Panel physicians are the ONLY doctors authorized to conduct immigration medical exams abroad — find yours through the embassy website

Bring ALL vaccination records — even childhood records from your home country

The exam typically costs $100-$400 depending on the country and vaccinations needed

Immigration HealthhardDoctor signature required

Overseas Medical Examination for Immigrant/Refugee

DS-2054 · U.S. Department of State

Medical Examination for Immigrant or Refugee Applicant completed overseas by DOS-designated panel physicians for immigrant visa applicants.

Form Details

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Where to Submit This Form

🏢

Completed by a panel physician and submitted to the U.S. Embassy or Consulate

https://travel.state.gov/content/travel/en/us-visas/immigrate/the-immigrant-visa-process/interview/interview-prepare/medical-examination.html

For immigrant visa applicants processing through a U.S. consulate abroad. Must use a designated panel physician.

Filing Deadline

Complete before your consular interview. The medical exam must be valid at the time of visa issuance. Schedule well in advance — panel physician appointments can take weeks.

Required Attachments

📎 Completed DS-2054 medical examination form (completed by panel physician)
📎 Vaccination records
📎 Chest X-ray (if required based on TB screening)
📎 Lab results for required screenings
📎 Passport-size photos

Processing Time

The exam takes 1-2 visits. Results are sent directly from the panel physician to the embassy/consulate, typically within 5-10 business days.

What Happens Next

The panel physician sends results directly to the embassy/consulate in a sealed packet. The results are reviewed as part of your visa adjudication. If medical issues are found, additional treatment or a medical waiver may be required.

Tips for This Form

✓ Panel physicians are the ONLY doctors authorized to conduct immigration medical exams abroad — find yours through the embassy website
✓ Bring ALL vaccination records — even childhood records from your home country
✓ The exam typically costs $100-$400 depending on the country and vaccinations needed
✓ If you have a positive TB test, the process may take longer due to additional testing requirements

More Immigration Health Forms

Report of Immigration Medical Examination

I-693 · U.S. Citizenship and Immigration Services (USCIS)

Report of Immigration Medical Examination and Vaccination Record required for adjustment of status to lawful permanent residency. Covers communicable disease screening (TB, syphilis), vaccination review, and medical history. Submitted in sealed envelope with Form I-485.

I-693 Vaccination Supplement

I-693 Supplement · USCIS

Partial I-693 documenting vaccination history and any vaccines administered during the civil surgeon examination.

Declaration of Self-Sufficiency

I-944 · USCIS

Declaration demonstrating applicant would not become a public charge. Status varies with policy shifts; was rescinded under Biden administration. Check USCIS.gov for current requirements.

I-485 Medical / Public Charge Component

I-485 (medical sections) · USCIS

Application to Register Permanent Residence or Adjust Status includes questions related to public charge determination, health insurance, and use of public benefits.

Vaccination Documentation Worksheet (Overseas)

DS-3025 · U.S. Department of State

Vaccination Documentation Worksheet used for overseas immigrant visa medical exams by panel physicians.

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