Conditions of Admission and the Medical Exam for Immigration

Immigration laws require a physical medical exam for all immigration visas and also some non-immigrant visas. Refugees and applicants for change of status should also take the immigration medical exam. The main 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. Like a panel physician in Scarborough, the doctor can provide the examination outside of 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 suffering from an infectious illness that could endanger public health, such as:

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

And any other transmittable illness of public concern.

What are the inadmissible health-related problems?

When the applicant has set up a visit with the civil surgeon appointed 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 list of objectionable health-related issues that should be vaccinated for, as the Advisory Community on Immunization Practices (ACIP) recommended. During the immigration physical exam, these are looked for and vaccinated for.

Vaccination against vaccine-preventable conditions includes.

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

Flu, 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 difficult to approximate the exact number of deaths caused by the flu.

They recommend vaccinations for Pertussis, also called Whooping Cough. It is very infectious and primarily impacts children under the age of 10. The bacteria Bordetella pertussis causes 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 look for any infections that could prevent the person from being admitted.

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 should not accept it from the civil surgeon, as the embassy will return the form to the applicant.

Some clinics like GTA Immigration Medical electronically transmit the results to immigration, so you will not be concerned about your form being tampered with or opened.


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