INFORMATION ABOUT THE MEDICAL EXAMINATION
All 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 the U.S. Citizenship and Immigration Service (USCIS). The designated civil surgeon is responsible for the entire medical examination, and will record the results on Form I-693. The required medical exam consists of a physical examination, a tuberculin (TB) skin test and a serologic (blood) test. The designated civil surgeon must perform these tests in accordance with the Technical Instruction for the Medical Examination of Aliens in the United States, published by the Centers for Disease Control and Prevention (CDC). The Form I-693 will be given to you in a sealed envelope to present to the USCIS. You should not open the sealed envelope. The requirements of the medical examination are as follows:

PHYSICAL EXAMINATION: Required of ALL applicants.

TUBERCULIN (TB) SKIN TEST: Required of ALL APPLICANTS TWO YEARS OF AGE AND OLDER. Applicants under the age of two may be required to have a tuberculin skin test if tuberculosis is suspected, if the applicant has a history of contact with a known TB case, and/or if there is any other reason to suspect TB. A chest x-ray is required only if the reaction to the TB skin test is 5mm or greater.

SEROLOGIC (BLOOD) TEST: Required of ALL APPLICANTS 15 YEARS OF AGE AND OLDER. The serologic test will include tests for the virus that causes the acquired immune deficiency syndrome (AIDS). Applicants under the age of 15 must be tested if there is reason to suspect HIV infection.

More detailed information can be found at http://www.cdc.gov/ncidod/dq/civil.htm.

To view a list of physicians who have been approved by USCIS to serve as civil surgeons in your area, go to the Civil Surgeon Locator.