Refugee Health - Adjustment of Status Exam

Adjustment of Status Exam

Refugees are eligible to apply for adjustment of status after one year in the US. While most immigrants are required to have a full medical exam at the time of applying for adjustment of status, refugees are an exception. Refugees who arrived without a Class A condition (see Section 2.2.1) only require vaccinations with their adjustment of status; the full medical examination is not required. A full medical exam is only required for refugees if a Class A condition existed prior to arrival in the US. This full medical exam is performed by a Civil Surgeon. Civil Surgeons are designated by the District Director of the US Citizenship and Immigration Services (USCIS). Immigration regulations state that each civil surgeon selected shall be a licensed physician with no less than 4 years of professional experience. If only the vaccination assessment is necessary for refugees, this may be performed by either a Civil Surgeon or local public health.

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