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If you are applying for a green card, one of the important steps you’ll need to take is to undergo a medical exam from a doctor approved by U.S. Citizenship and Immigration Services. Individuals applying for a green card from within the U.S. must use a doctor approved by the USCIS (the agency provides a directory where individuals can find an approved medical professional). If you are applying for a green card outside the U.S., you’ll need to use a doctor approved by the U.S. Department of State. Inside the US, the doctor will need to fill out form I-693, which should include the results of the exam and your vaccination record.

The medical exam is a screening exam designed to determine whether you have any disease or condition that should render you inadmissible to the U.S. Before you go in for the exam, it is important to make sure you have all required vaccinations to deem you admissible to the U.S. According to the Centers for Disease Control, individuals should be able to show that they have been vaccinated for the following diseases:

  • Diphtheria
  • Tetanus
  • Pertussis
  • Polio
  • Measles
  • Mumps
  • Rubella
  • Rotavirus
  • Haemophilus influenzae type b (Hib)
  • Hepatitis A
  • Hepatitis B
  • Meningococcal disease
  • Varicella
  • Pneumococcal disease
  • Influenza

However, many of these vaccines are age-dependent, so if a child is applying for adjustment of status or for a green card, he or she may be exempt from some of these vaccines. If you are not sure whether you have all documentation for these vaccines or whether your documentation would be considered valid by a medical examiner, you may want to speak to the immigration lawyers at Kuck Baxter Immigration in Atlanta, Georgia. Our firm can review your documentation, help you understand your next steps, and bring complete documents to your medical exam so that your form I-693 can be successfully completed.

The doctor will also examine you to determine whether you have a communicable disease that can be seen as a risk to public health. Conditions that could make you inadmissible for entry to the U.S. include:

  • Chancroids
  • Gonorrhea
  • Granuloma inguinale
  • Infectious leprosy
  • Lymphogranuloma venereum
  • Infectious syphilis
  • And active tuberculosis.

The Doctor will also review your medical history to determine whether you have a mental disorder that shows a history of harmful behavior or behavior which could pose a risk to others, visit While the guidelines from USCIS are not specific, it is generally up to the doctor to determine whether a mental condition could make you a risk to yourself or others. Generally, only in the most extreme conditions, would a mental health condition fall under this category. Having a mental health condition alone would not in itself bar you from admission to the U.S. If you have a concern about this, you may want to speak to the immigration lawyers at Kuck Baxter Immigration in Atlanta, Georgia to learn about steps you can take to protect your rights.

Another condition which could impact your admissibility is substance abuse and drug addiction. If you are found to be dependent on a harmful substance, the medical examiner could declare you inadmissible. Taking a controlled substance is not, in itself, considered substance use. However, a doctor will use guidelines based on the DSM (The American Psychological Association’s Diagnostic and Statistical Manual of Mental Disorders).

If you have questions or concerns about your medical examination and how the results can impact your ability to get a green card, it is best to be prepared. Kuck Baxter Immigration, are green card lawyers in Atlanta, Georgia who can help you understand the process and prepare your documentation for your medical examination. Contact us today to learn more.

Kuck Baxter Immigration Partners, L.L.C.
365 Northridge Road
Suite 300
Atlanta, GA 30350

Charles Kuck

Managing Partner