Immigration Exams

What It Is

The immigration medical exam is a mandatory health screening required by the U.S. Citizenship and Immigration Services (USCIS) for individuals applying for U.S. permanent residency (Green Card).
The purpose is to ensure that applicants do not have any medical conditions that could affect public health or make them inadmissible under immigration law.

At Immigration MD, these exams are performed exclusively by Dr. Allen Smolenski, a USCIS-designated Civil Surgeon, right here in Myrtle Beach.

Our goal is to make the process simple, fast, and stress-free, with clear guidance from start to finish.

Step-By-Step Process

Step 1: Schedule Your Appointment

Call, text, or book online. You’ll receive a confirmation with instructions on what to bring (passport, vaccination record, I-693 form, etc.).

💡 Tip: Print the most recent USCIS Form I-693 but do not sign it until instructed by Dr. Smolenski.

Step 2: Complete Your Medical History

During check-in, you’ll fill out a short medical questionnaire about your past illnesses, surgeries, and vaccinations.

Step 3: Physical Examination

Dr. Smolenski will perform a comprehensive physical exam following USCIS standards.
This includes:

General health evaluation
Heart, lungs, eyes, and ears check
Mental health screening

Step 4: Required Laboratory Tests

Standard tests (required for all adult applicants) include:

Tuberculosis screening (blood test or chest X-ray if indicated)
Syphilis (RPR blood test)
Gonorrhea (urine test)

Step 5: Vaccination Review

Your vaccination record will be reviewed to confirm all required immunizations are up to date. Missing vaccines can be administered on site

Step 6: Receive Your Sealed I-693

Once your labs are complete, Dr. Smolenski will sign and seal your USCIS Form I-693.
You’ll receive two copies:

Sealed envelope – must be submitted to USCIS (do not open).
Personal copy – for your records.

Vaccination Requirements

The following vaccinations are typically required for immigration applicants. Requirements vary by age and health status:

Vaccine

MMR (Measles, Mumps, Rubella)
Tdap (Tetanus, Diphtheria, Pertussis)
Varicella (Chickenpox)
Influenza
COVID-19
Hepatitis B
Polio

Purpose

Prevents viral infections common in childhood.
Required for most adults.
Proof of immunity or vaccination required.
Required during flu season (Oct – Mar).
Full vaccination required unless exempt.
For applicants under 18 or as indicated.
For children or unvaccinated adults.

Bring

Preparing for Your Appointment

Timeline & Results

Most applicants receive results within 3–5 business days depending on lab turnaround.
Expedited service is available for urgent cases

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