Mes examens médicaux sont-ils corrects ?

Angelica Rice • January 18, 2024

Click here to read this article in English

       Dans le cadre de la procédure de demande d'ajustement de statut (formulaire I-485) ou de la procédure de demande de visa d'immigrant (si le demandeur fait sa demande depuis l'étranger), l'USCIS exige que tous les demandeurs soient correctement vaccinés et que le formulaire I-693 d'examen médical, dûment rempli par un chirurgien civil ou un médecin agréé par l'USCIS, soit soumis à l'USCIS dans une enveloppe scellée.


       Malheureusement, de nombreux demandeurs et praticiens de l'immigration sont souvent confrontés à des situations où le chirurgien ou le médecin autorisé n'a pas effectué correctement l'examen médical, ce qui a eu des conséquences préjudiciables pour leur processus d'ajustement, notamment le refus de leur demande de formulaire I-485 ou de leur demande de visa d'immigrant.


      Tout d'abord, le chirurgien civil ou le médecin du groupe doit fournir au demandeur une copie des résultats de l'examen médical qui sont mis sous scellés et transmis à l'USCIS. De cette manière, le demandeur et/ou son avocat en droit de l'immigration peuvent consulter et vérifier les résultats avant d'envoyer l'enveloppe scellée à l'USCIS. Cela évitera que des examens médicaux remplis par erreur soient envoyés à l'USCIS et réduira les risques que le formulaire I-485 soit refusé ou qu'il subisse d'autres conséquences négatives en raison d'un examen médical défectueux.


      Deuxièmement, le demandeur ou son avocat spécialisé en droit de l'immigration (s'il en a un) doit examiner la copie de l'examen médical qui lui a été remis et s'assurer qu'il est conforme aux exigences de l'USCIS et du CDC en matière de vaccination. Ces exigences peuvent être consultées sur les sites web suivants:


https://www.uscis.gov/tools/designated-civil-surgeons/vaccination-requirements

https://www.cdc.gov/immigrantrefugeehealth/civil-surgeons/vaccinations.html


La loi sur l'immigration et la nationalité (INA)¹ précise que les vaccins suivants doivent être administrés ou effectués dans le cadre de l'examen médical:


  • Oreillons, rougeole, rubéole;
  • Polio;
  • Toxines tétanique et diphtérique;²
  • Coqueluche;
  • Haemophilius influenza type B; et 
  • Hépatite B.
  • Le CDC exige les vaccins supplémentaires suivants pour les besoins de l'immigration:
  • Varicelle;
  • Grippe;
  • Pneumonie à pneumocoques;
  • Rotavirus;
  • Hépatite A;
  • méningocoque; et
  • COVID-19.


      Si le demandeur n'a reçu aucun des vaccins énumérés et que les vaccins sont appropriés à son âge et à son état de santé, le demandeur présente une condition de catégorie A et est interdit de territoire. En règle générale, toutes les rangées de vaccins appropriés à l'âge du demandeur doivent comporter au moins une entrée pour que l'on puisse considérer que l'évaluation a été correctement effectuée. Toutefois, la vaccination COVID-19 (exigée à partir du 1er octobre 2021) diffère en ce sens que le demandeur doit compléter toute la série de vaccins (une ou deux doses en fonction de la formulation).³


     Afin de déterminer quels vaccins sont "adaptés à l'âge", le chirurgien civil ou le médecin du groupe doit se référer au tableau des besoins en vaccins figurant dans les instructions techniques de vaccination du CDC. Voir ce tableau ci-dessous⁴ :


      Si vous avez des questions sur les examens médicaux requis par l'USCIS ou si votre formulaire I-693 a été correctement rempli, veuillez contacter notre bureau pour obtenir de l'aide dès aujourd'hui !


¹ Voir INA 212(a)(1)(A)(ii).

² Les demandeurs qui ont terminé la série initiale DTP/DTaP/DT ou Td/Tdap doivent recevoir une injection de rappel Td/Tdap tous les 10 ans. Si la dernière dose a été administrée il y a plus de 10 ans, le demandeur doit se faire vacciner, sinon il est interdit de territoire en vertu de l'article INA 212(a)(1)(A)(ii) de la loi américaine sur l'immigration et la protection des réfugiés.

³ Pour plus d'informations, y compris les exigences actuelles en matière de dosage pour l'examen médical des immigrants, voir les CDC Requirements for Immigrant Medical Examinations (exigences des CDC pour les examens médicaux des immigrants) : COVID-19 Technical Instructions for Civil Surgeons (Instructions techniques pour les chirurgiens civils).

https://www.cdc.gov/immigrantrefugeehealth/civil-surgeons/vaccinations.html


Ce blog n'est pas destiné à fournir des conseils juridiques et rien ici ne doit être interprété comme établissant une relation avocat-client. Veuillez prendre rendez-vous avec un avocat spécialisé en droit de l'immigration avant d'agir sur la base de toute information lue ici.

Angelica Rice

By Shirin Navabi August 14, 2025
It’s no secret that the U.S. immigration system has faced increased scrutiny and change in recent months. From evolving policies to headlines filled with uncertainty, it’s understandable that many individuals are left wondering: Is this still the right time to pursue a future in the United States? The answer is yes—and here’s why. Despite the shifting political landscape, the core structure of U.S. immigration law remains firmly in place. While the process may appear more complex or demanding than it once was, the legal pathways to live, work, and thrive in the United States are still open and accessible to those who take the proper steps. What often gets lost in the conversation is that the United States remains a country built on innovation, creativity, and resilience. It continues to attract global talent, entrepreneurs, artists, and professionals from all walks of life. Whether you are launching a business, advancing your career, or seeking a better life for your family, the United States offers unparalleled opportunities to those who are prepared and determined. Much of what makes the United States a global economic and technological leader today is the direct result of contributions made by immigrants. Nearly half of the current Fortune 500 companies were founded by immigrants or their children. Immigrant entrepreneurs have long been an essential part of America’s economic success story. Some of the largest and most recognizable American companies were founded by immigrants or the children of immigrants. This includes household names such as Apple and Costco. Moderna, the pharmaceutical company and vaccine producer, was founded by a Canadian-born stem cell biologist, Derrick J. Rossi, whose parents themselves emigrated from Malta. These success stories are not outliers; they are part of a broader pattern that reflects the drive, innovation, and resilience that immigrants bring to the country. The United States also offers one of the most dynamic and diverse economies in the world. It is a place where hard work, fresh ideas, and entrepreneurial vision are rewarded. For creative professionals, business leaders, and investors, the United States provides a unique platform to grow, connect, and gain global influence. Its competitive marketplace, access to capital, and culture of innovation create unmatched opportunities for those ready to seize them. While the immigration process requires careful planning, that process is far from impossible. Indeed, having strong legal guidance is one of the most effective advantages an applicant can possess. Immigration law is complex, and each case must be evaluated individually. A clear, strategic plan tailored to your background and goals can significantly improve your chances of success. What may feel like a hurdle at first glance is often navigable with solid preparation and documentation. At our immigration law firm, we have had the privilege of assisting individuals from all over the world as they navigate these complexities. Time and again, we have witnessed how determination, careful preparation, and experienced legal counsel can turn uncertainty into opportunity and help transform a vision for the future into reality. If you have been uncertain about whether to move forward, let this be your sign to take the next step. The United States is still a land of possibilities. If you are ready to take that step, now is the time to act. Let us build your path forward together.
By Denice Flores August 8, 2025
The U.S. Department of Homeland Security (DHS) has announced the termination of Temporary Protected Status (TPS) for nationals from Honduras, Nicaragua, Nepal, Haiti, and Cameroon. These longstanding protections are set to expire, putting many individuals at risk of deportation.
By Shirin Navabi July 17, 2025
For individuals applying under the O-1A or EB-1A categories , both reserved for professionals with extraordinary ability, letters of recommendation are a critical part of the petition. These expert testimonial letters offer valuable insight into your accomplishments, reputation, and influence within your field. When written properly, they help demonstrate that you truly stand out as someone who has risen to the very top of your profession. Many petitions submitted by highly accomplished individuals fall short because the recommendation letters are vague, overly personal, or fail to clearly explain why the applicant meets the legal standard of extraordinary ability. That is why taking the time to prepare your recommenders effectively is not just helpful. It is essential to build a strong and persuasive case. First, it is important to help your recommenders understand the purpose of the letter . This is not a casual reference or character recommendation. It is a formal declaration to U.S. Citizenship and Immigration Services that you possess extraordinary ability in your area of expertise. The letter must describe your achievements in concrete terms and explain why your work has had a significant impact and recognition within your field. Many professionals, no matter how accomplished, are unfamiliar with the specific requirements of the O-1A and EB-1A categories. It is helpful to provide them with a short explanation of what is needed, and in some cases, a sample or outline to guide them. Selecting the right recommenders is just as critical as the content of the letters themselves. While USCIS gives greater weight to letters from independent experts, independence should not be confused with distance. The ideal recommender is someone who knows your work well and can provide specific and credible insight into your contributions, impact, and reputation in the field. A letter from someone who barely knows you, or one that focuses more on the recommender’s own accomplishments than yours, is unlikely to carry much weight with USCIS. A common mistake is submitting letters that read more like summaries of the recommender’s resume than a meaningful evaluation of your achievements. While a brief introduction of the recommender’s qualifications is important to establish credibility, the focus must remain squarely on you , your work, your innovation, and the ways in which your impact is considered extraordinary. The strongest letters go beyond general praise. They include clear and detailed examples of how your contributions have influenced others in your field or led to measurable outcomes. To make the letter as accurate and persuasive as possible, you should provide your recommenders with a summary of your most important professional milestones. This might include major awards, media coverage, patents, publications, notable leadership roles, or metrics showing the commercial or scientific success of your work. Well-prepared recommendation letters serve as both evidence and narrative. They help fulfill specific legal requirements and also tell the story of how and why your work has earned you distinction. In a category defined by terms like extraordinary ability, it is important that every part of your petition reinforces that standard. At Santos Lloyd Law Firm, we work closely with our clients and their recommenders to develop strong and compelling testimonial letters that meet USCIS expectations and highlight each applicant’s unique contributions.
Show More