Why should you get the medical done before you file your I-485 application and, in most cases, submit it with your I-485 application?

Know the importance of including your medical exam with the I-485 application for a smooth green card process.You should get your medical exam completed before you file your green card for two important reasons. First, you–and I as your attorney–want to see if any issues come up with your medical exam. For example, a client recently conducted her medical exam and learned that she was positive for TB (tuberculosis). With that diagnosis, she is not eligible for a green card. She needed to get the necessary treatment–which took 8 months–in order to get a clear and complete medical exam. If she had filed without the medical exam, waited for an RFE, and then learned that she had TB, she may not have been able to respond to the RFE by the 3-month deadline and her entire case would have been denied, and she would have had to start over. Sometimes, even when we see negative results, we file the application due to certain legal issues. However, it’s best to decide to file without the medical exam knowing why you’re applying without the medical exam. 

The other big reason to file with the medical exam is that USCIS can fully approve your case if the medical exam is included. Meaning, in most cases (since 20220, there will be no interview. Lots of people used to bring the medical exam to the interview. Now, you do not always have that opportunity. If you don’t file the medical exam with your application, the approval of your case may be slowed down because USCIS has to ask you for the exam, you have to send it to USCIS, and then USCIS has to get back to looking at your case once you send in the exam.


If you need to talk to an experienced immigration attorney. We’ve helped hundreds of people traverse the complicated immigration and citizenship process. We would love to help you as well.  Call (617-766-0214) or email hello@cambridgeimmigrationlaw.com to get in touch.