Immigration medical exam questions, answered

A fixed price of $375. That includes the physical exam and the required labs (TB QuantiFERON blood test and STD tests), your vaccination record review and the completed, sealed Form I-693. Vaccines and titer tests are extra — please call the office for prices.

No. Immigration exams are paid out of pocket. If your insurance covers vaccines, you can get them at a pharmacy such as CVS or Walgreens and bring the proof to your exam.

Yes. Card payments carry a 3.5% transaction fee. It is shown as a separate line before you pay (for example, $375 + $13.13 = $388.13). Paying by Zelle has no fee.

Yes, with no fee. Open your banking app, choose Zelle and send the payment to the clinic email shown on our Payments page. Put your full name and appointment date in the memo, then use the form on that page to let us know you have paid.

Form I-693, the Report of Immigration Medical Examination and Vaccination Record, is the USCIS form that shows you meet the health requirements for a green card. Only a USCIS-designated civil surgeon can complete and sign it.

Yes. Since December 2, 2024, USCIS requires the signed Form I-693 to be submitted with Form I-485; an I-485 filed without it may be rejected. Some refugees, derivative asylees, K-visa entrants and certain Afghan nationals who had an overseas exam may submit only part of the form. Schedule your exam early enough to have the signed form before you file.

A Form I-693 signed by the civil surgeon on or after November 1, 2023 is valid only for the application it is submitted with, for as long as that application is pending. If that application is withdrawn or denied, you need a new exam for any new filing. The old rule that the doctor must sign within 60 days of your filing no longer applies. USCIS can still ask for an updated exam if your health may have changed.

For forms signed on or after July 3, 2025, USCIS accepts only the 01/20/25 edition. We always use the current edition.

If you file on paper, do not open it — USCIS may treat an opened or altered envelope as tampering and send a Request for Evidence. If you file your I-485 online, follow the USCIS online-filing instructions for uploading the form. We give you a copy for your own records.

A licensed physician designated by USCIS to perform immigration medical exams in the United States. Our civil surgeons are Dr. Mohammed Samiruddin, MD and Dr. Soha Sattar, MD. You can confirm any civil surgeon on the USCIS “Find a Civil Surgeon” locator.

The visit usually takes 30–60 minutes. Your form is signed once your lab results are back and all vaccine requirements are met — usually within a few business days. If you need extra vaccines or a chest X-ray it can take longer; we will tell you your expected date at the visit.

Yes, at both clinics when slots are available. The online scheduler always shows the earliest real opening. You can also call or text us to ask.

A passport or government photo ID, every vaccination record you have (any language), your USCIS A-Number or receipt notice if you have one, a list of your medications, and your glasses or contacts. Bring your payment by card or Zelle.

A positive QuantiFERON does not automatically mean you are sick. The CDC requires a chest X-ray and evaluation before the civil surgeon can complete your form; we will explain the next steps and the cost.

Yes. Everyone needs their own Form I-693. Book one appointment per person — the scheduler lets you choose a quantity — and bring each person’s ID and records. Children aged 2 and older have the TB blood test.

It depends on your age and history. The CDC list includes MMR, Tdap/Td, polio, varicella, hepatitis A and B, meningococcal, and — for certain ages — pneumococcal, Hib and rotavirus, plus the flu vaccine during flu season (October 1 – March 31). The civil surgeon tells you exactly which, if any, you still need.

No. The CDC removed the COVID-19 vaccine requirement for immigration medical exams effective January 22, 2025.

We can check your immunity with a titer blood test for varicella (chickenpox), MMR (measles, mumps, rubella) and hepatitis B. If the test shows you are immune, you do not need those vaccines again. For other vaccines without a record, the vaccine is given. Titers are priced separately — call the office for prices.

Patients coming from other cities or states who want to travel to the clinic only once. You start with a paid phone consultation, finish missing vaccines or labs near home, and come in once for the physical.

The One-Visit option is $475. You pay it upfront online to begin the process; it covers your phone consultation and the in-person physical with the required labs. Vaccines or labs you get near home are paid to that facility. Card payments carry a 3.5% fee; Zelle has no fee.

At any facility near you — a pharmacy, your doctor’s office or a local lab. On the call our civil surgeon tells you exactly what to get and what the paperwork must show. Send us the records and we confirm they are acceptable before you book your in-person visit.

Your form is signed once every requirement is met. Because your records are reviewed before you travel, the in-person visit is focused on the physical and any tests that must be done by us; we tell you on the phone call whether anything will still be pending after your visit.