I-485 Medical Exam Checklist Before Adjustment Filing

The immigration medical exam is not just a formality. Small mistakes with timing or documentation can delay an adjustment of status package.

Use the right doctor

The exam generally must be completed by an authorized civil surgeon in the United States. Bring vaccine history and prior relevant medical records if available.

Keep the packet sealed

If the medical is issued in a sealed envelope, do not open it. Broken packaging can create preventable problems.

Coordinate filing timing

Medical validity and filing strategy should be reviewed together. Submitting too early or too casually can create rework later.