Julia Roussinova
Immigration AttorneyYou are not required to submit a medical examination until after your I-526 is approved. You either submit it along with your adjustment of status application if you are adjusting status in the United States (if you are in the United States at the time of approval of I-526 in another lawful immigration status) from a civil surgeon approved by USCIS (he or she will have required forms to complete and return to you in a sealed envelope that you submit to USCIS), or you obtain a medical examination from an U.S. embassy-approved clinic abroad after you are scheduled for an immigrant visa interview at the U.S. embassy in your home country. A medical exam is generally to check you for any communicable diseases of public significance, to ensure you have required vaccinations done based on your age and condition, etc.
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