should bring a government-issued ID (such as a passport), vaccination records, any medical history or test results, a list of current medications, and Form I-693 if instructed by USCIS. Having complete records helps avoid delays.
4. Will having a medical condition prevent me from passing the exam?
Not always. Most chronic or managed medical conditions do not disqualify applicants. Only certain communicable diseases, untreated drug abuse, or conditions that pose safety concerns may affect eligibility. Treatment and proper documentation can often resolve issues.
5. What happens after my immigration medical exam is finished?
Once the exam is complete, the civil surgeon fills out Form I-693, seals it in an envelope (required for USCIS submission), and provides you with a copy for your records. You then include the sealed form with your immigration application.
