One of the primary requirements for obtaining a green card—which allows one to live and work in the United States permanently—is passing an immigration medical exam. A qualified civil surgeon conducts this examination, which records any medical issues that would render you ineligible for entry into the United States under current immigration regulations.

The examination for specific infections or sexually transmitted diseases (STDs) is a crucial component of the green card medical test. It’s important to get adequately tested and treated for sexually transmitted diseases (STIs) because not getting treatment could result in a finding of inadmissibility. This is a summary of what to anticipate from the STD test portion of your medical examination for a green card.

Which STDs Are Tested?

The following four STDs must be tested for by civil surgeons testing applicants who are 15 years of age or older, per the guidelines for the Report of Medical Examination and Vaccination Record (Form I-693):

– Gonorrhea
– Syphilis
– Additional STDs according to CDC Technical Guidelines

Blood tests known as serological testing are used to look for signs of exposure to bacterial illnesses such as syphilis and gonorrhea. In some circumstances, a gonorrhea culture may also be obtained.

Obtaining a single STD test is frequently insufficient; in the event that the applicant has positive results or information indicating that they may have an untreated STD, civil surgeons should seek a comprehensive review.

This include doing more testing, getting a medical history, doing a physical examination, providing counseling, and sometimes looking for records of previous therapy or treatment. According to the Technical Instructions, civil surgeons must fulfill particular standards in order to correctly diagnose and categorize any STD as a Class A or B condition.

Class A conditions include sexually transmitted infections (STDs) that are considered to be at a “current infectious stage” and carry a risk of transmission. Examples of these illnesses include:

– Gonorrhea untreated
– Syphilis left untreated
– Unmanaged chancroid
– Untreated venereal lymphogranuloma
– Infectious stage syphilis left untreated

While having a Class A STD does not guarantee denial of a green card, it does need filing for a waiver and receiving treatment and counseling to manage the illness prior to admission.

Other STDs are considered “current non-infectious” Class B conditions, meaning they do not automatically result in denial of admission as long as the candidate receives appropriate care and monitoring. Examples of class B:

– Treatment-free and non-contagious syphilis
– Treatment-based and non-communicable gonorrhea
– Chlamydia
– Genital warts and HPV
– Herpes
– Inflammatory illness of the pelvis

If managed appropriately, receiving a Class B diagnosis just indicates that the civil surgeon will offer guidance and oversee care; it should not have an effect on the green card application.

Seeking Treatment and Counseling

Civil surgeons must give applicants formal treatment recommendations and counseling on health education, regardless of the STD diagnosis. Before receiving a visa or green card, documentation of treatment and counseling are required for Class A inadmissible STDs.

Many candidates decide that following the immigration medical exam, they will continue their care with their usual physician. Before giving an immigration officer access to a sealed record, civil surgeons follow a protocol to monitor patient care and update the medical exam report with relevant information.

Tips for Applicants

Regarding the STD section of your immigration medical exam, bear the following in mind:

– Be truthful while answering the civil surgeon’s questions regarding your sexual history and symptoms of STDs. This guarantees that the right tests are carried out.
– Don’t freak out if you have any proof or test results for STDs that are positive. Collaborate with your physician to expedite any necessary treatment and obtain a thorough evaluation.
– Store any records of previous STD testing, treatment, and counseling so you can refer to them when needed.

– Don’t overlook any follow-up instructions or suggested health counseling sessions from your civil surgeon.
– You can ask for a new checkup with a different surgeon if you are worried that a civil surgeon is not following procedures or performing enough testing.

It is imperative that all applicants take the STD testing component of the immigration medical exam seriously. As long as they are organized, forthcoming with the civil surgeon, and conscientious of any necessary treatments, applicants can successfully fulfill this health condition. If problems with inadmissibility due to sexually transmitted diseases emerge, an immigration lawyer can also offer advice.


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