I-693 Physicals Citizenship Exams Vaccine Requirements
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(856) 596-3100

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801 Route 73 North, Suite B
Greentree Commons
Marlton, NJ 08053

110 CH South Dennis Road
Cape May Court House
NJ 08210


Frequently Asked Questions (FAQ)

Q: What does a medical examination entail?
The medical examination procedure consists of a history, examination, an evaluation (blood test/chest x-ray examination) for tuberculosis, urine test for gonorrhea and blood test for syphilis. The vaccination requirements include vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). All these requirements vary based on applicant's age and history.

Q: What is the purpose of the medical examination?
 The purpose of the medical examination is to identify applicants with inadmissible health-related conditions for the Department of State (DOS) and U.S. Citizenship and Immigration Services (USCIS). The health-related grounds for inadmissibility include persons who have a communicable disease of public health significance, who fail to present documentation of having received vaccination against vaccine-preventable diseases, who have or have had a physical or mental disorder with associated harmful behavior, or who are a drug abuser or an addict.

Q:  What are the communicable diseases that would cause an applicant to fail a medical examination or be inadmissible?
Communicable diseases of public health significance include Tuberculosis, Syphilis, Chancroid, Gonorrhea, Granuloma Inguinale, Lymphogranuloma Venereum, Hansen's Disease (Leprosy). These diseases are considered Class A conditions and your application will be denied till proper treatment is completed.

Q: What is the Tuberculosis Blood test?
A: The Quantiferon blood test, checks for an antibody reaction in the blood of a person exposed to the tuberculosis bacteria. If test is negative then you are cleared for tuberculosis.  If there is a positive test then a chest x-ray will be required to check if you have active tuberculosis. The blood tests results takes 3-5 business days.

Q: What does a positive Tuberculosis blood test mean?
  A positive blood test indicates a prior exposure to the tuberculosis bacteria. Persons with a positive test have up to 25% chance of developing infectious tuberculosis over the next several years. A prophylactic antibiotic will prevent this from occurring.            

Q: What happens if chest x-ray is required?
 If the chest x-ray is normal, you do not have active tuberculosis. We will complete I-693 accordingly and this will NOT impact your immigration application at all. If you have abnormal chest x-ray then further investigation will be necessary and you will be referred to local health department for further evaluation. Till you are cleared by department of health, you cannot proceed further.

Q: Can I open the envelope?
A: When medical examination is completed, you will be given a sealed envelope containing completed I - 693. Do not open this envelope in any case. Each applicant will have his or her own envelope. Take or send the sealed envelope to the INS office. If for any reason the sealed envelope is opened before the officer receives it, you will need to return the envelope to our office to have it resealed. If the INS officer receives the envelope unsealed, he will void the forms and you must redo the forms.

Q: What is usual turnaround time for I-693 examination?
Usually it takes 3-5 business days to complete the process. Chest x-ray if required and time to receive blood test results may affect this time frame. If you need to complete the forms sooner then let us know and we will try to expedite everything in timely manner.

If you have any other questions, please email to ketki@greencradphysicals.com or call 
(856) 596-3100,  Ask for Immigration.

Visit US Citizenship and Immigration Services (USCIS) for additional information

Copyright 2010 Ketki M. Dadhania, MD. All Rights Reserved.