Your Parent's Medical Exam Requirements

Your senior parent will complete the same immigration medical exam as all other adult applicants, with age-specific modifications:

• Complete physical examination
• Medical history review (chronic conditions, medications, mental health history)
• TB testing (TST or IGRA)
• Blood draw for syphilis and gonorrhea testing
• Vaccination review and administration of missing vaccines
• Age-specific vaccines (pneumococcal vaccines for applicants 65+)

How You Can Help Your Parent Prepare

As the sponsoring family member, you can help your parent prepare for the exam:

• Gather vaccination records from your parent's home country (cartilla, yellow card, etc.)
• Compile a list of your parent's current medications (name, dose, frequency)
• Prepare a list of your parent's chronic conditions and treating physicians
• Collect any relevant medical records (recent lab results, specialist reports)
• Schedule the appointment and arrange transportation
• Plan to accompany your parent to the appointment if they need language assistance or support

Language Assistance

If your parent does not speak English, you can serve as an interpreter at the appointment, or the civil surgeon's office may have staff who speak your parent's language.

At ImmigrationMedicalExams.com, we have staff who speak Spanish and can assist Spanish-speaking patients. Call 714-760-4538 to ask about language assistance before scheduling.

Common Concerns for Senior Parents

Common concerns for senior parents applying for a green card include:

• Chronic conditions: Most are not grounds of inadmissibility — see our article on chronic conditions for seniors
• Missing vaccination records: Titer testing or re-vaccination can address missing records
• Positive TB test: LTBI is common in seniors from high-TB countries and is not a ground of inadmissibility
• Cognitive decline: Most cases of dementia without harmful behavior are not grounds of inadmissibility
• Multiple medications: Being on many medications does not affect admissibility

After the Exam

After the exam, the civil surgeon will provide a sealed envelope containing Form I-693. Keep the envelope sealed and bring it to your parent's USCIS interview or submit it as directed by your immigration attorney.