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.

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Angelica Rice

By Josephine Franz May 22, 2026
In the span of about five weeks, U.S. visa policy changed in ways that affect close to 100 countries. A Presidential Proclamation issued on December 16, 2025, expanded an earlier travel ban to cover 39 countries effective January 1, 2026. Two weeks later, the Department of State announced a separate administrative pause on immigrant visa issuance for nationals of 75 countries, effective January 21, 2026. The two policies overlap in places, diverge in others, and together create one of the broadest restrictions on U.S. visa issuance in recent memory. For applicants and employers trying to make sense of the news, the most important point is this: the rules differ depending on (a) which country the applicant is from, (b) which visa category they are seeking, and (c) where they were on January 1, 2026. Below is a practical guide to what is in place, what is still available, and what to do next. Two Distinct Policies, One Confused Headline What the press has often called "the visa freeze" is actually two separate policies, with different legal foundations and different scopes. Presidential Proclamation 10998 the 39-country travel ban. Signed December 16, 2025, and effective January 1, 2026, this proclamation supersedes and expands the June 2025 travel ban. It invokes INA §§ 212(f) and 215(a) the same legal authority that the Supreme Court upheld in Trump v. Hawaii (2018) — and divides affected countries into two tiers. The State Department's 75-country immigrant visa pause. Announced on January 14, 2026, and effective January 21, 2026, this is an internal Department of State policy, not a presidential proclamation. It freezes immigrant visa issuance for nationals of 75 countries on a stated rationale of public charge concerns. It has been challenged in court (CLINIC v. U.S. Department of State, S.D.N.Y., filed February 2, 2026) on grounds including the INA's prohibition on nationality-based discrimination in immigrant visa issuance. Because the policies operate independently, an applicant from a country that appears on both lists faces overlapping restrictions, while an applicant from a country on only one list faces a narrower set. Tier 1: Full Suspension Under Proclamation 10998 (19 Countries) Nationals of these 19 countries are subject to a full suspension of both immigrant and nonimmigrant visa issuance: Afghanistan, Burma, Burkina Faso, Chad, Republic of the Congo, Equatorial Guinea, Eritrea, Haiti, Iran, Laos, Libya, Mali, Niger, Sierra Leone, Somalia, South Sudan, Sudan, Syria, and Yemen. The proclamation also applies to individuals traveling on documents issued or endorsed by the Palestinian Authority. For applicants in this tier, no tourist, student, work, or immigrant visas will generally be issued, subject to a narrow set of exceptions discussed below. Tier 2: Partial Suspension Under Proclamation 10998 (19 Countries + Turkmenistan) Nationals of these 19 countries are subject to a partial suspension: Angola, Antigua and Barbuda, Benin, Burundi, Côte d'Ivoire, Cuba, Dominica, Gabon, The Gambia, Malawi, Mauritania, Nigeria, Senegal, Tanzania, Togo, Tonga, Venezuela, Zambia, and Zimbabwe. For these countries, the proclamation suspends: All immigrant visas, and B-1/B-2 visitor visas, F and M student visas, and J exchange visitor visas. Critically, employment-based and other nonimmigrant categories including H, L, O, P, and R visas remain available to nationals of these countries, although consular officers are directed to reduce the validity period of any such visa to the minimum extent permitted by law. For our firm's many clients in the entertainment, sports, and business immigration space, this distinction is often the difference between a paused career and a viable plan. Turkmenistan occupies a unique position: under the December proclamation, only immigrant visa issuance is suspended; nonimmigrant categories remain available. The Separate State Department Pause (75 Countries) The January 21, 2026 State Department policy paused issuance of immigrant visas only to nationals of 75 countries. The list is broader than the Proclamation 10998 list and notably includes countries with significant client populations for our firm, such as Brazil, Colombia, Egypt, Guatemala, Lebanon, Morocco, Nicaragua, Pakistan, and many others. Two practical points are essential: The pause is limited to immigrant visas. Nonimmigrant visas including B-1/B-2, F-1, J-1, H, L, O, P, and R are not affected by this policy. A Brazilian artist seeking an O-1, a Colombian executive seeking an L-1, or a Lebanese professional seeking an H-1B can generally continue to apply. The policy is being challenged in court. Plaintiffs in CLINIC v. State Department argue that the freeze violates INA § 1152's prohibition on nationality-based discrimination in immigrant visa issuance, the Administrative Procedure Act, and the Fifth Amendment. The outcome is not predictable, and applicants should not delay strategic planning while awaiting a ruling. Who Is Exempt or Otherwise Unaffected Several categories of individuals are not covered by Proclamation 10998, even where their country of nationality appears on the list: Lawful permanent residents of the United States. Green card holders may continue to travel and re-enter, though re-entry can still involve closer secondary inspection. Individuals physically present in the United States on January 1, 2026. The proclamation applies only to those who were outside the U.S. and without a valid visa as of the effective date. Holders of valid visas issued before January 1, 2026. No visa issued before the effective date has been or will be revoked under the proclamation. These visas may continue to be used for travel. Dual nationals who can apply on the passport of a country not subject to the suspension. A, G, and NATO visa holders , certain Special Immigrant Visa applicants, and limited national interest exceptions, including for specific adoption-related cases. It is worth emphasizing that exemption from the entry ban is not the same as exemption from related USCIS processing holds. Some lawful permanent residents from affected countries have nonetheless experienced delays on naturalization (N-400) and family petition (I-130) processing under separate administrative directives. What Applicants Should Do Now Given how rapidly the rules are changing and how case-specific the consequences are, we are advising clients to take the following steps: Identify which list (or lists) applies to you. A national of Iran or Syria faces fundamentally different exposure than a national of Brazil or Colombia, even though both may have heard "visa freeze" in the news. Look at categories, not just countries. For Tier 2 countries and the 75-country pause, employment-based nonimmigrant categories remain a viable path. Many of the O-1, P-1, H-1B, L-1, and EB-1A pathways our firm regularly handles are unaffected by the immigrant-visa freeze. Consider where you are physically located. Applicants currently in the United States have planning options that applicants abroad may not. Departing the country at the wrong moment can convert an inconvenience into a years-long problem. Do not assume current valid visas remain a guarantee of admission. While valid visas are not being revoked, port-of-entry scrutiny has increased, and discretionary admission decisions are ultimately made by Customs and Border Protection. Seek counsel before international travel if you are from any affected country, hold any form of conditional or pending status, or have any concerns about prior immigration history. When to Consult an Attorney The combination of the Proclamation 10998 travel ban, the 75-country immigrant visa pause, ongoing litigation, and the additional USCIS holds on certain benefit applications has produced a landscape where the right answer is rarely obvious from the news alone. Speaking with counsel is especially important when: Your country appears on either list, and you have a pending or planned visa application. You are weighing whether to leave the United States for a consular interview. You are an employer with a foreign national workforce and need to understand which categories remain viable. You are a dual national considering which passport to use. You hold a valid visa from before January 1, 2026, and are uncertain whether to travel. At Santos Lloyd Law Firm, we represent clients from across the affected country lists including substantial numbers in entertainment, sports, business, and family immigration and we are actively monitoring both the litigation and the State Department's evolving guidance. If you have questions about how the current restrictions apply to your case or your company, our attorneys are available to help you build a plan.
By Kris Quadros-Ragar May 14, 2026
Holding a U.S. visa does not guarantee permanent entry. The Department of State can cancel a visa after it is issued through a process called “prudential visa revocation.” These revocations have surged throughout 2025 and 2026. This increase is a direct result of enhanced vetting and increased data sharing between government agencies. Through the Continuous Vetting Center, law enforcement and immigration databases are now cross-referenced in real time, allowing officials to flag and revoke visas the moment new information surfaces or updated information is received, such as a past criminal arrest or a security alert. What is Prudential Visa Revocation? A prudential revocation is a precautionary cancellation. It happens when new information suggests a traveler might be ineligible for a visa or could pose a safety concern. A revocation cancels your visa, but it does not automatically end your status if you are already inside the U.S. and following the rules of your stay. Common triggers include: Criminal Arrests (DUI/DWI): Even a previous incident or single arrest without a conviction can trigger an immediate revocation. Security Alerts: New hits on watchlists or intelligence databases. Loss of Eligibility: Such as losing a job or failing to maintain student status. Fraud: Discovery of errors or lies on previous applications. The DOS usually notifies individuals via the email address listed on their DS-160 application. However, many travelers reportedly only discover the revocation when they are denied boarding at the airport. If your visa is revoked while you are in the U.S., you can typically remain in the country until the date on your Form I-94 expires, provided you continue to follow all terms of your stay. However, you should avoid international travel until you consult with legal counsel, as leaving the U.S. will require you to apply for a brand-new visa to re-enter. This application process may involve extra scrutiny, such as medical evaluations or supplemental documentation - especially if the revocation was triggered by a DUI or DWI. If your visa has been revoked and you need to discuss your legal options, please contact Santos Lloyd Law Firm for guidance.
By Rabia Elhage May 7, 2026
U.S. Citizenship and Immigration Services (USCIS) has recently updated its protocols regarding the screening and vetting of immigration benefit applications. These changes involve a more detailed review process that may impact processing times and evidence requirements for various categories of benefits. Key Changes to the Adjudication Process The updated guidance outlines several shifts in how USCIS processes and reviews applications: Adjustment of EAD Validity Periods: For certain categories, the validity periods of Employment Authorization Documents (EADs) may be shortened. This can result in more frequent eligibility reviews throughout the application process. Expanded Use of Social Media and Financial Data: Adjudicators have been granted broader authority to review an applicant’s social media activity and financial history during the vetting process. Policy Updates on Biometric Verification: The agency is revising its approach to biometric identity verification, including the reuse of fingerprints and photographs. Country-Specific Scrutiny: USCIS is coordinating with the Department of State to apply specific analysis to applications based on regional risk factors and fraud indicators. Impact on Interviews and Processing Applicants for adjustment of status, naturalization, and other benefits may encounter more focused questioning during interviews. USCIS is now tailoring its interview process to address potential red flags associated with specific geographic regions or benefit categories. Because of this increased scrutiny, it is essential that all information provided in an application is consistent with an applicant's public record and digital footprint. Discrepancies or incomplete documentation can result in delays or additional requests for evidence. Next Steps As these procedures are implemented, applicants should ensure that all submitted materials are accurate and verifiable. We recommend a thorough review of all public information and documentation prior to filing. If you have questions regarding how these procedural changes may affect your specific case, our team is available to discuss the current requirements and help navigate the updated process.
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