Finding a Medical Doctor
Medical examinations and vaccinations in the United States are typically required for anyone who files Form I-485, Application to Register Permanent Residence or Adjust Status. If we require you to undergo an immigration medical exam, see the myUSCIS Find a Doctor page for help finding a designated physician (also known as a "civil surgeon"). You can also call the USCIS Contact Center at 800-375-5283 . (For people who are deaf, hard of hearing or have a speech disability: TTY 800-767-1833.)
This exam takes place in the United States, where all designated civil surgeons are located. Department of State panel physicians are located overseas and are typically used when applying to immigrate through consular processing outside of the United States, not for applicants submitting Form I-485.
Medical Examination Fees
USCIS does not regulate the fees charged by civil surgeons for the completion of a medical examination. Rates vary by physician.
Completing Medical Forms
Print out and bring the most recent version of Form I-693, Report of Medical Examination and Vaccination Record to your medical exam appointment. Complete Part 1 of Form I-693 but do not sign until the civil surgeon instructs you to do so. The civil surgeon will use Form I-693 to document the results of your medical exam.
The designated civil surgeon will complete, sign, and seal Form I-693 and any supporting documents in an envelope. You must submit the sealed envelope to USCIS as directed in the Form I-693 instructions.
IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.
Civil Surgeons' Responsibilities and Requirements
For more information on the responsibilities, requirements and instructions on how civil surgeons perform immigration exams, see our Designated Civil Surgeons page.