DIY I-485 Adjustment of Status Part II: Immigration Interview (with real questions!)

As my previous blog post "DIY I-485 Adjustment of Status with No RFE!" received a lot of great comments, I promised that I would do a follow-up post regarding the last step of the application - the interview. If this is your first time reading my post, please note that my green card application was marriage-based with a USA citizen spouse.

The Green Card Interview Day

Here's our process. We were there around 15 mins ahead of time. You are not supposed to be there more than 30 mins ahead according to the interview notice. We passed through the X-ray exam and checked in at the counter with the interview notice. They took my photo and collected my fingerprints.

After about 10 minutes, we were led by our interviewer to the room and made our oath to promise that we are only telling the truth. The whole interview was about 20 minutes. It was pretty casual and comfortable. At the end of the interview, we were informed that our case will be approved and I could expect my green card in 2 weeks. (yay!) 

What Should I Bring to the Green Card Interview?

On the interview notice we received, it offers a list of items that we have to bring. This list may vary case by case so you need to pay attention to your specific interview notice. I am providing my list here for those who are wondering and haven't received theirs yet:
  • Interview notice
  • Your spouse (of course!)
  • Government-issued photo ID (usually driver's license or passport)
  • You and your spouse's passport copies
  • Affidavit evidence (most recent year IRS transcript, employment verification letter, W2s, etc)
  • Certified copy of marriage license
  • You and your spouse's birth certificate (if your spouse if not a US citizen, provide eligibility proof)
  • I-94 and other travel permits if any
  • All EADs issued to you 
  • All immigration documents that prove your lawful status and eligibility for the application
  • Your children's birth certificates if you have any. Including children from previous marriages)
  • Additional evidence for Bona-Fide marriage (utility bill, joint tax return, photos, etc)
  • Bring originals and copies of all documents (or they will have to take your originals)
Most of the items listed above were included in the original application I submitted. Although I prepared them all over again with copies and everything, the agent only took new evidence/documents that they didn't have on file. 

What Questions Were Asked at the Green Card Interview?

The questions were mostly for verifying my application details. Here are the questions that I can remember:

  • What is your full name?
  • Date of birth?
  • Your mom/dad’s name
  • Where do your parents live?
  • Where were you born?
  • What is your current address?
  • Who lives in the house?
  • Is this the only child you both have?
  • Is this your first marriage?
  • Do you work? Where is it?
  • Have you ever applied for anyone?
  • How did you meet?
  • When did you meet?
  • Who takes care of the children? 
  • Where did you get married?
  • Have you ever worked without authorization?
  • When was the last time you entered the USA?
  • What status did you have when you entered?
  • What’s your current status?
  • What was your status before the H1-B?
  • Is this your first attempt applying for a green card?
  • Where was the baby born? Which hospital?
DIY I-485 Green Card Application with no RFE
immigration through marriage

Can I Bring My Children?

We did bring our child to the interview. (we had no choice!) However, in the interview notice, it states that you do not need to bring your children. If you don't have a choice like us, yeah, you can! Some people believe bringing their children to the interview will help with the process, some people think it's tricky to have the kids present there so it's really up to you.

I hope my experience helps! Have you passed your interview yet? I can't wait to hear about your experience! Why not leave a comment below to share with all of us?

Don't forget to check out the original post: DIY I-485 Adjustment of Status with No RFE!
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How to Go Through Canada Customs without Speaking English

Most of my elder relatives in my home country don't speak English. In fact, some of them probably don't understand English at all. Not to mention that they have never traveled abroad by themselves.

As my husband and I are expecting a baby soon in the USA, my parents are eager to come for a visit and meet their little grandchild! To make their wish come true, a big mission landed on me - help them get prepared for the trip and make sure the traveling won't have any hiccups.

We plan to book a direct flight from Taiwan to Canada and transfer from Canada to the USA by ground. Let's take a look at my planning of "shipping" my parents here!

How to Enter Canada Customs without Speaking English

The biggest concern, of course, is the language barrier. With proper preparation ahead of time, I am sure we all can help our non-English speaking relatives travel around the world without any issue and fear! There are a few things to think about:

Airline Special Assistance

Will they know where to go after they get off the airplane? Many airlines nowadays offer special assistance which includes directing elder/younger travelers to the connection flight or customs. As far as I know, EVA Air and China Airline offer this service. I am going to call the airline to request special assistance ahead of time so they will direct my parents to the customs after they land in Canada.

Fill Out the Declaration Card

How do they know how to fill out the declaration card? I found a sample declaration card online and filled out their information in English. They will bring this sheet with them to board the airplane. By the time they are given the declaration card, they just need to copy what I have on that sample sheet to the real card. That way, there won't be any confusion.

Canada Declaration Card Questions

For Canada visitors, the declaration card contains A, B, C parts. If you are traveling together with someone else that lives at the same address, you can have up to 4 same-address travelers on the same single card. Click here to see more details.

Write a Quick Note for the Customs

How are they going to answer the customs agent's questions if they can't even understand it? I decided to help them communicate with the agent through a note. I wrote down a quick note to answer some basic questions the agents might ask:
  • What's your purpose for this visit?
  • Where are you going?
  • How long are you staying?
  • Where are you staying?
At the bottom of the note, I left my contact information in case they need to clarify further. I also included my VISA status and occupation just in case they question about it. Click here to see the template I created.

As a matter of fact, based on other people's experience, if there is a language barrier, the customs agent will ask other people on site who speak your language to help translate. But it's still good to be prepared so my parents can be at ease.

Other Things to Look Out for:

Aside from the language barrier, I also prepared the following for my parents in case they need them:
  • Airport Map: Download this from the airport website
  • Cell Phone Service: Get a prepaid phone from your home country. I got it through T-Mobile. 
  • WiFi Service: Check to see if the airport offers a free or paid WiFi service.
  • Cash: Exchange some US or Canadian dollars just for emergency. Credit cards are generally accepted in most places in the USA.
  • Meeting location: Decide a clear and easy-to-find meeting location for the pick-up and circle it on the map.
Have you ever helped elder/young non-English speakers travel abroad? What's your experience? Is there anything else that I am missing? Share with us!

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

Who Is the Petitioner, Applicant, Beneficiary and Principal Applicant?

Who Is the Petitioner, Applicant, and Beneficiary?

Who Is the Petitioner, Applicant, Beneficiary and Principal Applicant?

When filing the G-1145 E-Notification form, I was a little confused about who's name to use. I decided to use the applicant's name for G-1145.

If you are confused about who is petitioner, applicant, and beneficiary, take a look below. Generally, the U.S. citizen spouse is the petitioner and the alien spouse who is applying for a green card is the beneficiary:
  • Petitioner - U.S. citizen spouse
  • Beneficiary - Alien spouse
  • Applicant for I-485 - Alien spouse
  • Applicant for I-130 - U.S. citizen
  • Applicant for I-765 - Alien spouse
  • Applicant for I-131 - Alien spouse

Who is the Principal Applicant?

If you are the main beneficiary of the I-485 application, yes, you are the principal applicant. If you have other relatives applying with you, they are the derivative applicants.

Click here to see a step-by-step guide for filing the I-485 application.

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

Where Can I Find My USCIS Alien Registration Number (A Number)?

What's my Alien Registration Number

What is an A Number?

An A number is an Alien Registration Number or Alien Number. It is a unique 8 or 9 digit number assigned to you at the time you file your application. The series of number starts with the letter "A".  

Where Can I Find My USCIS A Number?

You may not necessarily have an A number. If no A-files have been created in the past, you don't have the number. Or if you are a H1-B holder like myself, you probably don't have an A number as H1-B holders don't need an EAD card to work. If you have an EAD card, you can find the A number on it.

When I was under OPT, I did receive an EAD card but that card has expired of course. That A number will not be applicable to this case because once your green card application is received, USCIS will assign you a new A number. So simply leave that field blank if you don't have a current A number.

Click here to see a step-by-step guide for filing the I-485 application.

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

DIY How I Applied for My I-485 Green Card with No RFE! (Updated April 2024, with NEW FEES!)

After all the trouble we have gone through preparing for my I-485 green card application for almost 2 months, I decided to put the things I have learned together and share with all of you who might be in the same boat and searching for a detailed, clear direction.

Please note: This post is mainly for alien spouses applying for a green card through marriage to a U.S. citizen. If you are on K-1 visa, please click here to read a more specific guide.

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice. No guarantee of successful I-485 (green card) application results.
DIY How I applied for my I-485 green card with no RFE!


How to Apply for the I-485 AOS Green Card Step by Step 

First, let me give you an overview of my I-485 application preparation. This article gets a little long, so please click the links below and fast forward to the section that you want to learn more details.

Step 1: Download all the required forms and prepare 6 folders
Step 2: Download all cover letter templates
Step 3: Schedule a USCIS doctor's appointment - don't do this too late, you might have to wait in line
Step 4: Fill out all forms - I suggest filling out the PDF files on your computer. It's easier to make changes. My suggested filling order is below. Click each link to go to that section for details.
Step 5: Collect your sponsor's tax documents and asset evidence ( if needed) for I-864
Step 6: Collect Bona-Fide evidence for I-130
Step 7: Take passport-style photos
Step 8: Assemble all forms and folders - check the filing tips before you do this step!
Step 9: Choose your shipping carrier and check the shipping address
Step 10: Review, SIGN and date each form
Step 11: Final Review (Review all checklists)
Step 12: Mail the package and wait for the great news! (Click here to see my real case timeline)
Step 13: The Interview

Purchase Your Assembling Guide Here for $10! (10 Steps to Assemble your I-485 AOS Application Package)

New Update 7/16/2023: USCIS Self-Service Biometrics Appointment Rescheduling Tool

How Long Does It Take To Receive My Permanent Residence (Green Card)?

 Here's a rough timeline I created based on my research to give you an idea:
How long does it take to apply for a green card
  • 2 to 3 weeks after you mailed the I-485 application, you will receive your I-797 receipt notices (I received 4 notices for I-485, I-130, I-131, and I-765 respectively)
  • 3 to 5 weeks after you mailed the application, you will receive a notice for your Biometrics appointment
  • 5 to 8 weeks after you mailed the application, you will go to your Biometrics appointment (approximately 30 minutes) where they will take your fingerprints sample
  • 3 to 4 months after you mailed the application, you can expect to receive your EAD card with your travel document (on the same card) if you filed I-765 and I-131 concurrently
  • 4 to 10 months after you mailed the application, you will be notified for an immigration interview
  • 6 to 12 months after you mailed the application, you will go to your immigration interview (30 minutes to an hour). Some people reported that they received a verbal decision right after the interview. 
  •  8 to 14 months after you mailed the application, if everything is approved without RFE, you will receive your permanent residence (green card). Congratulations!
Curious about my personal, real-case timeline? Click here to see!

What forms do I need to submit for a family-based green card application?

Here's an overview of the forms I submitted (original, old fee schedule):

Also, the Form I-130 and Form I-693 can be submitted separately from From I-485 as well but they are required and are part of your I-485 application.

Now, let's take a closer look at each form:

Form I-485 Adjustment of Status Checklist

Form I-485 is the main and most important form among all the forms required for a green card application.

Form I-864 Affidavit of Support Checklist

  • I-864 Cover Letter
  • Form I-864 Affidavit of Support
  • Petitioner's most recent tax return documents
  • Evidence of assets (if applicable)
  • Evidence of beneficiary's current income (if you are using beneficiary's income)
  • Evidence of beneficiary's continuous income from a lawful source (if you are using beneficiary's income)
    • Beneficiary's employment verification letter
    • Beneficiary's W2s in recent years
  • Petitioner's passport copy
  • Petitioner's birth certificate copy
  • Marriage certificate copy
  • Other Supporting Documents - See more details in the cover letter

Form I-944 Declaration of Self-Sufficiency Checklist

  • I-944 Cover Letter
  • Household’s most recent tax return documents and W2s
  • Beneficiary’s credit report
  • Beneficiary’s education diplomas (from high school to the highest level you have)
  • Beneficiary’s health insurance policy and/or other proofs
  • Beneficiary’s all public benefits (if applicable)
  • Beneficiary’s debts and liability (if applicable)
  • Household’s proof of assets & resources 
  • Other Supporting Documents -See cover letter for more details!
* Many documents are repeating from I-864. In the instruction it states you don't need to provide repeating documents if already provided in I-864.

Read More: How to Pass Public Charge I-944 Declaration of Self-Sufficiency>>

Form I-130 Petition for Alien Relative Checklist

  • I-130 Cover Letter
  • 2 Passport style photos of petitioner
  • 2 Passport style photos of beneficiary
  • Form I-130 Petition for Alien Relative
  • Petitioner's birth certificate copy
  • Beneficiary's birth certificate copy
  • Petitioner's U.S. passport copy - make sure it's not expired
  • Beneficiary's passport copy - make sure it's not expired
  • Marriage certificate copy
  • Form I-130A Supplemental Information for Spouse Beneficiary 
  • Evidence of Bona-Fide Marriage (I separated this into another folder)
    • Cohabitation evidence: driver's license, any mail, letters from family/friends with both of your names on it, etc.
    • Lease or any contracts you both signed
  • Other supporting documents - See more details in the cover letter
Click here to learn more about Bona-Fide marriage with example: What evidence of Bona-Fide marriage should I provide?

Form I-765 Application for Employment Authorization Checklist


Form I-131 Application for Travel Document Checklist


I am asking for $10 for all templates, this will allow me to keep doing research and updates. Thank you for your support! See terms and conditions here.


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What Payment Methods Are Accepted by USCIS?

Now USCIS accepts credit card payments! It's very convenient and you can save a few dollars by getting credit card bonuses. If you want to be more secure, a bank check is usually the safer way to submit your payment. See all payment options:
  • Bank Check
  • Money Order
  • G-1450 Credit Card Transaction - I chose this one and it worked without any issues!

About Form I-864 Affidavit of Support

Tax Return Documents for Form I-864

The petitioner (U.S. citizen) is only required to provide the most recent year tax return document. However, you can choose to provide the most recent three year tax return documents if you think those will help prove your support.

You can provide your IRS tax return forms along with your W2s, Form 1099, tax scheduled (for self-employed sponsors) OR IRS tax transcripts. You don't need both! You can get your IRS transcripts from IRS's website here. I think an IRS tax transcript is simpler with fewer pages, but it's really up to you.

What is the requirement for I-864 Affidavit Support?

According to the I-864 form instruction ( on the top row of the form), your household income has to be over 125% of the HHS poverty guideline. You can find the latest poverty guideline here.

Depending on how many people in your household, the number will be different. In 2020, for a typical 2-people family, you need at least $21,550.

What if my income is lower than the I-864 sponsorship requirement?

If the petitioner (U.S citizen) doesn't have enough projected income to sponsor the beneficiary (alien spouse), you can choose to:
All you need to do is include the alien spouse's information and income in form I-864 (page 4, part 6, number 8-10) and provide:
  • Evidence of your alien spouse's current income: You can provide your paycheck in the last 6 months, W2s, or tax return documents
  • Evidence to show that your alien spouse has continuous income from a lawful source: You can provide an employment certification letter from your employer, your VISA page copy, etc.

Click here to read about: How to Include Assets for I-864 Affidavit of Support

Who needs to fill out the I-864A form?

When you have one or more co-sponsors other than your alien spouse (beneficiary), each of the co-sponsors has to fill out their own I-864A form.

However, if you are using your alien spouse (beneficiary)'s current income as part of your household income, the alien spouse DOES NOT need to fill out the I-864A form. The only situation that he/she needs to fill out form I-864A is when he/she has derivative relatives who are applying for a green card with him/her.

About Form I-765 Employment Authorization

This form is pretty straight forward. Only a couple things that confused me a little:
  • Page 1, part I, question 1: Reason for Applying. Select "Initial permission to accept employment." if you are changing your H1B to a green card
  • Page 3, Part II, question 27: Eligibility Category. If you are applying to adjust your status from H1-B to a green card, you should fill in "c9" category here.

About Form I-131 Travel Document

This is also very straight forward. A couple tricky questions:
  • Page 3, part 4, reasons you can just say visiting family. If you are filing concurrently with I-485 like what I did, you don't need any evidence to support the reason. The agent will know this is because of the pending I-485 application.
  • Page 4, part 7, you would want to select "More than one trip" just in case you have to leave USA and come back multiple times. 

About Form I-693 Report of Medical Examination & Vaccination Record


 Where do I find a green card immigration doctor?

You will need a qualified immigration doctor to help you fill out most of your I-693 report of medical exam and vaccination record. Go to USCIS's website to search for a listed doctor that's convenient for you. Each doctor charges differently, so I suggest you call at least 3 to compare the prices. Note that a lot of immigration doctors only take cash or check.

If you already have done some of the required vaccinations or blood test, be sure to bring them with you to the doctor's appointment. You may be able to save some redundant vaccination shots!

Download my ebook to learn more filing tips and avoid simple mistakes!

Here's a  list of questions you will want to confirm before you go to the immigration doctor:
  • How much do you charge for the basic exam?
  • Do you accept a credit card payment?
  • Do you accept a FSA/HSA/HRA card?
  • How much do you charge for the shots and blood tests if I need them?
  • Do you accept the vaccination records and blood test results from somewhere else?
  • How long does it take to get the I-693 report?

Click here to read more about: What vaccines and tests are required for the I-485 green card application?

What if I am pregnant? Can I still pass the exam? Click below to read more:

Click here to read more about: How long does it take to receive my I-693 report?

About Assembling and Packing I-485 Application (Concurrent Filing with Form I-130, I-765, and I-131)

How many G-1145 forms and cover letters should I include in my I-485 application package?

As per my research online, some people have just one G-1145 form for the whole package, some people have one G-1145 for each separate application form. Same for the cover letters - You can have one main cover letter with a long itemized list or have separate cover letters for each application form. 

What did I do? I think it doesn't hurt to have separate forms and cover letters and it is clearer that way, so I submitted these cover letters and G-1145 forms:
Generally, you will need at least 8 head-shot photos of the beneficiary (alien spouse) and 2 head-shot photos of the petitioner (U.S. citizen spouse) for the whole concurrent filing package.

Here's the breakdown:
  • 2 photos of alien spouse for I-485
  • 2 photos of alien spouse for I-130
  • 2 photos of U.S. citizen spouse for I-130
  • 2 photos of alien spouse for I-765
  • 2 photos of alien spouse for I-131


*Now USCIS combines I-765 and I-131 together (work permit and travel document) so 6 photos is acceptable. See more details here.

Click here to see more details about: How to organize and assemble my I-485 concurrent filing package

Purchase Your Assembling Guide Here for $10! (10 Steps to Assemble your I-485 AOS Application Package)

Where do I mail my I-485 Package?

Depending on how you file your package, concurrent or I-485 only and which shipping carrier you are using, your filing address will be different. You can find the filing address guideline here on the USCIS's website. I filed concurrently with form I-130 by USPS so my address was:

USCIS Chicago Lockbox
For U.S. Postal Service (USPS):
USCIS
PO Box 805887
Chicago, IL 60680-4120

*Jan. 8th, 2021 Update: USCIS has updated Form I-485 filing locations. See here for more details.

What shipping carriers are accepted by USCIS?

USCIS accepts USPS, FedEx, UPS, and DHL deliveries. After comparing multiple carriers, I decided to go with USPS Medium Primary Mail which costed me $13.65 at the time and the package arrived in 2 days. The price changes over time, the Medium Priority Mail rate is now $14.35. Check the latest USPS package rates here.

Final Review for the I-485 Application (Concurrent Filing)

Before you submit your whole I-485 package, be sure to review your application again! Here's a list of my last-minute review that will help you avoid making stupid mistakes:
See a full final review list and more filing tips in my e-book that will help you avoid mistakes!

My I-485 Concurrent Filing Application Timeline:

  • 1/26  Mailed the I-485 Application Package
  • 1/28  Package Delivered to Chicago PO Box
  • 2/1 Credit Card Payment Pending Showed Up
  • 2/3 Credit Card Payment Completed
  • 2/4 Received 3 Text Message Notices (there's supposed to be 4 notices, but 1 was missing for some reason)
  • 2/7 Received Four I-797 Receipt of Notices in the mail
  • 2/9 Received I797C Biometrics Appointment Notice in the mail
  • 2/22 3 pm Had my fingerprints and picture taken at the biometrics appointment
  • 2/26 Case Status changed to "case is ready to be scheduled for an interview".
  • 5/29 Interview was scheduled!
  • 6/4 Received the interview notice in mail 
  • 7/8 Completed the interview - see my interview experience here!
  • 7/8 I-485 status changed to "New card is being produced"
  • 7/8 I-130 status changed to "Interview was completed and my case must be reviewed"
  • 7/11 I-485 status changed to "Card Was Mailed to Me"
  • 7/12 Received I-485 & I-130 Approval Notices
  • 7/12 Card Was Picked Up By The United States Postal Service (with tracking number)
  • 7/15 Received an official green card!
My employment authorization and travel permit applications are both still pending even after the I-485 was approved. 

I hope this article helps you prepare for your I-485 application. If you have any questions, feel free to leave a comment below for a discussion or share your experience with all of us! Good luck!

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

If you like my post, don't forget to share out to more people so I will be able to create more useful posts in the future!:) Thank you!

Who Needs to Fill out the I-864A Form?

Contract Between Sponsor and Household Member

Form I-864A is a contract between the sponsor and a household member. When you have one or more co-sponsor(s) other than your alien spouse (beneficiary), each of the co-sponsors has to fill out their own I-864A form.

However, if you are using your alien spouse (beneficiary)’s current income as part of your household income, the alien spouse DOES NOT need to fill out the I-864A form. The only situation that he/she needs to fill out the I-864A form is when he/she has derivative relatives who are applying for a green card with him/her.

I-864A and I-864 are an important part of the whole I-845 application. In the next post, we will talk more about the sponsor's financial requirements for form I-864 Affidavit of Support. Stay tuned!

Click here to see a step-by-step guide for filing I-485 application>>

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

What Tax Return Documents Are Required for Form I-864 Affidavit of Support

What Tax Forms Are Required for I-864?

The petitioner (U.S. citizen) is only required to provide the most recent year tax return document. However, you can provide the most recent three-year tax return documents if you think those will help prove your support.

You can provide IRS tax return forms along with your W2s, Form 1099, tax schedules (for self-employed sponsors) OR IRS tax transcripts. You can get your IRS transcripts from IRS’s website here. I think an IRS tax transcript is simpler with fewer pages, but it’s really up to you!

Good luck with your I-485 application!

Click here to see a step-by-step guide for filing your I-485 application>>

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

How Long Does It Take to Receive My I-693 Report?

Click here to see a step-by-step guide for filing your I-485 application>>

Finally, you have finished the medical exam. Now you are wondering how long do you have to wait to receive your report from the doctor.
Dog, Sad, Waiting, Floor, Sad Dog, Pet

How Long Does It Take to Receive My I-693 Report?

Every clinic has a different schedule of course. It took me one week to get the report from my doctor because he only works two days a week. Normally, I would say 2-3 days if you have all the vaccinations done before already.

Once you get the I-693 report from your doctor, he/she will instruct you to sign and date the form and seal the report. Be careful - DO NOT open the envelope! USCIS won’t accept any opened I-693 envelope. Just submit the sealed report as it is to USCIS.

Can I Get a Copy of My I-693 Form?

On the I-693 form instruction, it states that the immigration doctor is supposed to give you a copy of the complete form for your record so be sure to ask for a copy! Unfortunately, my doctor refused to follow the instruction, so I can only trust that they took care of everything without any issues:(

There you have it! I hope you all have a great experience at your immigration exam. If you'd like to know more about the whole I-485 application process, click here to keep reading!

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

Green Card Medical Exam for Pregnant Women

Click here to see a step-by-step guide for filing your I-485 application>>

Can I still pass the Green Card Immigration Medical Exam if I am pregnant? It depends! If you are seeing your OBGYN regularly, they probably have already tested Syphilis and Gonorrhea for you. Ask for the test results from your OBGYN and bring it with you to the immigration exam, you may be able to save a few dollars by avoiding the redundant tests!
Green Card Medical Exam During Pregnancy

About Syphilis Test

Be careful though, according to CDC’s website, starting from 2013, Syphilis tests performed before the panel physician or civil surgeon exams the applicant are not acceptable. So theoretically, your Syphilis test results from your OBGYN before the immigration exam will not be accepted. To be safe, you can have it tested right at the immigration doctor.

I just got tested for Syphilis at my OBGYN about a month before the immigration exam so my doctor used that record. Hopefully, this won’t cause any RFE. I will keep you all updated what happens after!

About MMR Vaccine

The only vaccination that can be dangerous to pregnant women is the MMR vaccinations. So if you don’t have that done before you were pregnant, I would wait to see the doctor, because he/she will only be able to provide a half-finished I-693 report and you will have to go back again when you can have the shots.

About Tuberculosis Test (TB)

For the Tuberculosis test, from September 2018, USCIS no longer accept the skin bubble test (TST), so you must do an IGRA blood test. This test needs to be done every year. This is totally safe for pregnant women.

Remember, the form I-693 is not required to submit with your I-485 application together at once. You can always submit it later or wait to bring it with you to the immigration interview.

See what vaccines and blood tests are required for the Green Card application here.

Did this post help you with your immigration medical exam during pregnancy? How's your experience? Share with all of us and help more people in the same situation!

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

What Vaccines Are Required for the I-485 Green Card Application?

The immigration medical exam might be one of the most time-consuming and complicated parts of your I-485 application. There are some long, long lists on USCIS’s website and CDC’s website regarding the vaccinations and tests you need for the I-693 report. However, many of them are subject to your age group. If you are between 18 and 64 years old, generally, you only need 4 vaccines and 3 blood tests.

Also note that now the valid period of I-693 report has been updated to 2 years.
What Vaccines Are Required for the I-485 Green Card Application?


What Vaccines and Tests Are Required for the I-693 Medical Exam? 

  • ***Oct 1st, 2021, COVID-19 Vaccine is required!
  • Td/ T-Dap: Tetanus, Diphtheria, Pertussis (expire every 10 years) 
  • MMR Varicella - If you had chickenpox before, you don’t need it 
  • Influenza (Flu Shot) - You only need this during flu season, from October 1st to March 31st 
  • Syphilis Test* - Please read important update below 
  • Gonorrhea Test 
  • Tuberculosis Test** - This needs to be tested every 1 year. Please read the important update below 
Download my ebook to learn more details including a chart of vaccine requirements based on an applicant's Age. 

Varicella can be avoided if you or your family remember you had chickenpox before. Just tell your doctor you had it before then you should be able to skip that.

* According to CDC’s website, starting from 2013, “syphilis tests must be performed at the time of the screening medical examination and at the laboratory designated as the testing laboratory for the panel physician or civil surgeon. Syphilis tests performed at other laboratories or before the panel physician or civil surgeon examines the applicant are not acceptable.”

**According to CDC’s website, starting from September 2018, “Tuberculin skin testing (TST) cannot be used as a substitute for IGRA testing.”

For more information, visit CDC’s website here.

What if you are pregnant? In the next post, I will share my experience with you regarding getting your immigration exam done during pregnancy!

Click here to see a step-by-step guide for filing your I-485 application>>

Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

Where Do I Find a Green Card Immigration Doctor?

When applying for the adjustment of status (I-485), form I-693 report of medical examination and vaccination record is required. This is one of the most troublesome parts of the application process for many immigrants.

How to Find an Immigration Doctor?


You will need a qualified immigration doctor to help you fill out most of your I-693 report of medical exam and vaccination record. Go to the USCIS website to search for a listed doctor that’s convenient for you.

Green Card Medical Exam Cost

Each doctor charges differently, so I suggest you call at least 3 to compare the prices. Note that a lot of immigration doctors only take cash or check. The cost can range between $120 and $300 depending on the area you are in.

If you already have done some of the required vaccinations or blood test, be sure to bring them with you to the doctor’s appointment. You may be able to save some redundant vaccination shots!

6 Questions to Ask Your Potential Green Card Immigration Doctor

Do your homework before you visit the doctor can save you time and money! Here’s a list of questions you will want to confirm before you go to the immigration doctor:
  1. How much do you charge for the basic exam?
  2. Do you accept a credit card payment? 
  3. Do you accept an FSA/HSA/HRA card?
  4. How much do you charge for the shots and the blood tests if I need them?
  5. Do you accept the vaccination records and blood test results from somewhere else?
  6. How long does it take to get the I-693report?
Did you find your ideal immigration doctor already? How was your experience? How did you make the decision? In the next blog post, we will discuss what vaccinations and blood tests are required for the I-693 report. 

Click here to see a step-by-step guide for filing your I-485 application>>


Disclaimer: This article is for sharing personal experience only and not for the purpose of providing legal advice.

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