We provide medical exams required for U.S. immigration and emigration processes. Our services are designed for individuals who want clear instructions, timely appointments, and a straightforward medical experience.
Most of our patients prefer to manage their appointments and questions online, using their mobile phones.
Paula Bailey MD PLLC provides medical exams required for immigration, visa, and travel-related processes involving the United States.
Our approach is professional and efficient, focused on accurate documentation and clear communication based on current medical and immigration guidelines.
If you are unsure whether a medical exam is required for your situation, you are welcome to contact us before scheduling.
Appointments are scheduled online for your convenience.
Our booking system is secure and optimized for mobile use.
Please use the calendar below to select a date and time.
Groups of 2 or more, please call or email.
Immigration requirements and medical guidelines can change frequently.
This section is updated regularly to reflect the most current information available.
If you do not see your question listed, feel free to contact us directly.
The goal is to identify individuals who pose a risk to public health and welfare.
There are mental and physical health assessments, vaccine requirements and blood tests for
most applicants.
The short answer is indefinitely.
If you submit form I-693 and a negative decision is made on your case then your I-693 is
considered to be expired.
If you withdraw your application after submitting it then the form is also considered to be
expired.
If a new edition of the form is published then the old version of the form may be set to expire
in about a month.
https://www.cdc.gov/immigrant-refugee-health/hcp/civil-surgeons/vaccination.html#cdc_generic_section_10-table-1-vaccine-requirements-according-toapplicant-age-for-civil-surgeons
Yes.
You are granted a waiver for vaccines that are contraindicated during pregnancy.
You are required to obtain all other appropriate vaccines, depending on your age and state of
health.
If they prefer not to get the required vaccines then you are encouraged to hold off applying until
after you feel comfortable taking the required vaccines.
We encourage pregnant women to consult their primary caretaker prior to taking any
medication including vaccines.
Yes if indicated.
For example if she tests positive for tuberculosis, a chest X-ray is required.
Again we encourage you to talk to your primary caretaker with respect to the timing of the
Chest X-ray.
No. The covid vaccine was removed from the list of required vaccines Jan 2025.
The polio vaccine was added to the list of required vaccines for adults May 1 2024
You cannot self-report vaccines. You must provide a credible written record.
Taking any medication including vaccines carry some risk. In the case of vaccines the risk is
small compared to the risk of having the disease and passing it on to vulnerable Americans.
Several vaccines can be taken safely at the same visit. For some people it may be appropriate
to take the vaccines on a slower schedule.
If your reason is not medical it would be appropriate to have that discussion with your
attorney. There is provision for those who hold genuine moral and religious conviction that
prevent them from taking vaccines.
That is generally true for US citizens and other individuals who are not applying for change of
immigration status. Applicants who cannot provide evidence of a history of three appropriate
tetanus vaccines need at least one additional shot is required to meet the requirements.
Immunity testing is acceptable for the following : Hepatitis B, Varicella, MMR and polio.
The test for polio immunity must cover three components. Most polio tests commercially
available do not met this requirement and are therefore not acceptable.
No. Try to avoid taking vaccines within 28 days of your appointment.
IGRA (QFT, T-spot) – tests for Tuberculosis. Required for all applicants two years and older
Syphilis – required for applicants applicants 18-44
N. Gonorrhea – required for applicants 18-24.
Further testing and evaluation may be done at the discretion of the civil surgeon.
No
Only blood tests done within 2 weeks of your appointment will be acceptable and must be
ordered by and delivered directly to your chosen civil surgeon.
Further testing and possibly treatment will be required.
Some of these tests stay positive for life regardless of treatment.
Tell your civil surgeon if you have previously tested positive and provide documentation if it is
available.
Your application cannot proceed until positive tests are addressed.
If you have questions before booking your appointment, you can send us a message and we will respond as soon as possible.
