Applying for a U.S. visa in 2025? The medical examination is a make-or-break step, and ignorance of the current rules isn’t an excuse. Whether you’re seeking an immigrant Green Card or a non-immigrant visa, the requirements demand careful attention.
Join Opportunities WhatsApp Group
We’ve broken down the complex medical tests, essential vaccinations (and the latest updates!), and crucial procedures you must follow. Get ready to navigate the process like a pro and ensure your health check is a green light, not a roadblock, on your path to the U.S. Read on for the definitive guide.
Advertisement
Medical Tests for Immigrant Visa Applicants (Green Card)
All applicants for U.S. immigrant visas must complete a mandatory medical examination through an embassy-approved panel physician as per following new requirements:
| Test/Requirement | Who Must Take It | Details |
| Medical History Review | All applicants | Past illnesses, hospitalizations, mental health, substance use |
| Physical Examination | All applicants | Heart, lungs, abdomen, skin, ears, eyes, throat, lymph nodes |
| Tuberculosis (TB) Screening | Applicants aged 2 and older | Interferon Gamma Release Assay (IGRA) blood test; chest X-ray if positive |
| Syphilis Test | Applicants aged 15 and older | Blood test |
| Gonorrhea Test | Applicants aged 18 to 24 | Urine test |
| Vaccination Verification | All applicants | Proof of vaccination against multiple diseases (see below) |
| Mental Health Evaluation | Case-by-case basis | Assessment if posing threat to self or others |
List of Required Vaccinations for U.S. Immigration (2025)
| Vaccination Required | Notes |
| Measles, Mumps, Rubella | Mandatory |
| Polio | Mandatory |
| Tetanus, Diphtheria, Pertussis | Mandatory |
| Hepatitis B | Mandatory |
| Varicella (Chickenpox) | Mandatory |
| Seasonal Influenza | Required during flu season |
| Meningococcal, Pneumococcal, Rotavirus, Hib | As applicable for age groups |
Important Update:
As of January 20, 2025, COVID-19 vaccination is no longer mandatory for U.S. immigration medical exams. (Source: USCIS)
Advertisement
Medical Test Requirements for Non-Immigrant Visa Applicants
Most non-immigrant visa applicants (tourists, students, workers) do not need a medical examination.
Student education loans
However, a medical test may be required if:
| Condition Requiring a Medical Exam | Additional Tests |
| Known public health risk | TB screening, physical exam |
| History of drug or alcohol abuse | Drug and alcohol screening |
| Requested by consular officer | Blood tests, TB screening, physical exam |
Medical Examination Documentation
| Document/Requirement | Purpose | Important Notes |
| Form I-693 | For applicants adjusting status inside the U.S. | Forms signed after Nov 1, 2023, do not expire |
| Sealed Medical Report | For applicants applying outside the U.S. | Submit sealed envelope at visa interview; do not open it yourself |
When to Schedule Your Medical Exam?
| Step | Timing Recommendation |
| Visa Interview Scheduled | Then immediately book your medical exam |
| Medical Exam Completion | At least 5 working days before the visa interview |
Tip: Always use an approved panel physician listed by the U.S. Embassy or Consulate where you are applying.
Advertisement
References
- https://travel.state.gov/content/travel/en/us-visas/immigrate/the-immigrant-visa-process/step-10-prepare-for-the-interview/medical-examination-faqs.html
- https://tr.usembassy.gov/medical-requirements/
- https://www.uscis.gov/i-693
- https://www.uscis.gov/green-card/green-card-processes-and-procedures/finding-a-medical-doctor.
DATE . Apr/29/2025