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I am pregnant (or possibly pregnant) and I have a positive initial screening result. Do I still need a chest x-ray or will USCIS accept Form I-693 without an x-ray?
USCIS will not accept a Form I-693 not completed in accordance with the Technical Instructions for the Examination of Aliens in the United States (Technical Instructions), including the TB Component of the Technical Instructions for the Examination of Aliens in the United States (May 2008), and its update.
If you are pregnant (or possibly pregnant) and your initial TB test reveals that you are infected with TB, you are required to undergo a chest x-ray, in accordance with the TB Component of the Technical Instructions for the Medical Examination of Aliens in the United States (May 2008) and its update. However, you may choose to defer the chest x-ray until later in pregnancy or after delivery but the civil surgeon cannot sign the medical examination form until the radiograph is performed and interpreted, and treatment of Class A pulmonary TB disease, if needed, is completed. Therefore, if you choose to defer the chest x-ray, the civil surgeon cannot sign the Form I-693.