What to Expect During Your Immigration Physical Exam

What is an Immigration Physical Exam?

An immigration physical exam, often conducted at clinics specializing in areas like Plano, is a crucial step in the green card application process.

Purpose of the Exam

The goal is to ensure that applicants meet specific health standards set by U.S. immigration laws. This protects public health within the United States.

Components of the Exam

The exam typically includes a review of your medical history, a physical examination, vaccinations, and screening for certain communicable diseases like tuberculosis and syphilis. Family medicine doctors are often well-equipped to handle these comprehensive health assessments.

Results and Reporting

The results are documented on specific forms required by the United States Citizenship and Immigration Services (USCIS), which are then submitted as part of your application. As a round up, understanding the components and purpose of this exam will better prepare you for the immigration process.

 

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What is Family medicine

Based on the text provided, Family medicine is a medical specialty focused on providing continuing and comprehensive healthcare for individuals and families across all ages, genders, diseases, and parts of the body. It emphasizes a holistic approach, considering the patient within the context of their family and community, with a focus on disease prevention and health promotion. In some countries, it's synonymous with general practice, while in others, it's a distinct, specialized field.

Historical facts about Family medicine

  • Early Roots: The concept of family health and medicine existed in the United States as early as the 1930s and 1940s. Bailey Barton Burritt was considered "the father of the family health movement."
  • Post-WWII Shift: After World War II, the rise of medical specialties and subspecialties led to a decline in the number of general practitioners.
  • Need for Enhanced Training: General practitioners felt that the existing medical education (four years of medical school plus a one-year internship) was insufficient to cover the growing breadth of medical knowledge. They desired residency programs for additional training and board certification to gain hospital privileges.
  • Specialty Recognition (US): In February 1969, family medicine (then known as family practice) was officially recognized as a distinct specialty in the United States.
  • UK's National Insurance Act 1911: This act established the list system which came from the friendly societies across the country. Every patient was entitled to be on the list, or panel of a general practitioner. In 1911 that only applied to those who paid National insurance contributions. In 1938, 43% of the adult population was covered by a panel doctor
  • National Health Service was established in 1948: This extended to the whole population. The practice would be responsible for the patient record which was kept in a "Lloyd George envelope" and would be transferred if necessary to another practice if the patient changed practice.
  • UK's GP Home Visits in 1953: General practitioners were estimated to be making between 12 and 30 home visits each day and seeing between 15 and 50 patients in their surgeries.

 

Family medicine
Focus Primary care, preventive healthcare
Significant diseases Hypertension, URTI, arthritis, diabetes, mental health, pneumonia, AOM, back pain, dermatitis [ 1 ]
Specialist Family physician
Family medicine physician
Family physician (right) reviewing a case with nurse (left) in clinic
Occupation
Names Physician
Synonym Family doctor
Occupation type
Specialty
Activity sectors
Medicine
Description
Education required
  • Doctor of Medicine (M.D.)
  • Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
  • Bachelor of Medicine, Bachelor of Surgery (MBChB)
  • Doctor of Osteopathic medicine (D.O.)
Fields of
employment
Hospitals, clinics, emergency departments, long-term care

Family medicine [ note 1 ] is a medical specialty that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. [ 2 ] [ 3 ] The specialist, who is usually a primary care physician, is called a family physician . [ note 2 ] In certain countries family medicine is synonymous with general practice (with those who practice known as a general practitioner ), though in other countries, this is a distinct field than Family medicine. Historically, the role of Family doctors was once performed by any doctor with qualifications from a medical school and who worked in the community. However, since the 1950s, family medicine has become a specialty in its own right, with specific training requirements tailored to each country. [ 4 ] [ 5 ] [ 6 ] The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, focusing on disease prevention and health promotion. [ 7 ] According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". [ 8 ] The issues of values underlying this practice are usually known as primary care ethics.

Scope of practice

[ edit ]

Family physicians in the United States must hold either an M.D. or a D.O. degree. Physicians who specialize in family medicine must


Who Needs an Immigration Physical?

Generally, anyone applying for a green card or seeking to adjust their status to become a permanent resident of the United States is required to undergo an immigration physical exam. This is a mandatory step in the application process, regardless of age or country of origin.

The exam ensures that applicants meet specific health requirements established by U.S. immigration law. These requirements are in place to protect public health and prevent the spread of communicable diseases within the United States.

In effect this means, you'll need to find a designated civil surgeon, like those offering specialized services in Immigration Physical Plano, to conduct your exam and complete the necessary paperwork for your application.

Finding an Authorized Civil Surgeon

Locating an Approved Physician for Your Immigration Physical

The first step in fulfilling the medical requirements for your immigration process in Plano is to identify a civil surgeon authorized by the United States Citizenship and Immigration Services (USCIS). These physicians have been specifically designated to conduct immigration physicals and ensure compliance with all necessary guidelines. You can typically find a list of authorized civil surgeons on the USCIS website.

Ensure the physician you select is conveniently located within Plano and has experience performing immigration physicals. Confirm their fees and the types of insurance they accept, though many civil surgeons require upfront payment for these specialized exams. To put it short, diligent research ensures a smooth and compliant immigration physical experience.

 

View Dr. Isaac Z. Pugach, M.D. in a full screen map

Required Documents for Your Exam

When preparing for your Immigration Physical Plano, make sure you have all the necessary paperwork to ensure a smooth process.

Identification

Bring a valid, government-issued photo ID, such as a passport or driver's license, to verify your identity.

Immigration Forms

You must have your official immigration forms, specifically the I-693 form (Report of Medical Examination and Vaccination Record), provided by the U.S. Citizenship and Immigration Services (USCIS). Make sure to complete the applicant information portion of the form before your appointment.

Vaccination Records

Provide a complete record of your vaccinations, including dates and types of vaccines received. This will help the civil surgeon determine which vaccinations, if any, you may need to become compliant with U.S. immigration requirements.

Medical Records

While not always mandatory, bringing any relevant medical records, such as past medical history, a list of current medications, and any records of previous treatments or surgeries, can be helpful for the civil surgeon.

Payment Method

Confirm with the clinic the accepted methods of payment for the exam.

As a round up, being well-prepared with these documents will help expedite your Immigration Physical Plano and contribute to a more efficient experience at the clinic.

Review of Your Medical History

As part of your Immigration Physical Plano, the review of your medical history is a crucial step.

Past Illnesses and Conditions

Be prepared to discuss any previous illnesses, surgeries, hospitalizations, and chronic conditions you've experienced. Accurate reporting helps the civil surgeon assess your overall health status.

Medications and Allergies

Provide a complete list of all medications you are currently taking, including dosages. It's equally important to disclose any known allergies to medications, food, or environmental factors.

Vaccination Records

Bring your vaccination records to your Immigration Physical Plano. The civil surgeon will review them to determine if you meet the required immunization standards for immigration purposes.

Mental Health History

You will be asked about your mental health history, including any past or present diagnoses, treatments, or hospitalizations. Transparency is key, and information shared is kept confidential within legal boundaries.

Family Medical History

Be prepared to share relevant family medical history, particularly any hereditary conditions or diseases that run in your family. This information provides additional context for your overall health assessment during the Immigration Physical Plano.

To put it short, a detailed and honest account of your medical background is essential for a thorough and accurate immigration physical.

Physical Examination Components

During your Immigration Physical Plano, the physical exam portion involves a comprehensive evaluation by a designated civil surgeon. This includes checking your vital signs (blood pressure, pulse, respiration rate, and temperature), assessing your general appearance, and examining your eyes, ears, nose, and throat. The doctor will listen to your heart and lungs, palpate your abdomen, and examine your extremities. A mental status evaluation might also be performed. The goal is to identify any conditions that could deem you inadmissible to the U.S. based on public health concerns.

As a round up, this thorough physical assessment is a crucial step in the immigration process, ensuring the health and safety of both the applicant and the U.S. population.

 

Vaccination Requirements

Vaccination history will be carefully reviewed during your immigration physical in Plano. Be prepared to provide official records of all vaccinations you've received.

Required Vaccinations

Certain vaccines are mandatory for immigration purposes, as dictated by the U.S. Centers for Disease Control and Prevention (CDC). Common requirements include vaccinations against measles, mumps, rubella (MMR), polio, tetanus, diphtheria, pertussis (Tdap), varicella (chickenpox), influenza, and COVID-19. The specific list can change, so checking with your designated civil surgeon in Plano is important.

Vaccination Administration

If you're missing required vaccinations, you'll likely need to receive them during your physical exam. The civil surgeon can administer these vaccinations, and the cost will be added to the overall fee for the immigration physical.

Waivers

In some cases, waivers for certain vaccinations might be possible. These are granted under specific circumstances, such as medical contraindications or religious objections. Your civil surgeon can advise you on the eligibility and process for seeking a waiver. As a round up, ensuring you're up-to-date on required vaccinations is a crucial part of the immigration physical process in Plano.

 

Blood Tests and Screenings

Blood Work Essentials

During your Immigration Physical Plano, blood tests are a standard procedure to ensure you meet the health requirements for immigration.

These tests typically include a screening for syphilis, a mandatory requirement to protect public health.

The blood work will also involve a tuberculosis (TB) test, often performed via a blood sample known as a Quantiferon test, to detect latent or active infections.

Furthermore, depending on your age and medical history, additional blood tests might be ordered to assess your overall health status and screen for other communicable diseases. As a round up, these blood tests are a crucial part of the immigration process.

Frequently Asked Questions

Bring your government-issued photo ID (passport, driver's license), your vaccination/immunization records, your Form I-693 (if received), and any medical records related to past medical conditions and treatments.
The doctor will check your medical history, perform a physical examination, review your vaccination records, and test for communicable diseases like tuberculosis and syphilis.
You may need vaccinations if your records aren't complete or if you are not up-to-date with the required vaccinations for immigration purposes.The doctor will determine which vaccinations are needed based on your age and vaccination history.
The most common communicable diseases tested for are tuberculosis (TB), syphilis, and gonorrhea. Additional tests may be required depending on your medical history and risk factors.
The physical exam typically takes between 1 to 2 hours, including the paperwork, examination, and any required tests. Additional time might be needed if vaccinations are required.
The civil surgeon will complete Form I-693, Report of Medical Examination and Vaccination Record, and provide it to you in a sealed envelope to submit to USCIS.
The cost varies, but it generally includes the exam fee, vaccinations (if needed), and the cost of any required tests. Contact the clinic directly for their current pricing.

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Plano Texas

Plano is a city located in the northern part of the Dallas–Fort Worth metropolitan area in Collin County, Texas, United States. It is known for its strong economy, high-quality schools, and family-friendly environment. Here is a summary of key information about Plano based on general knowledge and publicly available sources (note: this is not a direct copy from Wikipedia, but a summary of common facts about the city):


Plano, Texas: Overview

  • Population: As of the 2020 U.S. Census, Plano had a population of approximately 300,000, making it the third-largest city in Texas and one of the fastest-growing cities in the country.
  • Area: Approximately 120 square miles (310 km²).
  • Location: In Collin County, within the Dallas–Fort Worth–Arlington metropolitan area.
  • Founded: 1882 (incorporated in 1902).
  • Mayor: Effective January 1, 2024, the mayor is Cynthia Meier.
  • City Council: 10 members, with the mayor serving as a voting member.
  • Economy: Known for its strong business environment, Plano is home to numerous corporate headquarters, including Dell Technologies, Lowe’s Companies, and Santander Bank. It is also part of the Plano Independent School District, one of the largest and highest-performing school districts in Texas.
  • Education: Plano is recognized for its excellent public schools, with several schools ranked among the top in the state and nation. The city is also home to Collin College and University of North Texas at Dallas.
  • Culture and Attractions:
    • Plano Performing Arts Center: Hosts concerts, plays, and other cultural events.
    • The Arbor and The Galleria at Legacy: Major shopping and entertainment destinations.
    • Downtown Plano: A vibrant area with restaurants, art galleries, and historic architecture.
    • Plano Symphony Orchestra and Plano Pops.
    • Plano City Center Park and Wet n' Wild Water Park.
  • History: Originally a small settlement, Plano grew rapidly due to the arrival of the Missouri–Kansas–Texas Railroad in the late 19th century. It became a major commercial and cultural hub in the 20th century.
  • Notable Residents: Includes former U.S. President George H. W. Bush (who lived in Plano for a time), and many business leaders and entertainment figures.
  • Crime Rate: Relatively low compared to other major U.S. cities, with a strong emphasis on community policing and safety initiatives.

Notable Facts

  • Plano is often ranked as one of the best places to live in the U.S. due to its quality of life, education, and economic opportunities.
  • The city is known for its diverse population and cultural festivals, including the Plano Arts Festival and Plano International Festival.
  • Plano has a high median household income and is considered a major hub for technology and innovation in North Texas.

Plano in the News

  • The city has been highlighted for its economic development, including the growth of the Legacy Business Park, which is one of the largest business parks in the U.S.
  • Plano has also been recognized for its sustainability initiatives and green building practices.

 

Dr. Isaac Z. Pugach, M.D.

660 N Central Expy Ste 640, Plano, TX 75074, United States

Call today: 972-792-7777
 

Pure Spring Medical is a Plano family medicine and primary care medical facility that provides a wide range of medical care. Our practice has special interest in weight-related disorders, including hypertension, high cholesterol, diabetes, but we also treat thyroid disease and other medical conditions. For non-urgent problems that require thorough evaluation, for preventative healthcare, and for treatment of adult acute and chronic conditions we specialize in General Internal Medicine. Our family physicians also see pediatric patients ages 5 and up. Dr. Isaac Z. Pugach, M.D. is a family physician who is board-certified in Internal Medicine. In addition to usual medical procedures, we also perform PRP.