Fasting Is Not Required for Standard Tests

The standard laboratory panel for the immigration medical examination — including syphilis serology, gonorrhea testing, and the IGRA TB blood test — does not require fasting. You may eat and drink normally on the day of your appointment. There is no need to skip meals or restrict fluids before your visit.

When Fasting May Be Required

In some cases, the civil surgeon may order additional laboratory tests based on your medical history or physical examination findings. Certain additional tests — such as fasting blood glucose or lipid panels — may require fasting. If this applies to your situation, our staff will advise you in advance of your appointment.

What to Bring to Your Appointment

While fasting is not required, there are other things you should bring to your appointment to ensure a smooth process. These include your vaccination records, government-issued photo identification, and any relevant medical records or documentation.

Staying well-hydrated before your appointment can make the blood draw process easier. Drinking water before your visit is encouraged.