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Typically, the immigration medical exam does not include drug testing as a standard procedure. However, the green card doctor, also known as a civil surgeon, may opt for drug testing if there are valid reasons to believe it is necessary.
Civil surgeons no longer have to sign Form I-693 no more than 60 days before the underlying application for an immigration benefit is filed. USCIS is publishing this change in policy in the policy manual consistent with the updated Form I-693 approved by OMB. For more information, see the policy alert (PDF, 322.12 KB).
We generally consider a completed Form I-693 to retain its evidentiary value for 2 years after the date the civil surgeon signed it. We have removed the requirement that the applicant submit their underlying immigration benefit application no more than 60 days after the civil surgeons signature on Form I-693.
The civil surgeon must give you the completed Form I-693 in a sealed envelope for you to submit to USCIS. Do not accept the form from the civil surgeon unless it is in a sealed envelope. USCIS will return your Form I-693 to you if it is not in a sealed envelope or if the envelope is opened or altered in any way.
The following conditions could deem you inadmissible due to failed medical exam: A communicable disease with public health significance, including tuberculosis, leprosy, gonorrhea, or syphilis. Drug abuse and/or addiction. A mental disorder associated with harmful behavior.
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There are reasons why someone would fail the US immigration medical exam and the medical conditions that could lead to inadmissibility. Potential Inadmissibility Factors. Communicable Diseases. Lack of Vaccination Compliance. Physical or Mental Health Issues. Substance Abuse. Other Class B Medical Conditions.
The medical examination will include a medical history review, physical examination, chest X-ray and blood tests for syphilis. The physical examination will at least include examination of the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes and skin.
Donts Before Your Immigration Physicals Dont Be Anxious; Get A Good Night Rest. The perfect way to pass a blood pressure test is to relax, and getting enough sleep before your physicals is a great start. Avoid Stressful Exercises. Dont Eat Just Before Your Exams. Avoid Salty and Fatty Food. Avoid Alcohol And Cigarettes.

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