As Designated Civil Surgeons We Are Able To Help You With Your Immigration Physical

Most applicants for adjustment of status are required to have a medical examination. The medical examination must be conducted by a civil surgeon who has been designated by U.S. Citizenship and Immigration Services. Medical examinations are needed for adjustment of status cases (Form I-485) and requests for V nonimmigrant status (Form I-539).

Report of Medical Examination and Vaccination Record The medical examination must be conducted by a physician who has been designated by USCIS as a civil surgeon. Form I-693 has been revised in accordance with the Centers for Disease Control and Prevention (CDC) updates to the Technical Instructions for the Tuberculosis (TB) Component of the Civil Surgeon Medical Exam and the Technical Instructions for Vaccinations. The revised Technical Instructions for TB include new requirements for the TB component of the medical exam and became effective 05/01/08. The revised Technical Instructions for Vaccinations include new age-specific vaccination requirements and became effective 07/01/08.

The results of the medical examination are generally valid for only 12 months. Applicants should schedule the medical examination as close as possible to the time they file for adjustment of status.

Questions & Answers

Changes to the Tuberculosis and Vaccination Requirements Required for Adjustment of Status

The new TB testing and treatment requirements became effective on May 1, 2008. However, CDC allowed a 30 day grace period. Therefore, any medical exam that takes place on or after June 1, 2008 must be performed in accordance with the new TB testing requirements.

Vaccinations

Q: What are the new vaccination requirements?

The CDC has revised its vaccination requirements. As of July 1, 2008, the following additional vaccinations are required in order to adjust status to legal permanent resident:

• Rotavirus
• Hepatitis A
• Meningococcal
• Human papillomavirus
• Zoster

NOTE: Some of these vaccinations are required for certain age groups only. During the examination with the civil surgeon, he or she will review the vaccination history, and may determine that certain vaccinations are not necessary or not appropriate.

The new vaccination requirements became effective on July 1, 2008. However, CDC approved a 30 day grace period until August 1, 2008. Therefore, for any medical exam conducted on or after August 1, 2008, the new vaccinations, if appropriate, must be administered in order for USCIS to approve the applicant for adjustment of status.

Does USCIS require that all shots in each vaccine series be completed before applying for adjustment of status?

No. The applicant must have received all the required age-appropriate vaccines that could be given at the time of the medical exam. If the applicant has started the vaccination series, but is not able to complete all the required shots because, at the time of the medical exam, the minimum time interval between shots has not passed, the applicant may still apply for adjustment of status. A waiver is available in cases where, due to required time intervals, it was impossible for the applicant to receive all shots in the series before submitting the application for adjustment of status.

For example, the Hepatitis A vaccine requires that applicant receive two doses of vaccine, six months apart. If the applicant receives the first dose in January, he or she does not have to wait until July, when the second dose would be given, to submit the adjustment of status application. However, the applicant must have received at least the first dose of the vaccine, if appropriate, before applying for adjustment of status.

For More Complete Details Please Go To: UCSIS Questions and Answers

U.S. Citizenship And Immigration Services