We explain step by step what is needed to obtain permanent residency (Green Card) in the United States:

What does the medical process for U.S. residency involve?

1. Mandatory medical exam
   You must undergo an examination with a doctor authorized by the U.S. government.

• If you are outside the U.S.: the doctor is designated by the embassy or consulate (a “panel” physician).
• If you are inside the U.S.: it must be a USCIS-authorized Civil Surgeon.

A regular doctor does not qualify if they are not authorized.

2. What the exam includes

The doctor mainly reviews:

a) Medical history
b) General physical examination
c) Required vaccinations
d) Laboratory tests, such as:

• Tuberculosis (TB)
• Syphilis
• Gonorrhea (in adults)
• Screening for communicable diseases
• Basic mental health assessment (only if there is relevant history)

3. Required vaccines

You must have (or receive) vaccines such as:

• Measles, mumps, and rubella (MMR)
• Tetanus and diphtheria
• Polio
• Hepatitis B
• Influenza (seasonal)
• COVID-19 (according to current regulations)
• If you already have documentation, bring it with you.

4. Medical form

• If everything is fine, the process continues normally.
• If a vaccine is missing, it will be administered or you will be advised how to complete it.

• Treatable conditions generally do not prevent residency.
• Severe and uncommon cases may require a waiver.

What issues can cause problems?

These are rare, but include:

• Untreated active tuberculosis
• Certain highly contagious diseases
• Refusal to get vaccinated without an accepted exemption