Post-arrival Medical Screening
CDC recommends that refugees receive a post-arrival medical screening (domestic medical examination) within 30 days of arrival in the United States. The Department of Health and Human Services’ Office of Refugee Resettlement (ORR) supports medical screening for those who have been granted refugee status. The purpose of these comprehensive examinations is to identify conditions for which refugees may not have been screened during their overseas medical examinations and to introduce refugees to the U.S. healthcare system. CDC provides guidelines and recommendations for the domestic medical examination of newly arrived refugees. State refugee health programs determine who conducts the examinations within their jurisdictions. Screening examinations may be performed by health department personnel, private physicians, or federally qualified health centers. Most state health departments collect data from the domestic screening.