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Unlocking a Healthy Start: Essential Medical Tests for Green Card Applicants

medical test for green card

Embarking on the journey to obtain a green card can be a complex and demanding process, requiring meticulous attention to detail and a comprehensive understanding of the intricate steps involved. Among these steps, the medical examination stands as a crucial milestone, often shrouded in uncertainty and apprehension. This comprehensive guide aims to dispel any lingering doubts and provide clarity on the medical test requirements for green card applicants.

The medical examination for a green card is an integral component of the application process, serving as a crucial step in assessing an individual's overall health status and ensuring they pose no potential public health risks. This thorough evaluation encompasses a wide range of medical tests, each designed to detect specific conditions or diseases. Some common tests include blood tests, chest X-rays, and vaccinations. While the specific tests required may vary based on individual circumstances, all applicants must undergo a comprehensive physical examination conducted by a designated civil surgeon.

The primary objective of these medical tests is to safeguard public health by identifying any contagious diseases or conditions that could pose a threat to the community. Additionally, the examination aims to ensure that applicants are physically and mentally fit, capable of contributing to society and not becoming a burden on public resources. By undergoing these tests, applicants demonstrate their commitment to upholding public health standards and their dedication to becoming productive members of the United States.

Understanding the medical test requirements for a green card is essential for a successful application. Whether you're navigating the process alone or seeking guidance from an immigration attorney, thorough preparation is key. Familiarize yourself with the specific tests required, gather any necessary medical records, and schedule your examination well in advance to avoid any potential delays. Remember, meticulous attention to detail and adherence to the guidelines will significantly enhance your chances of a smooth and successful medical examination.

Medical Tests Required for Green Card Applicants: A Comprehensive Guide


Obtaining a green card, also known as a lawful permanent resident (LPR) status, is a pivotal step toward establishing a permanent life in the United States. As part of the application process, prospective immigrants must undergo a series of medical tests to ensure they are in good health and pose no public health risks. This guide delves into the specific medical tests required, the underlying rationale, and the process involved.

1. Understanding the Purpose of Medical Tests:

The primary objective of medical tests for green card applicants is to safeguard the health and well-being of the U.S. population. These tests aim to identify individuals with potential health conditions that could pose a threat to public health or incur significant medical expenses for the U.S. healthcare system.

2. Types of Medical Tests Required:

The U.S. Citizenship and Immigration Services (USCIS) mandates several medical tests for green card applicants. These tests are conducted by a designated civil surgeon and include:

  • a. Tuberculosis (TB) Test: This test screens for active or latent TB infection.
  • b. Syphilis Test: This test detects syphilis, a sexually transmitted infection (STI).
  • c. Gonorrhea Test: This test checks for gonorrhea, another STI.
  • d. HIV Test: This test identifies HIV infection.
  • e. Hepatitis B and Hepatitis C Tests: These tests screen for hepatitis B and hepatitis C, which are liver infections.
  • f. RPR (Rapid Plasma Reagin) Test: This test checks for syphilis.
  • g. Medical Examination: The civil surgeon conducts a comprehensive physical examination, including a review of the applicant's medical history, vital signs, and overall health status.

3. Importance of Completing All Required Tests:

Failing to complete all the required medical tests can result in the denial of a green card application. Additionally, applicants who are found to have certain medical conditions may be required to undergo additional tests or treatment before their application can be approved.

4. Confidentiality of Medical Information:

All medical information obtained during the examination is strictly confidential and protected by federal law. The civil surgeon is prohibited from disclosing any personal health information to third parties without the applicant's consent.

5. Preparing for the Medical Examination:

Applicants should bring the following documents to their medical examination:

  • a. Passport: A valid passport or other acceptable travel document.
  • b. Vaccination Records: Documentation of all vaccinations received.
  • c. Medical History: A detailed account of the applicant's medical history.
  • d. Previous Medical Records: Any relevant medical records, such as test results, X-rays, or prescriptions.

6. Costs Associated with Medical Tests:

The cost of medical tests for a green card can vary depending on the location and the specific tests required. Applicants should expect to pay between $200 and $1,000 for the entire process.

7. Timeline for Medical Examination:

The medical examination should be completed within 60 days of the applicant's receipt of the civil surgeon's notice. Failure to do so may result in the expiration of the examination and the need for a new one.

8. Interpretation of Test Results:

The civil surgeon will interpret the test results and determine whether the applicant meets the medical admissibility criteria. If any abnormalities are detected, the civil surgeon may order additional tests or refer the applicant to a specialist for further evaluation.

9. Appeal Process:

Applicants who are denied a green card based on medical grounds can file an appeal with the USCIS. The appeal must be submitted within 60 days of the denial decision.

10. Special Considerations for Children Under 14:

Children under the age of 14 are only required to undergo a limited medical examination. This includes a physical examination, a TB test, and vaccinations as per the U.S. immunization schedule.


Medical tests are an integral part of the green card application process, serving as a safeguard for public health and ensuring that applicants are in good physical and mental condition. By understanding the purpose, types, and procedures involved in these tests, applicants can navigate the process smoothly and increase their chances of a successful application.


  1. Q: Can I choose my own civil surgeon? A: Yes, you can choose any civil surgeon authorized by the USCIS to conduct immigration medical examinations.

  2. Q: What happens if I have a medical condition that requires ongoing treatment? A: You may be required to provide additional medical documentation or undergo further testing to determine if your condition meets the medical admissibility criteria.

  3. Q: Can I bring a translator to my medical examination? A: Yes, you can bring a translator if you are not proficient in English. The translator must be certified and provide a signed statement attesting to their qualifications.

  4. Q: How long does it take to receive the results of my medical examination? A: The civil surgeon will typically provide you with the results of your examination on the same day. However, in some cases, additional testing may be necessary, which could delay the results.

  5. Q: What should I do if my green card application is denied due to medical reasons? A: You can file an appeal with the USCIS within 60 days of the denial decision. You should consult with an immigration attorney to discuss your options and the best course of action.

Video Medical Exams & Vaccinations for U.S. Green Card Applicants
Source: CHANNET YOUTUBE Berardi Immigration Law