Q: What does a medical examination entail?
A: 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
A: 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?
A: 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
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
A: 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.
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
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
A: 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.