Complete Guide to Immigration Physical I-693 移民体检完全指南

If you are applying for a green card (permanent residency) in the United States, one of the required steps is completing a medical examination documented on Form I-693, the Report of Medical Examination and Vaccination Record. This guide covers everything you need to know to prepare for your immigration physical at Best Medical Center.

如果您正在申请美国绿卡（永久居留权），必须完成的步骤之一是完成I-693表格上记录的移民体检。本指南涵盖了您在Best Medical Center准备移民体检所需了解的一切。

What Is the I-693 Form? 什么是I-693表格？

Form I-693 is a USCIS document that must be completed by a USCIS-designated Civil Surgeon — a physician who has been specifically authorized by the US government to perform immigration medical exams. Not every doctor can complete this form; only designated civil surgeons have the authority to do so. At Best Medical Center, Dr. Alison Zhou is a USCIS-designated Civil Surgeon.

I-693表格必须由USCIS指定的Civil Surgeon（移民体检医生）完成——一位经美国政府特别授权执行移民体检的医生。周艾莉医生是USCIS指定的移民体检医生。

What to Bring to Your Appointment 体检需要带什么

• Government-issued photo ID 政府签发的带照片身份证件 — Passport, driver's license, or state ID. Passport is preferred. 首选护照。
• Vaccination records 疫苗接种记录 — Bring ALL immunization records you have, from childhood to present. Records from your home country are accepted. 带上所有疫苗接种记录，包括您母国的记录。
• Medical records 医疗记录 — If you have any chronic conditions (diabetes, hypertension, mental health conditions), bring documentation from your treating physician. 如有慢性疾病，请带上主治医生的文件。
• TB test results TB检测结果 — If you have had a recent TB skin test (PPD) or blood test (QuantiFERON or T-SPOT), bring the results. If not, we will perform the test at your appointment. 如有最近的TB检测结果，请带上。
• Chest X-ray 胸部X光 — Required if your TB test is positive. 如果TB测试阳性则需要。

What Happens During the Exam? 体检过程

The immigration physical is a comprehensive medical evaluation that includes:

1. Physical Examination 身体检查： A head-to-toe examination checking eyes, ears, nose, throat, lungs, heart, abdomen, skin, lymph nodes, extremities, and neurological function. The doctor is looking for any conditions classified as "inadmissible" under immigration law. 全身检查，包括眼、耳、鼻、喉、肺、心脏等。

2. Mental Health Screening 心理健康筛查： A brief assessment for mental health conditions that may pose a risk to the applicant or others. Having a mental health condition does not automatically make you inadmissible — only conditions associated with harmful behavior. 简短的心理健康评估。

3. TB Testing 结核病检测： Either a tuberculin skin test (TST/PPD) or an Interferon-Gamma Release Assay (IGRA) blood test. If the result is positive, a chest X-ray is required. If the chest X-ray shows active TB, sputum cultures and treatment may be needed before the I-693 can be completed. 结核病检测是必需的。

4. Syphilis Blood Test 梅毒血液检测： A standard blood test (RPR or VDRL) for syphilis. Required for all applicants ages 15 and older. 15岁及以上必须进行梅毒血液检测。

5. Gonorrhea Test 淋病检测： Required for all applicants ages 15 and older. 15岁及以上必须进行。

Required Vaccinations 必需的疫苗

USCIS requires applicants to be vaccinated against the following diseases (based on CDC recommendations for the applicant's age group):

• Measles, Mumps, Rubella (MMR) 麻疹、腮腺炎、风疹
• Hepatitis A 甲型肝炎
• Hepatitis B 乙型肝炎
• Varicella (Chickenpox) 水痘
• Influenza (if in flu season) 流感疫苗（流感季节）
• Pneumococcal 肺炎球菌
• Tetanus, Diphtheria, Pertussis (Tdap) 百白破
• Polio 脊髓灰质炎
• Rotavirus (for infants) 轮状病毒（婴儿）
• Haemophilus influenzae type B (Hib) 流感嗜血杆菌
• Meningococcal 脑膜炎球菌
• COVID-19 (currently required) 新冠疫苗

Important 重要提示： You do not need ALL of these vaccines — only those recommended by the CDC for your age group. If you have medical contraindications or religious/moral objections, a waiver may be available. Bring any existing vaccination records to avoid unnecessary re-vaccination. 您不需要全部疫苗，只需符合您年龄组的CDC推荐疫苗。

Timeline and Validity 时间和有效期

The I-693 form is valid for 2 years from the date the civil surgeon signs it. However, USCIS recommends submitting the form no more than 60 days before filing your I-485 (Adjustment of Status) application, or at the time of filing.

I-693表格从民事医生签字之日起2年内有效。建议在提交I-485申请前不超过60天完成体检。

At Best Medical Center, we can typically complete the physical examination in one visit and have the sealed I-693 form ready within 3-5 business days. If additional vaccinations or tests are needed, a follow-up visit may be required. 我们通常可以在一次就诊内完成体检，3-5个工作日内出具密封的I-693表格。

Frequently Asked Questions 常见问题

Q: Does insurance cover the immigration physical? 保险是否覆盖移民体检？
A: Most insurance plans do not cover immigration physicals as they are considered an administrative requirement rather than a medical necessity. However, some individual vaccinations may be covered. We offer competitive self-pay pricing. 大多数保险不覆盖移民体检，但部分疫苗可能被保险覆盖。

Q: Can I open the sealed envelope? 我可以打开密封信封吗？
A: No. The I-693 form must be submitted to USCIS in its original sealed envelope. Opening the envelope will invalidate the form and you will need to repeat the entire process. 不可以。打开信封会使表格无效。

Q: What if I am pregnant? 如果我怀孕了怎么办？
A: Pregnancy does not prevent you from completing the immigration physical. However, certain vaccinations (like MMR and Varicella) cannot be given during pregnancy and will need to be deferred. The civil surgeon will note this on the form. 怀孕不影响完成体检，但某些疫苗需要推迟。

Q: What if my TB test is positive? TB检测阳性怎么办？
A: A positive TB test does not mean you have active TB or that your immigration case will be denied. A chest X-ray will be ordered. If the X-ray is normal, you likely have latent TB and can proceed with the immigration process. If active TB is found, treatment must be completed first. TB阳性不代表有活动性结核或会被拒。

Why Choose Best Medical Center? 为什么选择我们？

• USCIS-designated Civil Surgeon on staff 拥有USCIS指定移民体检医生
• Bilingual service (Chinese/English) 中英双语服务
• Most exams completed in one visit 大多数一次完成
• Fast turnaround: 3-5 business days 快速出报告
• All required vaccinations available on-site 所有必需疫苗现场供应
• Competitive pricing 有竞争力的价格