Why Approval Rates Are Not Straightforward

USCIS does not publish approval rates for medical waivers broken down by ground of inadmissibility. The outcome of any individual waiver application depends on the specific finding, the completeness and quality of the evidence submitted, and the discretion of the adjudicating officer.

Medical waivers are not all-or-nothing decisions based on a single factor. USCIS weighs the totality of the evidence, including medical documentation, evidence of rehabilitation, family ties to U.S. citizens or permanent residents, and the potential public health or safety impact of admission.

Factors That Strengthen a Waiver Application

The following factors generally improve the likelihood of waiver approval:

• Complete and well-documented medical records showing the nature and current status of the condition
• Evidence of completed treatment for communicable diseases (e.g., TB, syphilis)
• Evidence of rehabilitation for substance use disorder or harmful behavior
• Letters from treating physicians confirming current status and prognosis
• Strong family ties to U.S. citizens or lawful permanent residents
• Evidence that denial would cause extreme hardship to qualifying relatives
• Long U.S. residence and community ties
• Absence of criminal history or other adverse factors

Waivers for Communicable Diseases

Waivers for communicable diseases of public health significance — such as active TB, active syphilis, or active gonorrhea — are generally straightforward when treatment has been completed and documented. In most cases, completing treatment resolves the inadmissibility finding entirely, and a formal waiver may not even be required.

The civil surgeon documents the treatment on Form I-693, and USCIS reviews the documentation as part of the medical evaluation. If the civil surgeon certifies that treatment is complete and the applicant is no longer infectious, the inadmissibility finding is typically resolved.

Waivers for Physical or Mental Disorders With Harmful Behavior

Waivers for physical or mental disorders associated with harmful behavior — including substance use disorders — are evaluated on a case-by-case basis. USCIS considers the nature and severity of the harmful behavior, the likelihood of recurrence, evidence of rehabilitation, and the potential impact on public safety.

These waivers are more complex and typically require a comprehensive submission including medical records, treatment documentation, letters from treating providers, and a personal statement. Working with an experienced immigration attorney significantly improves the quality and completeness of the submission.

The Role of the Civil Surgeon in Waiver Applications

The civil surgeon plays a critical role in waiver applications by completing Form I-693 accurately and thoroughly. A well-documented Form I-693 that clearly describes the finding, the treatment completed, and the current clinical status provides USCIS with the information needed to make a favorable decision.

Our civil surgeon is experienced in documenting findings in a way that supports the strongest possible waiver application. If you have a condition that may require a waiver, discuss your situation with our civil surgeon and your immigration attorney before your appointment.