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Refugee Medical Exam (RHA): How It Differs from the I-693

ICIMR Clinical Review Board
May 21, 2026
1min read
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Newly arrived refugees and asylees receive a Refugee Health Assessment (RHA) — a more comprehensive screening than the standard I-693, designed to catch conditions common in refugee populations.

What’s in the RHA but not the I-693

  • Hepatitis B and C screening
  • Intestinal parasites (stool ova and parasites)
  • Lead screening for children
  • Anemia screening
  • Dental and vision check
  • Vaccination catch-up to CDC schedule

When is the RHA done

Within 90 days of arrival in the US. State health departments coordinate scheduling through the resettlement agency.

Cost

Free — covered by federal Refugee Medical Assistance (RMA) or Medicaid in most states.

IC

Written by

IMR Clinical Review Board

The IMR Clinical Review Board is Immigration Medical's internal editorial team, responsible for keeping this site's general health-information content accurate and current with USCIS policy. Medical accuracy of this content is reviewed by Diana Nieves Castro, MD -- see our medical review process for details.

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