Immigration Medical Exam Requirements and Terms of Admission

Immigration laws need a physical medical exam for all immigration visas and even some non-immigrant visas. Refugees and applicants for adjustment of status should also take the immigration medical exam. The primary reason for administering the physical exam is to eliminate any health issues that may prevent the applicant from immigrating.

What could prevent an applicant from being admitted?

Government-approved civil surgeons are specially qualified to administer the examination within the country. Panel Physicians, like in the immigration medical clinic in Scarborough, can administer the examination outside the country.

According to the CDC, they classify all medical conditions into Class A and B. If the applicant’s medical conditions fall under Class A, they will not be allowed in the country. The following are medical conditions that would render the applicant inadmissible:

Those experiencing infectious illnesses that could jeopardize public health, such as:

  • Chancroid
  • Gonorrhea
  • Transmittable leprosy, syphilis, tuberculosis (Class A TB).

And any other transmittable illness of public concern.

What are the inadmissible health-related problems?

Once the applicant has scheduled an appointment with the civil surgeon designated by the USCIS, they will ask the applicant if they have any symptoms that may show the following.

  • Respiratory.
  • Cardiovascular.
  • Musculoskeletal.
  • Neuropsychiatric.

Under the Immigration and Nationality Act, the CDC implements a listing of inadmissible health-related problems that must be vaccinated for, as the Advisory Community on Immunization Practices (ACIP) advised. During the immigration medical, these are checked for and vaccinated for.

Vaccination against vaccine-preventable diseases includes.

  • Mumps.
  • Measles.
  • Rubella.
  • Polio.
  • Pertussis.
  • Hepatitis B.
  • Influenza type B.
  • Tetanus and Diphtheria toxoids.

Influenza, like Pertussis, is a very common ailment. Although the seasonal flu appears harmless and benign, it hospitalizes and probably kills people in the United States yearly. It is hard to approximate the precise number of deaths caused by influenza.

They recommend vaccinations for Pertussis, also referred to as Whooping Cough. It is very infectious and primarily impacts children under the age of ten. The bacteria Bordetella pertussis triggers it.

The civil surgeon will also observe other signs to diagnose whether or not the applicant is infected with any of the illnesses. The civil surgeon will search for any infections that could prevent the person from being admitted. You can visit the website If you have questions about the process when planning your visit to medical clinics. 

What should applicants do after the immigration medical exam?

After the medical examination, the civil surgeon should hand the duly completed form in a sealed envelope for submission to the embassy and consulate. Suppose the form is not in a sealed envelope or has been opened or tampered with. In that case, the applicant must not accept it from the civil surgeon, as the consular office will return the form to the applicant.

Some clinics, like the immigration medical clinic in Thornhill, electronically transmit the results to immigration, so you won’t have to be concerned about your form being altered or opened.


An applicant’s family doctor can not administer the exam unless the government has approved the physician. You should remember that an embassy-approved doctor can only do the physical examination. The applicant must pay a fee to the doctor, and the government has no control over how much you should pay the civil surgeon. This has been left up to each physician to choose.