You will be interviewed, undergo a physical exam, and be given orders for lab tests and vaccinations. The purpose of the exam is to screen for diseases of public health significance diseases that can spread–and mental health disorders associated with harmful behavior. You are not required to undress for the exam.

You should bring your passport or other current government-issued photo ID, COVID card, all other vaccination records, tuberculosis (TB) tests and treatment records (if applicable). You do not need to bring an I-693 form. We prepare it for you as part of our concierge-style premium service.

Applicants infected with tuberculosis will incur a $200 surcharge and a chest x-ray fee of roughly $60. X-ray fees may be higher for small children. Pregnant ladies are not exempt from the x-ray requirement but may choose to delay their applications until they are no longer pregnant.

The immigration medical exam fee covers your interview, physical examination, basic laboratory tests, and preparation of the I-693 form.

In the absence of records, the United States will consider you to be completely unvaccinated, regardless of your memory of having had vaccinations or diseases and regardless of your country of origin and its policy concerning vaccinations. The specific vaccinations you need will depend mostly on your age. The Civil Surgeon will advise you on what vaccinations you need at the time of your appointment. Do not obtain any new vaccinations before your appointment–doing so can cause delays. Complete COVID-19 vaccination is mandatory if you are eligible by age. In the “flu” season, Influenza vaccination is also mandatory. Immune titers may be used in lieu of certain vaccinations, but the titers must be ordered by our Civil Surgeon.

Form I-693 is used to notify US Citizenship and Immigration Services (USCIS) of the findings of an immigration medical examination. Follow this link to Form I-693 – https://www.uscis.gov/sites/default/files/document/forms/i-693.pdf

An immigration medical exam usually takes 30 to 60 minutes at the office plus additional time at the laboratory and for obtaining vaccinations. Results are usually ready in about a week.

The Cash Fee is $495, and Credit Card Fee is $520 Per Applicant covers the cost of your exam and labs. We offer a $25 discount for cash. Health insurance generally covers the cost of vaccinations.

Form I-693 is used by a uniformed public health officer or United States Civil Surgeon to report the findings of the medical examination and vaccination record of an applicant for a change in immigration status.

In general, the I-693 report is valid for two years after the date that it is started.

Yes, but you will receive a Request For Evidence (RFE) to produce an I-693 at a later date.

Yes, but it is usually best to submit it at the same time as the rest of your immigration package.