If you are applying for permanent residency or adjusting your immigration status in the United States, completing an immigration physical exam is a required step in the process. Many applicants feel uncertain about what the exam includes, why it is necessary, and who is authorized to perform it.

This guide explains everything you need to know about the immigration physical exam, especially if you are searching for a civil surgeon in NJ. Understanding the process in advance can help you avoid delays, unnecessary stress, and errors in your USCIS application.

What Is an Immigration Physical Exam?

An immigration physical exam is a medical evaluation required by U.S. Citizenship and Immigration Services (USCIS). Its purpose is to determine whether an applicant meets the health-related requirements for immigration into the United States.

The exam focuses on identifying medical conditions that may affect public health or eligibility under U.S. immigration law. The results of this exam are documented on Form I-693, which must be completed and signed by a USCIS-authorized civil surgeon.

Who Is Required to Complete an Immigration Physical Exam?

You must complete an immigration physical exam if you are:

• Applying for a Green Card through adjustment of status

• Applying for certain immigrant visas

• Requested by USCIS to submit Form I-693

• Reapplying or updating a previously submitted medical exam

Applicants residing in New Jersey must complete the exam through a civil surgeon in NJ who is officially designated by USCIS.

What Is a Civil Surgeon?

A civil surgeon is a licensed medical doctor approved by USCIS to conduct immigration medical examinations. Only these authorized providers can legally perform the exam and complete Form I-693.

A civil surgeon is responsible for:

• Reviewing your medical history

• Conducting the physical examination

• Verifying vaccination records

• Ordering required laboratory tests

• Completing and sealing the immigration medical form

Exams performed by non-authorized doctors are not accepted by USCIS.

Why Choosing a Civil Surgeon in NJ Matters

USCIS requires that immigration medical exams be conducted by a civil surgeon authorized for the applicant’s location. If you live in New Jersey, your exam must be completed by a civil surgeon in NJ.

Choosing a local provider helps ensure:

• Compliance with federal and state health regulations

• Accurate completion of USCIS documentation

• Faster coordination of lab testing and vaccinations

• Reduced risk of application rejection due to errors
  
  

What Happens During an Immigration Physical Exam?

The immigration physical exam is straightforward and similar to a routine medical visit. It is not designed to diagnose new medical problems but to ensure compliance with immigration health standards.

Medical History Review

The civil surgeon will ask questions about your medical background, including:

• Past illnesses or surgeries

• Ongoing medical conditions

• Mental health history

• Communicable diseases

Providing honest and complete information is essential, as inconsistencies can cause delays.

Physical Examination

The physical exam includes basic assessments such as:

• Height and weight measurement

• Blood pressure check

• Heart and lung examination

• Abdomen check

• Evaluation of overall physical health

This portion of the exam is quick and non-invasive.

Vaccination Review

USCIS requires applicants to meet specific vaccination guidelines. The civil surgeon will review your vaccination records to confirm compliance with required immunizations.

If certain vaccines are missing, the civil surgeon may:

• Administer the required vaccines during the visit

• Refer you to complete them elsewhere

• Document valid exemptions if applicable

Vaccination requirements depend on age, medical history, and current USCIS guidelines.

Required Laboratory Tests

Laboratory tests are a standard part of the immigration physical exam. These typically include:

• Tuberculosis screening

• Blood testing for syphilis

• Gonorrhea testing for applicable age groups

All tests are ordered and reviewed by the civil surgeon as part of the immigration process.

What Documents Should You Bring?

To ensure a smooth appointment, bring the following items:

• A valid government-issued photo ID

• Passport (preferred)

• Vaccination records

• Medical history documents if applicable

• USCIS Form I-693 if already provided

Your civil surgeon in NJ may advise you if additional documentation is needed.

How Long Does the Immigration Physical Exam Take?

The appointment typically lasts between 30 and 60 minutes. However, laboratory results may take several days to process.

Once all components are completed, the civil surgeon prepares Form I-693, seals it in an envelope, and provides instructions for USCIS submission.

Validity of the Immigration Medical Exam

According to USCIS guidelines:

• Form I-693 is generally valid for up to two years

• The form must be signed by the civil surgeon within 60 days of submitting your adjustment of status application

Confirm timelines with your civil surgeon to avoid expiration issues.

Common Reasons Immigration Medical Exams Get Delayed

Delays often occur due to:

• Missing or incomplete vaccination records

• Incomplete lab results

• Errors in Form I-693

• Seeing a doctor who is not a USCIS-authorized civil surgeon

• Incorrect personal information on forms

Working with an experienced civil surgeon in NJ helps reduce these risks significantly.

Immigration Physical Exam vs a Regular Medical Exam

Although both involve a physical check-up, the immigration physical exam is different from a routine medical exam. The immigration exam focuses specifically on USCIS health requirements and legal documentation, while a regular physical exam is designed to monitor general health and wellness.

Only a civil surgeon can perform and certify the immigration medical exam.

How to Choose the Right Civil Surgeon in NJ

When selecting a provider, consider:

• USCIS authorization status

• Experience with immigration medical exams

• Clear guidance on required documents

• Transparent process and timelines

LenoyMed provides immigration physical exams in compliance with USCIS requirements, ensuring accuracy and proper documentation for applicants in New Jersey.

Frequently Asked Questions

Is the immigration physical exam painful?

No. The exam includes routine assessments and standard lab tests.

Can I submit the medical exam later?

Yes, USCIS allows later submission, but timelines must be followed carefully.

What happens if a medical issue is found?

Most conditions do not lead to denial. The civil surgeon will guide you through next steps if further evaluation or treatment is needed.

Do children need an immigration physical exam?

Yes, though exam components vary by age.

Final Thoughts

The immigration physical exam is a crucial requirement for anyone seeking permanent residency in the United States. Understanding what to expect and working with a qualified civil surgeon in NJ can make the process smooth and stress-free.

For applicants in New Jersey, LenoyMed offers immigration physical exams aligned with USCIS standards, helping ensure your documentation is accurate and complete.