Applying for a green card is an exciting and life-changing journey. It’s also a detailed process that involves multiple steps, including paperwork, interviews, and, importantly, a medical examination. Many applicants wonder: “How long does it take to get a green card after completing the immigration medical exam?”
At Immigration Medical Exam Center, we understand how critical timelines are in your immigration process. In this guide, we’ll explain how the medical exam fits into the overall green card process, how long it typically takes after the exam to receive your green card, and what factors can influence your waiting period.

Understanding the Immigration Medical Exam
Before diving into timelines, it’s essential to understand the purpose of the immigration medical exam.
This exam, conducted by a USCIS-designated civil surgeon, ensures that applicants are not inadmissible to the U.S. on public health grounds. It is required for most green card applicants, particularly those adjusting status from within the United States.
The Medical Exam Includes:
- A physical examination
- Review of your medical history and vaccination records
- Screening for communicable diseases
- Mental health assessment
- Drug and alcohol screening (in certain cases)
- TB test and blood work (based on age and health history)
Once the exam is complete and all results are available, the civil surgeon will prepare Form I-693: Report of Medical Examination and Vaccination Record, which is either handed to you in a sealed envelope or sent directly to USCIS.
When Should You Take the Medical Exam?
Timing your immigration medical exam is crucial. If you’re applying for adjustment of status (Form I-485), USCIS allows you to:
- Submit Form I-693 at the same time as your green card application, or
- Submit it later, either during the processing period or at the interview
Important:
Form I-693 is valid for 2 years from the date the civil surgeon signs it, as long as it was submitted to USCIS within 60 days of that signature.
Typical Timeline After the Medical Exam
1. Immediate Steps After the Exam
After your medical exam:
- Results are usually ready within 3 to 10 days
- The civil surgeon completes and signs Form I-693
- You receive a sealed envelope or the doctor sends it directly to USCIS
- If not already submitted, you mail or bring it to your USCIS interview
2. USCIS Processing After Submission
Once USCIS receives your medical form:
- They review it as part of your green card case
- If no other documentation is missing and you’ve completed your interview (if required), a decision can be made soon after
On average, you might receive your green card in 1 to 3 months after your medical exam—but this varies based on multiple factors.
Factors That Influence How Long It Takes
Several elements can affect how quickly you receive your green card after your medical exam:
1. Case Status at Time of Exam
- If your Form I-485 was already under review and your medical exam was the final piece missing, processing could be fast—as little as a few weeks
- If you submitted your exam early and are still waiting on your interview or other documentation, the wait could be several months
2. USCIS Service Center Workload
- Some field offices or service centers have backlogs that delay processing
- Wait times can vary significantly based on your location
3. Completeness of Your Application
- If USCIS requests additional evidence (RFE), it can cause delays
- Make sure everything else in your application is accurate and complete
4. Interview Scheduling
- Many applicants are required to attend an adjustment of status interview
- After the interview, if the medical form is accepted and all checks are complete, approval can follow shortly
5. Security and Background Checks
- All applicants undergo background and security checks
- Delays in these checks can hold up green card issuance, even if your medical is cleared
USCIS Case Status Tracking
You can always track the status of your green card application through the USCIS online case status tool using your receipt number. This will give you real-time updates on:
- Receipt of your application
- Request for Evidence (if any)
- Interview scheduling
- Approval and card production
Frequently Asked Questions
Q1: Do I need to wait until after my green card interview to take the medical exam?
No, you can take your exam before your interview and submit Form I-693 with your initial application or later as a supplement.
Q2: How can I speed up my green card process after the medical exam?
Ensure:
- Your Form I-693 is filled out correctly by a USCIS-authorized civil surgeon
- You respond quickly to any USCIS requests
- All supporting documents are accurate and complete
Q3: What happens if I don’t submit the medical exam on time?
USCIS may issue a Request for Evidence (RFE), delaying your application. If the exam results expire before your case is adjudicated, you may need to repeat the medical exam.
Q4: Can I submit the medical exam results electronically?
No. USCIS requires that Form I-693 be submitted in hard copy and in a sealed envelope provided by the civil surgeon.
Q5: Will I receive a green card immediately after submitting the medical exam?
Not immediately. USCIS still needs to:
- Review your full application
- Complete background checks
- Schedule and conduct your interview (if required)
You may receive your green card in 1 to 3 months after submitting your medical exam, but it depends on your unique case.
Final Thoughts
While the immigration medical exam is only one part of the green card journey, it’s a critical step that can influence your processing time—especially if it is delayed or incomplete. The good news is that once you’ve successfully completed your exam and all documents are in order, you are one step closer to becoming a permanent resident.
At Immigration Medical Exam Center, we are committed to making the process smooth, quick, and compliant with all USCIS requirements. Our civil surgeons are authorized to complete Form I-693, and we ensure timely delivery of your sealed results for submission.