The medical exam that is part of the immigration process to the United States is not like a school exam; you don't necessarily pass or fail as you would a written test. But it is possible to encounter an issue that prevents the doctor from giving you the medical approval that you need to complete your immigration application. Most of these are preventable, and you can take steps before your exam to ensure that these will not turn into an exam-ending problem.

Ensure Your ID Picture Really Looks Like You

It shouldn't be a surprise that sometimes people try to fake records, and that includes sending a double with fake paperwork to the exam. Because of this risk, the doctor needs to be sure that you are you, and that your paperwork is accurate. Bring any paperwork related to the application process, and ensure that you have an ID with a picture that is unmistakenly you. For example, no pictures from 20 years ago because age can sometimes drastically change how you look. Update your passport if necessary. If the pictures don't match what you look like now, you could find yourself having to reschedule the exam and do a lot of explaining.

Wait if You Have a Communicable Disease

You won't necessarily be denied entry to the U.S. if you have a chronic disease, but if the disease is communicable, or contagious, that's a problem. You are better off waiting until the disease is no longer contagious or even present. For example, if you have the flu, stay home, get better, and reschedule the exam for a date when you're well. If you have a chronic disease that could take a long time to heal, such as active TB, you will have to wait as the doctor will not approve you at all while you're sick. Note that if you have latent TB infection (LTBI), you will not necessarily be denied, but you will be required to undergo additional medical screening.

Do Not Refuse Vaccinations

If you don't have the required vaccinations when you go to your exam, you should have an opportunity to get them at the exam. Do not refuse them. If you refuse vaccinations for diseases, the doctor can mark your record as one for denial. If you have recently had vaccinations, bring all your records so that the doctor can see which ones you'll need boosters for and which ones may have been administered incorrectly (e.g., getting only one shot of a two-shot vaccination).

The immigration medical exam is straightforward. Keep your paperwork in order and schedule the exam for a time when you are as healthy as possible. If you have questions, you can contact the doctor's office ahead of time.