1. Things One Should Know Before Applying for US Immigration
Individuals applying for citizenship, seeking Permanent Residency in The United States or a Green Card
are required to obtain an immigration physical prior to approval of their application. The U.S. Citizenship
and Immigration Services (USCIS) make it mandatory that immigration physicals are completed by a
qualified USCIS Civil Surgeon so the exam is valid.
United States immigration is a complex demographic phenomenon that has been a major source of
population growth and cultural change throughout the history of the United States. The economic,
social, and political aspects of immigration have caused controversy regarding ethnicity, economic
benefits and jobs for non-immigrants, impact on upward social mobility, crime, and voting behavior.
After ethnic quotas on immigration were removed in 1965 the number of actual (first-generation)
immigrants living in the United States eventually quadrupled, from 9.6 million in 1970 to about 38
million in 2007. Over one million persons were naturalized as U.S. citizens in 2008. The leading countries
of origin of immigrants to the United States were Mexico, India, the Philippines, and China. Nearly 14
million immigrants entered the United States from 2000 to 2010.
The doctor will examine you for certain physical and mental health conditions. You will have to remove
your clothes for the medical procedures. You will have a blood test to determine if you have syphilis, (if
you are 15 years of age or older) as well as to see if you have the human immune-deficiency virus (HIV)
infection. For a Physical immigration one will be required to provide proof of immunizations. If you have
any records of immunizations (vaccinations), bring them to your appointment. The doctor will tell you if
additional immunizations are needed and where you can get them (usually at your local public health
department). If you have a chronic medical problem which you feel may impact the exam, bring copies
of your medical records to show that you are being treated and that your condition is controlled.
Once the immigration examination is completed, Doctors Express will certify Form I-693 with the test
results of the immigration exam and vaccination history in a sealed envelope to present to the
Department Of Homeland Security and U.S. Citizen and Immigration Services. DO NOT OPEN the sealed
envelope. Turn in the envelope with your immigration application.