EP6: All About The USCIS Immigration Medical Exam

In episode 6 of the podcast, we’ll learn all about the medical exam and what the process is to complete it. Before your CR1 visa, K1 visa or green card can be issued by the U.S. Consulate or Embassy, you will need to pass the immigration medical exam.

The medical exam (Form I-693) isn’t something you can study for but as long as you don’t have any active contagious diseases or infections, you should be okay.

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Immigration Medical Exam Includes:

The medical exam isnt complicated but it involves a few very important details you need to pay attention to.

Each panel physician will discuss the details of the immigration medical exam with you.

  • medical history review,
  • physical examination,
  • chest X-ray and
  • blood tests for syphilis.
The physical examination:
  • eyes,
  • ears,
  • nose and throat,
  • extremities,
  • heart,
  • lungs,
  • abdomen,
  • lymph nodes,
  • skin and
  • external genitalia.

Step 1: Find a panel physician that’s approved by USCIS.

  • Find a local panel physician that is approved by USCIS.
  • Schedule the medical exam up to 2 weeks before your CR1 visa interview.

Step 2: Call the clinic to schedule the CR1 visa medical exam.

When scheduling your exam, there are a few tips I have for you:

  • Let them know that the exam is for the CR1 spouse visa
  • Ask them how much it will cost and what payment methods they accept.

Step 3: Attend the medical exam.

Bring the following documents:
  • Visa interview letter
  • Valid passport
  • 3 recent photos of you
  • All medical and vaccination records
  • Payment of the fee (cash, check, or credit card)
All children that are immigrating to the US with you must attend the medical examination.

Step 4: Get the medical exam results and DO NOT OPEN.

Getting the medical exam results can happen in two ways:
  1. The clinic will mail the sealed medical results directly to you with an envelope that says “DOT NOT OPEN”.
  2. The clinic will mail the sealed medical results directly to the US consulate or embassy.

How Long The Medical Exam Results Are Good For

  • In most countries, the medical exam results are valid for one year.
  • If results will expire before you enter the U.S., you must redo it.
  • No way to extend the validity period for your medical exam results.

Medical conditions causing delay or denial

  • Tuberculosis (TB)
  • Syphilis
  • Vaccine preventable diseases
  • Mental disorders
    • violent behavior
    • multiple DUIs

Tuberculosis (TB)

positive TB skin test, you must get a signed letter from your family doctor saying that you have been treated successfully. Bring this letter with you to your medical examination.
Active TB will cause your visa to be delayed until you are treated. Then you must undergo the medical exam again after treatment is complete to be sure you are no longer contagious.


If you’ve had Syphilis in the past, you  must provide a signed letter by your family doctor stating that you’ve been successfully treated for this condition.
If you have EVER had a positive VDRL or other blood test for Syphilis but were not treated, you still must get a written letter from your doctor about your condition and prognosis.

Vaccine preventable diseases

Not having up-to-date vaccinations can cause the CR1 visa to be denied or delayed.
Bring your records with you to the medical examination
The panel physicians will review your medical history and determine what you may need to be vaccinated against.
required vaccinations:
  • Hepatitis A
  • Hepatitis B
  • Influenza
  • Influenza type b (Hib)
  • Measles
  • Meningococcal
  • Mumps
  • Pneumococcal
  • Pertussis
  • Polio
  • Rotavirus
  • Rubella
  • Tetanus and diphtheria toxoids
  • Varicella
No vaccination record? Panel physician will work with you to see what you have immunity to.
Medical reason for no vaccinations? Waiver may be available if recommended by panel physician.

Mental health disorders

Having a history of mental health issues can also be a cause for denial of the CR1 visa. This is because of the risk of harm you could pose to the U.S. public if your mental health disorder isn’t treated properly.
This can include harmful behavior such as drug use, attempted suicide, violence, and drug and alcohol abuse.

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