- Review of your medical history and vaccination records
- Physical exam, including eyes, ears, heart, lungs, skin and lymph nodes
- Mental health and substance use evaluation
- Tuberculosis screening (IGRA blood test for ages 2+; chest X-ray if positive)
- Blood test for syphilis (ages 18+) and urine test for gonorrhea (ages 18–24)
- Any missing vaccines required for your age
USA USCIS Medical Exam: Quick Facts
- Form
- I-693, Report of Immigration Medical Examination
- Who performs it
- USCIS-designated civil surgeon
- File with
- Form I-485 (required since Dec 2, 2024)
- Typical cost
- Often $200–$500+ (not usually covered by insurance)
- TB test
- IGRA blood test for ages 2+
- COVID-19 vaccine
- No longer required
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.