A medical examination is part of the application process for obtaining entry and/or residency to the United States for individuals of all ages. Examination requirements are determined by age and immunization record. An adult examination (15 years or older) typically consists of the following:
A physical examination
A tuberculin (TB) skin test is required for all persons 2 years or older. After the skin test is applied, you must return to clinic in 3 days for it to be read. A skin test is considered "positive" if there is a reaction of 5 mm or more. Anyone with a "positive" skin test must have a chest x-ray. In addition, if you have a history of TB or a history of a positive TB skin test, a chest x-ray is required. Many patients have received BCG vaccination in their home country, but a skin test for TB is still required. All persons with a question of active TB will be referred to the San Antonio Metropolitan Health Department.
A blood test for HIV (the virus that causes AIDS)
A blood test for syphilis (RPR)
Routine immunizations such as chickenpox (varicella), MMR (measles, mumps, rubella) and tetanus-diphtheria
A pediatric examination (children 14 years of age or younger) does not require blood testing and typically consists of the following:
A physical examination
A TB skin test
A review and update of routine pediatric immunizations
The Day of Your Examination
To better serve you and your family members, please bring the following items with you on the day of your examination:
INS Form I-693
Supplemental Form To I-693 (Adjustment of Status Applicant's Documentation of Immunization)
All medications and immunization records for each family member seeking entry, especially important for pre-school and school-age children
Any recent records of blood tests for AIDS, syphilis, measles (rubeola), rubella (German measles), mumps or chickenpox titers
Any record of a chest x-ray (within 10 years)
Any records of a skin test for TB
Download Immigration Physical Forms.
Dr. Davis is on the list of INS Doctors authorized to perform Immigration physical.
