The fastest I-693 exams have one thing in common: the patient walks in with the right documents. Complete records mean fewer extra vaccines, fewer return visits and a signed form sooner. Use this checklist before your appointment.
1. Government photo ID
Bring a passport (preferred) or a U.S. driver’s license or state ID. The name on your ID should match the name on your immigration application. Children need their own ID or passport.
2. Every vaccination record you have
This is the single biggest time-saver. Bring all of them — childhood vaccine cards, school records, records from your home country, pharmacy printouts — in any language. The civil surgeon compares them with the CDC vaccine list for your age and only gives you what is missing.
- Records should show your name, date of birth, the vaccine and the date given.
- Lost your records? Ask about titer blood tests for varicella, MMR and hepatitis B — they can prove protection instead of repeating shots.
3. Your USCIS details
If you have them, bring your A-Number and any USCIS receipt notice. Since December 2, 2024, USCIS requires the signed Form I-693 to be filed with your Form I-485, so most patients complete the exam before filing.
4. Your medical history
- A list of current medications and doses.
- Records of chronic conditions you are being treated for.
- If you were ever treated for tuberculosis or had a positive TB test or abnormal chest X-ray, bring those records — they can save time.
- Glasses or contact lenses if you wear them.
5. Form I-693 — what to do in advance
The civil surgeon completes the medical sections and seals the form. You can download the current edition (01/20/25) from uscis.gov and fill in your personal information ahead of time, but wait to sign it until you are at the clinic, so the doctor can witness your signature.
6. Payment
The exam is a fixed price of $375, including the physical exam and the required labs. Pay by card (a 3.5% transaction fee applies) or by Zelle with no fee. Insurance is not accepted for immigration exams; vaccines and titers are extra — call the office for prices.
Quick checklist
- Passport or photo ID
- All vaccination records (any country, any language)
- A-Number / USCIS receipt notice, if you have one
- Medication list and relevant medical records
- Glasses or contacts
- Payment (card or Zelle)
Ready? Book your exam online at our Villa Park or Des Plaines clinic. Coming from out of town? See our One-Visit option.
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.
