How Abnormal Results Are Handled

If any of your laboratory results come back abnormal, our civil surgeon will review the findings with you privately and professionally. The civil surgeon will explain what the result means, whether it has any bearing on your immigration application, and what — if any — follow-up steps are required.

Documentation on Form I-693

The civil surgeon is required to document all relevant laboratory findings on Form I-693, including abnormal results. The documentation will reflect the nature of the finding, any treatment or follow-up completed, and the civil surgeon's clinical assessment. Accurate and complete documentation is essential for your application.

When Additional Testing May Be Required

Some abnormal results require confirmatory testing before a final determination can be made. For example, a reactive syphilis screening test requires a confirmatory treponemal test. A positive IGRA TB test may require a chest X-ray to evaluate for active disease.

Our civil surgeon will order any necessary follow-up testing and explain the process. In most cases, follow-up testing can be completed on-site or with minimal additional appointments.

Abnormal Results and Inadmissibility

Not all abnormal laboratory results constitute grounds of inadmissibility. Many findings are treatable or do not meet the legal threshold for inadmissibility under U.S. immigration law. Our civil surgeon will clearly explain whether your specific finding has any impact on your immigration application and what options are available to you.