When applying for a U.S. green card, one of the essential steps is completing an immigration physical exam. This medical examination is required by the U.S. Citizenship and Immigration Services (USCIS) to ensure that applicants meet specific public health standards before being granted permanent residency. Understanding what to expect during this process can help ease anxiety and ensure you're fully prepared.

The immigration exam NYC applicants go through is conducted by a designated civil surgeon approved by USCIS. The process begins with a review of your medical history and immunization records. It's important to bring official documentation of any vaccinations you’ve already received, as this can help reduce the need for additional shots and streamline the examination.

The physical examination itself includes a general check-up where the doctor assesses your overall health. This involves checking vital signs such as blood pressure, heart rate, and breathing, as well as examining your skin, eyes, ears, nose, throat, and abdomen. The civil surgeon will also evaluate your mental and emotional well-being, as this is part of the immigration health screening.

In addition to the physical check-up, the exam includes screenings for certain communicable diseases. Tests commonly required include a tuberculosis (TB) test and a blood test for syphilis. If you're between the ages of 2 and 14, a TB blood test will likely be administered, with further evaluation if needed. These screenings help ensure public safety and are a standard part of the immigration medical process.

Vaccinations are another key element of the exam. USCIS requires that applicants be vaccinated against various diseases, such as measles, mumps, rubella, tetanus, diphtheria, pertussis, and influenza, depending on age and medical history. If you're missing any required vaccinations, the civil surgeon will administer them during the appointment.

The results of your exam are recorded on Form I-693, which is sealed by the green card doctor and submitted to USCIS as part of your application. It's important not to open the sealed envelope, as only USCIS officers are authorized to do so.

Overall, the immigration physical exam is a straightforward yet essential part of the green card process. By coming prepared with documents and a clear understanding of what’s involved, you can complete this step smoothly and confidently, knowing you're one step closer to your immigration goals.