Os Meus Exames Médicos Estão Corretos?

Angelica Rice • November 16, 2023

Click here to read this article in English

      Como parte do processo de aplicação do Formulário I-485, Ajuste de Status, ou do processo de Visto de Imigrante, se o requerente estiver aplicando do exterior, a USCIS exige que todos os requerentes estejam devidamente vacinados e tenham o Formulário I-693 devidamente preenchido, que é o formulário de Exame Médico preparado por um Cirurgião Civil ou Médicos cadastrados e autorizados pela USCIS, e enviado a USCIS em um envelope lacrado.


       Infelizmente, muitos requerentes e profissionais de imigração frequentemente se deparam com situações em que o cirurgião ou médico autorizado não completou adequadamente o exame médico, o que resultou em consequências prejudiciais para o processo de ajuste deles, incluindo a negação do Formulário I-485 ou do pedido de Visto de Imigrante.


      Primeiramente, o Cirurgião Civil ou Médico cadastrado deve fornecer ao requerente uma cópia dos resultados do exame médico que está sendo lacrado e enviado a USCIS. Dessa forma, o requerente e/ou seu advogado de imigração podem visualizar e verificar os resultados antes de enviar o envelope lacrado a USCIS. Isso evitará que exames médicos erroneamente preenchidos sejam enviados a USCIS e reduzirá as chances de que o Formulário I-485 seja negado ou afetado negativamente por um exame médico deficiente.


       Em segundo lugar, o requerente ou seu advogado de imigração (se tiver um) deve revisar a cópia do exame médico que lhes é fornecida e garantir que esteja preenchida de acordo com os requisitos de vacinação da USCIS e CDC. Esses requisitos podem ser encontrados nos seguintes sites:


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

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


A Lei de Imigração e Nacionalidade (INA)¹ especifica que as seguintes vacinas devem ser administradas ou concluídas como parte do exame médico:


  • Caxumba, sarampo, rubéola;
  • Poliomielite;
  • Tétano e toxoides diftéricos;²
  • Coqueluche;
  • Haemophilus influenza tipo B; e
  • Hepatite B.
  • Os CDC exigem as seguintes vacinas adicionais para fins de imigração:
  • Varicela;
  • Gripe;
  • Pneumonia pneumocócica;
  • Rotavírus;
  • Hepatite A;
  • Meningococo; e
  • COVID-19.


      Se o requerente não tiver recebido nenhuma das vacinas listadas e as vacinas forem apropriadas para sua idade e clinicamente adequadas, o requerente tem uma condição de Classe A e é inadmissível. Geralmente, todas as linhas de vacinas apropriadas para a idade na avaliação de vacinação devem ter pelo menos uma dose antes que a avaliação possa ser considerada como devidamente concluída. No entanto, a vacinação contra a COVID-19 (obrigatória a partir de 1º de outubro de 2021) difere, pois o requerente deve concluir toda a série de vacinas (uma ou duas doses, dependendo da formulação).³


       Para determinar quais vacinas são "apropriadas para a idade", o Cirurgião Civil ou Médico cadastrado deve consultar o gráfico de requisitos de vacinação contido nas Instruções Técnicas de Vacinação dos CDC. Veja este gráfico abaixo⁴:


     Se você tiver dúvidas sobre os exames médicos exigidos pela USCIS ou se o seu Formulário I-693 foi preenchido corretamente, por favor, entre em contato com nosso escritório para obter assistência hoje mesmo!


¹ Veja INA 212(a)(1)(A)(ii).

² Os requerentes que tiverem concluído a série inicial de DTP/DTaP/DT ou Td/Tdap devem receber uma dose de reforço de Td/Tdap a cada 10 anos. Se a última dose tiver sido recebida há mais de 10 anos, o candidato deverá tomar a vacina de reforço; caso contrário, ele será inadmissível de acordo com a INA 212(a)(1)(A)(ii).

³ Para obter mais informações, incluindo os requisitos atuais de dosagem para o exame médico de imigração, consulte a página da Web  :CDC Requirements for Immigrant Medical Examinations: COVID-19 Technical Instructions for Civil Surgeons 

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


Este blog não se destina a fornecer aconselhamento jurídico e nada aqui deve ser interpretado como estabelecimento de um relacionamento advogado-cliente. Por favor, agende uma consulta com um advogado de imigração antes de agir com base em qualquer informação lida aqui.

This Facebook widget is no longer supported.

Angelica Rice

By Kris Quadros-Ragar August 27, 2026
U.S. Citizenship and Immigration Services (USCIS) has released updated policy guidance detailing how officers will evaluate "public charge" inadmissibility for individuals applying for green cards through adjustment of status. This update follows a Department of Homeland Security (DHS) final rule that rescinds the 2022 public charge regulations. The new policy takes effect on September 18, 2026 , and applies to all green card applications (Form I-485) postmarked or submitted on or after that date. Who Is Subject to the Public Charge Rule? Most family-based and employment-based green card applicants will be subject to the public charge ground of inadmissibility. This includes spouses, children, and parents of U.S. citizens or legal permanent residents, as well as most employment visa preference categories, investors, and diversity visa applicants. Certain categories remain explicitly exempt under immigration law. These include: Asylees and refugees Victims of human trafficking (T visa) or crime (U visa) Violence Against Women Act (VAWA) self-petitioners Special Immigrant Juveniles Temporary Protected Status (TPS) applicants Certain military-related applicants and other designated humanitarian groups How USCIS Will Make Determinations USCIS officers will evaluate whether an applicant is likely to become a public charge by reviewing the totality of their circumstances on a case-by-case basis. Key factors include: Five Statutory Factors: Age, health, family status, assets/financial resources, and education or skills. Affidavit of Support: Submission of Form I-864 executed by a sponsor. Use of Public Benefits: USCIS will look at means-tested public benefits, such as cash assistance for income maintenance, housing assistance, food stamps (SNAP), or college financial aid. Note on timing: For benefits received before September 18, 2026, USCIS will only consider public cash assistance for income maintenance and long-term institutionalization at government expense. For benefits received on or after September 18, 2026, the broader consideration of all listed means-tested benefits will apply. Public Charge Bonds If an officer determines that an applicant is inadmissible solely on public charge grounds, USCIS may issue a Notice of Intent to Deny that invites the applicant to post a public charge bond using Form I-945. If an invited applicant successfully posts the required cash or surety bond, USCIS may approve the application for permanent residence. Public charge bonds can only be submitted if explicitly invited by USCIS. Santos Lloyd Law Firm will continue to monitor immigration developments closely and provide updates as further implementation details are released. For more information, please access: https://www.uscis.gov/newsroom/alerts/uscis-issues-guidance-on-making-public-charge-inadmissibility-determination
By Kris Quadros-Ragar August 20, 2026
The Department of Homeland Security (DHS) is considering a regulatory proposal that would remove the discretionary 60-day grace period currently available to certain nonimmigrant visa holders (including H-1B, L-1, TN, E, and O-1) and their dependents. The draft rule is currently undergoing interagency review by the Office of Management and Budget (OMB) and has not yet been formally published for public feedback. What This Means Right Now Nothing changes today. The 60-day grace period remains in effect while this rule goes through the approval process. Under current rules, if your job ends early, you have up to 60 days (or until your I-94 expires) to leave the U.S., find a new sponsor, or apply to change status. What Could Change If approved, foreign workers who lose their jobs would no longer get automatic time to find a new employer or change status from within the U.S. They would generally be required to leave the country immediately. Next Steps Once the OMB finishes its initial review, the proposed rule will be published in the Federal Register, opening a public comment period of 30 to 60 days. Based on feedback received during this time, DHS may decide to alter, withdraw, or proceed with the proposal. If the government decides to finalize the rule, the entire process will likely take several months before taking effect. Santos Lloyd Law Firm will continue to monitor developments closely and will share updates on our immigration blog and social media pages as more details emerge.
By Joseph Lennarz July 17, 2026
Navigating the United States immigration system can be complicated and stressful, and maximizing your chances of a successful outcome can have a huge positive impact on your personal or professional life. While hiring an experienced immigration attorney is an excellent first step toward securing a positive outcome, it is vital to remember that legal representation is fundamentally a partnership. Your attorney is your advocate, but the strength and efficiency of your case rely heavily on the preparation, collaboration, and transparency you bring to the table. To help you maximize the value of your legal counsel and build a seamless, robust application package, here are five essential tips for making your partnership with an immigration attorney a genuine success. 1. Streamlining Translated Documents: The Value of Advance Preparation Submitting an immigration petition requires an extensive paper trail of supporting evidence. This often includes vital records such as birth certificates, marriage licenses, divorce decrees, police clearance certificates, or academic transcripts. A strict, non-negotiable rule enforced by USCIS is that any document used as supporting evidence that is written in a language other than English must be accompanied by a full and complete English translation. You can proactively save significant time and keep your legal process moving forward by arranging for these translations before sending documents to your attorney. However, you cannot simply translate them yourself or have a bilingual friend write it out. USCIS requires the translator to provide a formal, written attestation. While you don’t need to hire a professional translator, the certification must explicitly state that the translator is competent to translate from the foreign language into English and that the translation is accurate, true, and complete. Having these documents translated with proper written attestations beforehand allows your attorney to begin analyzing your evidence and compiling your packet immediately without administrative delays. 2. Understanding Legal Fees vs. USCIS Filing Fees Like any legal process, immigration law matters are expensive, and they involve two distinct types of cost- understanding these can help you to budget properly and avoid unnecessary friction or delays. When entering into a legal retainer agreement, it is crucial to recognize the operational difference between the legal fees charged by your law firm and the administrative filing fees mandated by the U.S. government:  Legal Fees: These fees are paid directly to your immigration attorney for their professional expertise, time, legal labor, and ongoing representation. This covers strategy formulation, document drafting, compilation of the legal brief, and managing communications with government agencies. A good attorney will be clear about how much things will cost, at what point you will need to pay them, and why the costs may vary for certain situations (such as expediting a case to meet a deadline). USCIS Fees: These are flat filing fees established by the U.S. government to process specific immigration forms. These fees are mandatory regardless of whether you hire an attorney, and they are generally non-refundable—meaning the government keeps the money even if your application is ultimately denied. It is also important to remember that these fees will be charged to your account shortly after your case is filed, so make sure you have the requisite amount available in your account to avoid your filing being rejected due to payment failure. Review your legal contract carefully to ensure you understand how both fee types are structured. Your attorney will explicitly instruct you on how and when government fees must be paid, which typically requires separate checks, money orders, or specific credit card authorization forms made out directly to the "U.S. Department of Homeland Security." 3. Submitting Your Documents Properly When preparing documents for your attorney, ensure that they are properly scanned using a scanner or a dedicated mobile scanning app. If you must take photos of a document using a smartphone, ensure the camera is perfectly level, the lighting is bright and even, and the image displays the entire document —including all four corners, edges, and margins. Blurry, skewed, or cropped images look unprofessional and raise immediate red flags regarding document alteration. Furthermore, pay absolute attention to signature requirements. While electronic signatures are standard in commercial business, USCIS enforces strict guidelines. Most immigration forms and critical supporting affidavits require an original "wet signature"—meaning you must physically sign the paper document with an ink pen before it is submitted or scanned. Digital fonts or unapproved electronic signatures can result in your entire application package being rejected and sent back, costing you valuable time and filing priorities. 4. Transparency is Key: Providing the Full Picture Your immigration attorney’s sole objective is to protect your interests, advocate for your legal status, and help you achieve your goals. However, an attorney cannot effectively defend you against risks they do not know exist. To ensure a successful outcome, you must provide your legal counsel with a complete, completely unvarnished picture of all relevant facts—both positive and negative—from your very first consultation. Clients are occasionally hesitant to disclose past complications, such as a prior visa denial, an unauthorized period of employment, an arrest or citation, or previous marriages. Concealing these facts from your attorney is incredibly risky. The U.S. government possesses expansive domestic and international databases and will uncover this information during background checks. If your attorney is blindsided by an undisclosed adverse fact mid-process, they cannot prepare a proactive legal defense, alternative strategy, or necessary waiver in advance. Remember that your disclosures are entirely protected by attorney-client privilege; your attorney is there to solve your problems, not to judge them! 5. Managing Expectations: Why Attorneys Cannot Guarantee Outcomes One of the most foundational elements of a healthy attorney-client relationship is alignment on expectations. It is critical to understand from the outset that an immigration attorney can never guarantee a successful outcome for your case. Whether you are applying for a family-sponsored green card, an employment-based visa, asylum, or naturalization, the ultimate authority to approve or deny a petition rests entirely within the discretion of U.S. Citizenship and Immigration Services (USCIS), Department of State consular officers, or immigration judges. Immigration law explicitly grants immense discretionary power to the government officials evaluating your case. An attorney’s role is to deeply analyze the law, construct a compelling legal narrative, meticulously organize your supporting evidence, and protect your rights from administrative overreach. However, because the final decision is entirely subject to agency discretion, any attorney who claims a "100% guaranteed approval" is acting unethically. Trust the counsel who gives you an honest assessment of your case's strengths and potential vulnerabilities, rather than empty promises. Conclusion: A Collaborative Approach to Success Achieving your immigration goals is a shared responsibility. Treat your application with the seriousness it deserves, work hand-in-hand with your legal counsel, and you will set yourself on the most reliable path to success. If you are ready to take action on your case and are seeking a competent, experienced, and trustworthy immigration attorney to work with you towards the outcome you are looking for, please contact us today and we will be ready to assist you.
Show More