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).

⁴ 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.

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Angelica Rice

Navigating the Surge in Temporary Protected Status (TPS) Terminations and Litigation: What You Need to Know

By Juliana LaMendola • February 19, 2026
In recent weeks, the U.S. government has moved to terminate Temporary Protected Status (TPS) for multiple countries, sparking a wave of last-minute litigation and creating significant uncertainty for beneficiaries. This shift is having a profound impact on those who rely on TPS for lawful presence and work authorization in the United States. Across the country, federal courts have intervened to pause or block scheduled TPS terminations for several countries, including Burma (Myanmar), Ethiopia, Haiti, South Sudan, and Syria. In response to these court orders, USCIS has updated its webpages to indicate that TPS status and related Employment Authorization Documents (EADs) are extended for these populations. However, USCIS is intentionally not providing specific new end dates for EAD validity while the litigation remains in flux. The Department of Homeland Security (DHS) has prominently noted that it "vehemently disagrees" with these court orders and is actively working with the Department of Justice on next steps. This legal landscape remains highly unpredictable and varies drastically depending on the country of origin. For example, on February 9, 2026, the 9th Circuit Court of Appeals granted a stay allowing the government to proceed with the termination of TPS for Nicaragua, Honduras, and Nepal while the underlying legal challenges continue. Because of this ruling, the automatic extension of work authorization for these individuals has ended, and employers are now required to reverify the work authorization of affected employees, who must present alternative valid documentation to continue their employment. These rapid changes and the lack of clear end dates are causing complications beyond the workplace. Because driver's licenses often track the length of an individual's authorized stay, many DMVs are currently declining to issue or renew driver's licenses for impacted TPS populations. For employers, managing internal communications, avoiding onboarding errors, and navigating Form I-9 compliance has become increasingly complex. It is more important than ever to be well-prepared and proactive in monitoring these rapid changes. At Santos Lloyd Law Firm, P.C., our immigration attorneys are ready to guide you through this evolving process and ensure you are informed, and supported. Please contact us if you have questions or need assistance.

USCIS Changes H-1B Lottery to Wage-Based Selection

By Kris Quadros-Ragar • January 15, 2026
U.S. Citizenship and Immigration Services (USCIS) has announced a major change to the H-1B cap selection process. Under a final rule issued on December 29, 2025, USCIS will replace the long-standing random H-1B lottery with a wage-weighted selection system that favors higher-paid and more complex positions. The rule is scheduled to take effect on February 27, 2026 , just ahead of the fiscal year 2027 H-1B cap registration season, unless delayed by legal challenges. If implemented, USCIS is expected to release additional guidance explaining how employers must submit registrations under the revised process. This change marks one of the most significant reforms to the H-1B program in recent years. Up until 2025, all registrations were treated equally once the annual cap was reached. Under the new system, selection odds will be tied to wage levels based on the U.S. Department of Labor’s Occupational Employment and Wage Statistics data. All H-1B registrations will still be placed into a single selection pool, but registrations tied to higher wage levels will receive multiple entries into that pool, increasing their likelihood of selection. Lower wage levels will receive fewer entries, making selection less likely but not impossible. H-1B wage levels are not determined solely by salary. Each wage level reflects the complexity of the job, the level of responsibility involved, and the education and experience required . Entry-level positions involving routine duties and close supervision are generally classified at the lowest wage level, while positions requiring independent judgment, advanced skills, and significant responsibility fall into higher wage levels. The highest wage level is reserved for roles that involve expert knowledge, strategic decision-making, and substantial leadership or technical authority. USCIS is expected to closely scrutinize selected petitions to ensure that the wage level claimed during registration is supported by the job duties and salary offered in the petition. Any discrepancies between the registration and the petition may result in requests for evidence, denials, or enforcement action. With the elimination of the purely random lottery, employers should begin preparing early by carefully evaluating job descriptions, wage levels, and overall H-1B strategy. Accurate classification and thoughtful planning will be essential under this new wage-based selection system. If you are an employer considering H-1B sponsorship, or a foreign professional wondering whether your position may qualify under the new wage-based system, consulting with experienced immigration counsel is more important than ever. Santos Lloyd Law is actively advising clients on H-1B cap registrations and strategy under the new rules. To discuss your options or determine whether you may qualify, contact our office to schedule a consultation.

Increase in issuance of EB-1A RFEs

By April Perez • January 9, 2026
During the recent administration there has been an increase in issuance of Requests for Evidence for EB-1A petitions for those of Extraordinary Ability. A Request for Evidence is a request that is made by USCIS that should explain how the evidence is deficient in proving the criteria argued and what additional evidence needs to be provided by the applicant to meet the criteria. EB-1A petitions are already normally subject to higher scrutiny because their approval is the first step needed to apply for Lawful Permanent Residence or a green card. USCIS normally requires not just evidence but that the evidence be provided with context and information to show why it matters in a particular field. For example, if you were providing evidence of your membership in an organization that requires outstanding achievements of its members, just providing evidence of the membership is not enough. You must explain what that membership is and provide background information on the organization granting the membership. You also need to provide evidence on the criteria that is used to select the members, information on those who select the members to show that they are recognized experts, other documentation such as articles about the membership organization to show its importance, and any other relevant evidence and background information to show that the criteria is met. A request for evidence being issued prior to the current administration was not uncommon, but in the current climate it is more surprising to not receive a request for evidence for this type of case. It is important to remember that a request for evidence is not a denial. Depending on the validity of the information in the request and the substance some Requests for Evidence can be overcome, and the case be approved. It is important to carefully review the request and note if there are any errors in the content and application of the regulations by USCIS. If you have an attorney, you should work with them and make sure that you provide any evidence you think may be helpful. Although there is a deadline by which a response must be submitted, attention to detail and patience will go a long way when dealing with having to respond to a request for evidence.  If you believe you may qualify for this type of visa, please feel free to contact our office.
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