How to Prepare for Your Immigration Physical

Getting a U.S. Green Card or “Lawful Permanent Resident Card” is an important step in earning approval to remain in the United States indefinitely. U.S. Citizenship and Immigration Services (USCIS) oversees the process, including the handling of all required materials and forms.

One of the most important steps in the Green Card process is filing Form I-485, Application to Register Permanent Residence or Adjust Status. Completing this form requires completing supporting documents that will help the government assess your personal history, current circumstances, and whether you’re eligible for permanent residence.

To complete Form I-485, you’ll need a specific type of medical examination, or immigration physical. This exam proves that you don’t have any health conditions that would prevent you from qualifying for a Green Card. As part of the immigration physical, the examining physician completes Form I-693, Report of Medical Examination and Vaccination Report. You must submit Form I-693 to USCIS to prove that you passed an immigration physical.

It’s important that a USCIS-authorized physician, also known as a civil surgeon, performs your medical examination and completes your Form I-693. Dr. Said Attoussi, MD, of Nashville Family Medical Clinic in Nashville, Tennessee, is a USCIS-authorized physician whose specialties include immigration physicals. His staff has the experience necessary to make sure your examination and paperwork meet U.S. government requirements.

What papers do I need at an immigration physical?

You’ll need a specific set of documents to get the medical examination required for a Green Card. The list of documents is determined by USCIS. Dr. Attoussi needs these papers so he can fully complete Form I-693.

You have to bring the following papers to your immigration physical:

If you’re a parent, you’ll also need separate identification for every child who is younger than age 14. A birth certificate with English translation or affidavit of birth is acceptable. The documents should show the child’s name, date and place of birth, and the full name of one parent.

What can I expect during an immigration physical?

An immigration physical includes a thorough physical exam and an overview of your medical history. Dr. Attoussi performs specific tests and exams based on your age and USCIS requirements.

A typical immigration physical includes confirming that you don’t have signs of tuberculosis. This can be done with a skin test or chest examination. You’ll also be assessed for syphilis, gonorrhea, other sexually transmitted diseases, and leprosy. Depending on your circumstances, Dr. Attoussi may also need to give you a blood test.

To meet USCIS requirements, Dr. Attoussi will determine whether you’re likely to be infected with a communicable disease of public health significance, which is an illness that you can easily spread to other people.

You must have proof of vaccination for the following diseases:

As part of your immigration physical, you’ll also be assessed for physical or mental disorders. This includes substance-related disorders, drug addiction, and drug abuse. During this part of the exam, Dr. Attoussi will ask you questions about your behavior and daily activities.

What happens after my immigration physical?

If you pass the immigration physical, Dr. Attoussi will sign and complete your I-693 form. The completed form should be sent to USCIS after you file your Form I-485. If you have a USCIS interview, you can also submit it at that time.

Form I-693 is valid for a maximum of two years from the date of Dr. Attoussi’s signature on it. If there will be a delay in getting other documents you need to complete Form I-485, you should wait to have an immigration physical until you have all your paperwork. You don’t want your immigration physical to expire while you’re waiting for the missing documents.

If you’re ready for an immigration physical, make an appointment with Dr. Attoussi online or over the phone to complete this important step in the Green Card process. If you’re helping a friend or family member who doesn’t speak English, the friendly staff at Nashville Family Medical Clinic can provide the right interpreters to assist them.

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