VAWA Self-Petition Overview

The Violence Against Women Act (VAWA) allows certain abused spouses, children, and parents of U.S. citizens or lawful permanent residents to self-petition for immigration benefits without the knowledge or cooperation of the abusive family member. VAWA self-petitions are filed on Form I-360.

Once a VAWA self-petition is approved and a visa number is available, the self-petitioner can file Form I-485 to adjust status to permanent residence. VAWA cases are handled with strict confidentiality by USCIS.

Medical Exam Requirement for VAWA I-485

VAWA self-petitioners who file Form I-485 must complete an immigration medical examination with a USCIS-designated civil surgeon and submit Form I-693. The medical exam requirement applies to VAWA applicants just as it does to all other I-485 applicants.

The civil surgeon is bound by HIPAA and professional confidentiality obligations. They will not share your medical information with anyone other than USCIS, and they will not ask about the details of your VAWA case.

Confidentiality Protections During the Exam

USCIS has strict confidentiality protections for VAWA cases. The civil surgeon does not need to know that you are a VAWA self-petitioner. You can simply tell the civil surgeon that you are filing Form I-485 — you do not need to disclose the basis of your application.

The civil surgeon's office is bound by HIPAA privacy rules. Your medical information will not be shared with your abuser or anyone else without your consent, except as required by law.

What the Exam Covers

The immigration medical exam for VAWA self-petitioners covers the same components as for any other I-485 applicant: a complete physical examination, tuberculosis testing, required laboratory tests, and a vaccination review.

If you have injuries or physical conditions related to abuse, you are not required to disclose the cause to the civil surgeon. The civil surgeon will document observable medical findings on Form I-693 as required, but you control what information you share about the circumstances.

Safety Planning and the Exam Appointment

If you are concerned about your safety when traveling to the exam appointment, consider bringing a trusted friend, family member, or advocate with you. You can also ask the civil surgeon's office about their privacy practices before scheduling.

If you need help with safety planning or have concerns about attending the exam, contact a domestic violence hotline or local shelter for assistance. The National Domestic Violence Hotline is available at 1-800-799-7233.

Resources for VAWA Applicants

VAWA applicants can access free or low-cost legal assistance through legal aid organizations, domestic violence organizations, and immigration legal services providers. Many organizations specialize in VAWA cases and can help you navigate the immigration process safely and confidentially.