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The green card process can be daunting, especially when it comes to the medical exam. If you’re anxious about your past decision, like smoking weed, affecting your future, take a moment to breathe. You’re not alone in having these worries.

For one applicant, a burning question about the required medical exam sparked anxiety: “Will a past history of smoking weed affect my chances?”

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The applicant, whose spouse is petitioning for their permanent residency through an I-130 and I-485 application, quit smoking marijuana three weeks ago to prepare for the process. His concern? THC, the compound found in cannabis, can linger in the body for weeks or even months, raising fears of a potential drug test that could derail his $3,000 application.

So, Does the Green card medical exam include a drug test?

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Here’s the clarity: For the I-485 Adjustment of Status, the exam is designed to ensure you meet health-related requirements that protect public safety. It includes:

A review of your medical history
Evaluations of your physical and mental health
Proof of vaccinations

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The good news is that a routine drug test is usually not required. Doctors primarily focus on any history of substance abuse or addiction. Casual or recreational marijuana use in the past typically doesn’t raise any concerns.

Does THC in Your System matter?

THC can linger in your body for weeks, but it you quit recently(like three weeks ago), it shows your commitment to change. Civil surgeons are not there to penalize you; they want to ensure that there are no ongoing issues that could impact your health or your ability to live in the U.S. If you’ve stopped smoking and show no signs of dependency, you should be in good shape.

You can still more forward without the stress. Transparency is the key. According to immigration professionals, being upfront past use shows responsibility Many applicants in similar situations have successfully navigated this step by quitting before the exam and even being prepared with an explanation if questioned about their history.




If you’ve done all of this, you’ve already made significant progress – quitting smoking, working towards a CDL license, and preparing for this process. Trust that your efforts are important. If you still feel uncertain, talking to an immigration lawyer can help will definitely help ease your mind.