During an immigration physical, several tests are conducted to ensure that applicants do not have any communicable diseases or health conditions that could pose a risk to public health. One of the key tests is the tuberculosis (TB) test, which screens for active TB, a serious infectious disease. A skin test or blood test is used to check for signs of TB infection. Additionally, applicants may be tested for syphilis, as it is a reportable disease that can affect public health. A gonorrhea test may also be required for applicants over a certain age, especially for those seeking permanent residency or a green card.

The immigration physical will also include a review of the applicant's vaccination history to ensure that they are up to date on required vaccines such as measles, rubella, polio, and varicella. If any vaccines are missing, the civil surgeon may administer the necessary vaccinations during the exam. A physical examination is also conducted, where the civil surgeon will check vital signs, review the medical history, and assess the applicant's general health. Depending on individual circumstances, additional tests may be performed, including blood work for other infectious diseases. These tests help ensure that applicants meet health standards for U.S. entry and residency.

During your immigration physical appointment, you can expect a detailed process that includes a review of your medical history, a physical exam, and several required tests. The first part of the visit involves filling out forms where the civil surgeon will ask questions about your previous medical conditions, surgeries, vaccinations, and travel history. This helps the surgeon assess whether you have any health concerns that need to be addressed before continuing with the exam. Afterward, the civil surgeon will conduct a physical examination, including checking your heart rate, blood pressure, and overall physical health to ensure you meet the required health standards for U.S. entry.

The second part of the immigration physical will involve vaccinations. The civil surgeon will review your vaccination records to confirm that you are up to date on required immunizations. If any vaccines are missing, you may be given the opportunity to receive them at the clinic. Additionally, you may undergo a tuberculosis (TB) test, along with blood tests to screen for diseases like syphilis or gonorrhea. Once the physical is completed, the civil surgeon will document all results and submit them to USCIS. You may be asked to return for any follow-up testing or additional vaccinations if necessary.