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The Immigration Medical Exam is necessary for individuals who wish to adjust status in the United States or apply for an immigrant visa abroad. It is not possible to obtain an immigrant visa or adjust status without a medical examination. The medical exam must be conducted by a doctor approved by the USCIS. A complete list of approved immigration doctors can be found in the Immigration Medical Exam Guide available for instant download on this page. Proof of treatment or follow up tests must be provided before the application ... of temporary or permanent residency is approved. Children may be subject to additional immunization requirements. Medical examinations are generally valid for 12 months. Individuals that are legal residents but changing status to U.S. citizens may be required to re-take the immigrant medical exam. The medical examination must be completed before you can adjust status or obtain an immigrant visa. The Medical Exam Information Guide provides answers to all of your question relating to medical exams for immigration purposes.