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Official USCIS Medical Exams by Immigration-Certified Doctors

Immigrants seeking changes in their legal status, looking to obtain entry to the United States or seeking U.S. residency (green card) must receive a thorough immigration medical examination by a certified civil surgeon (immigration doctor).


LAM MEDICAL, LLC has all appropriate designations to conduct immigration medical exams. The United States Citizenship and Immigration Services (USCIS) requires you to get a full immigration physical exam. This exam is to make sure you don’t have physical issues or mental disorders that may prevent you from being approved. Our physicians understand that USCIC doctors must follow the government’s strict guidelines and procedures for your exams. You can rest assured that your forms and report will be done correctly.

What Does an Immigration Exam Include?

  • Completion of all exam results reporting, including the I-693 form.

  • Physical examination.

  • Vaccination history review.

  • Screening for tuberculosis, syphilis*, and gonorrhea*.


Note: should additional testing or vaccinations be necessary to treat any health issues identified during the exam, LAM MEDICAL LLC can provide blood work, order for x-rays, and vaccinations during the same visit for the convenience of the applicant. **


* Required based on age

** Additional fees will apply

What to Expect at Your Immigration Physical Exam

Normally, we perform this examination in two appointment sessions. The first appointment is the preliminary medical questionary, the fill out of the necessary documentation (form I-693), clinical paperwork, and the blood work for the USCIS required laboratory testing.

You are expected to bring with you in your first appointment a government issued ID (i.e. State driver’s license, passport, etc.); vaccination records (if available), and any additional medical records for the doctor.

The second appointment is usually scheduled a week after the first appointment to ensure the laboratory results are received. You are expected to bring with you any vaccination records that were missing and ordered at your fist appointment. During this visit the Certified Physician will perform the physical examination and will determine if additional treatment is necessary based on results and medical history; if no additional treatment is necessary the applicant will receive a sealed envelope to turn into his/her lawyer and/or send directly to immigration along with his/her application. This envelope MUST remained sealed and should be open ONLY by the USCIS official. Any tampering to the seal might render your test invalid by the USCIS.

Becoming a naturalized U.S. citizen is not always easy. The laws can be strict and the language can be confusing. Sometimes, the applicant may also have a disability or condition that makes it harder for them to meet eligibility requirements.  

For those who need a medical exemption from certain parts of the naturalization process, the United States Citizenship and Immigration Services (USCIS) offers the N-648 certification. 

What Is Form N-648? 

USCIS Form N-648, also often called a “disability waiver,” is used to exempt U.S. citizenship applicants from having to prove certain skills. Those with a diagnosed medical condition that prevents them from being able to read, write, speak, or take basic tests may file this petition.  

N-648, Medical Certification for Disability Exceptions, makes legal entrance to the U.S. more accessible. Depending on the medical condition an individual has, they may be able to do the naturalization interview in their native language, or not have to answer history and government questions.  

This form must be completed by a certifying medical professional within six months of the N-400 form being submitted to USCIS.  

Who Does Not Qualify for N-648 Exemption? 

Just because you have a disability, it does not necessarily mean that you should submit an N-648 application. If you are still able to complete the English and civics requirements with the proper accommodations, you should do so.  

Simply being illiterate or very old will also not be enough to qualify you. You can request reasonable accommodations on the Form N-400 without filing the N-648 petition. 

Who fills out Form N-648? 

To allow the applicant to request a waiver, an authorized medical professional must complete Form N-648, Medical Certification for Disability Exceptions. 

LAM Medical USCIS physical exam
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