Short answer: the appointment itself usually takes 30–60 minutes, and most patients have their signed, sealed Form I-693 within a few business days, once lab results are back and vaccine requirements are met.
The typical timeline
- Book online — same-day appointments are often available at our Villa Park and Des Plaines clinics.
- Exam day (30–60 minutes) — history and record review, physical exam, TB QuantiFERON blood draw, the STD tests required for your age, and any vaccines you are missing.
- Lab results (usually a few business days) — the TB and STD blood tests are processed by the lab.
- Form signed and sealed — the civil surgeon completes Form I-693 and we call you to pick it up.
Patients tell us the same thing in their Google reviews — one wrote that they came in on a Monday, were told results would be ready Wednesday, and picked up their form that Wednesday.
What can make it take longer
- Missing vaccination records — you may need a vaccine or an immunity (titer) test, which adds lab time.
- A positive TB blood test — the CDC then requires a chest X-ray and evaluation before the form can be signed.
- Other abnormal results — some findings need follow-up before the civil surgeon can certify the form.
How to get your I-693 faster
- Bring every vaccination record you have, in any language.
- Book early: since December 2, 2024 the signed I-693 must be filed together with your I-485.
- Tell us your deadline when you book — we will give you a realistic completion date at the visit.
- Coming from far away? Our One-Visit option reviews your records by phone first, so you only travel once.
How long is the I-693 valid?
A form signed on or after November 1, 2023 is valid only for the application it is filed with, for as long as that application is pending. The old 60-day signing rule no longer applies. See our FAQ for details.
Book your exam — a fixed $375 with the TB and STD tests included.
General information, not medical or legal advice. Your civil surgeon decides what applies to you; for case questions, ask your attorney or see uscis.gov/i-693.
