Question 1

What is a USCIS Form I-693 and what does your Immigration Medical Exam include?

Accepted Answer

It’s the medical exam required by USCIS for the green card application. We complete the exam, review your medical history and vaccine history, coordinate required tests/labs (based on USCIS/CDC rules), and prepare your I-693 paperwork for submission, including a sealed packet with the I-693 and required documentation.

Question 2

Who is this exam for?

Accepted Answer

People completing an immigration medical requirement for Adjustment of Status (Green Card) and other USCIS processes that require Form I-693.

Question 3

What should I bring to avoid delays?

Accepted Answer

Bring a government photo ID and any vaccination records from the US or your home country. If you have health issues, bring doctor letters/clearance notes and any relevant records (labs/imaging, TB treatment history, etc.).

Question 4

What happens at the appointment?

Accepted Answer

We review your history, perform the required physical exam, then determine what vaccines/tests you need based on your age and your medical history.

Question 5

Do you do blood tests and other required labs?

Accepted Answer

Yes—required tests/labs vary by age and medical history, and we coordinate what you need as part of the I-693 process

Question 6

Do I have to get vaccines with you?

Accepted Answer

Not necessarily. We’ll review your records and tell you what’s required. If you’re missing vaccines, you can get them with us or elsewhere. However, many patients prefer doing them here because it’s convenient and we can document everything correctly on the I-693 to help avoid delays.

Question 7

I don’t have vaccine records—what can I do?

Accepted Answer

Bring whatever you have. Depending on the situation, you may be able to repeat certain vaccines safely or use immunity blood tests (titers) for some vaccines.

Question 8

Will I receive my I-693 in a sealed envelope?

Accepted Answer

Yes. We provide the required documentation, including a sealed packet. Do not open any sealed documents—USCIS can reject it if opened.

Question 9

Can I get a copy for my records/attorney?

Accepted Answer

Yes, we can provide a printed or digital copy for your personal records (the sealed original is for USCIS).

Question 10

How many visits will I need?

Accepted Answer

Most people need two visits, to conduct the physical exam and sign and receive the I-693 Form. However, if you contact us beforehand to receive the blood test referral, you can come to the office only once.

Question 11

What if I have TB history or other medical conditions (diabetes, high blood pressure, etc.)?

Accepted Answer

Bring any documentation you have (treatment records, chest X-ray reports, physician notes, medication list, and recent clinician notes/clearance letters). This helps us complete your exam faster and avoid delays. If you have a positive TB test, we will refer you for a chest X-ray and document the results as required.

Question 12

How soon should I schedule my exam?

Accepted Answer

If you have a USCIS deadline or RFE, book as soon as possible. If you don’t have vaccine records or have complex medical history, earlier is better.

Question 13

If I’m unsure whether I need the exam now, can you help me confirm?

Accepted Answer

Yes—call us and we’ll help you confirm when you should book.

Question 14

Yes—call us and we’ll help you confirm when you should book.

Accepted Answer

Most patients receive the completed I-693 within 2–5 business days. Timing can vary based on appointment availability, your vaccination records, and when lab results are finalized.

Question 15

Do you accept insurance for the immigration medical exam?

Accepted Answer

In most cases, insurance does not cover immigration medical exams or I-693 paperwork, so this service is typically self-pay. However, we can provide an itemized invoice that you can submit to your insurance plan—some plans may reimburse part of the cost depending on your coverage.

Question 16

What languages do you speak, and is an interpreter available?

Accepted Answer

We speak English, Spanish, Ukrainian, and Russian. If you need another language, you’re welcome to bring your own interpreter.

Question 17

What is the doctor’s gender?

Accepted Answer

The examining doctor is female.

Question 18

Can I bring medical or vaccine records from my home country, and do they need to be translated?

Accepted Answer

We accept medical and vaccination records from all countries. Translation is usually not required. If anything is unclear, we’ll review it with you during the visit.

Question 19

I’m sure I had vaccines, but my records are lost—what should I do?

Accepted Answer

There are usually two options: repeat certain vaccines, or do immunity blood tests (titers) for some vaccines. The doctor will advise the best option based on your age, history, and current USCIS requirements.

Question 20

If I get vaccines at your clinic, can you request my vaccination history for me?

Accepted Answer

No—please bring any vaccination records you have with you. We can document what you provide and guide you on what’s still needed.

Question 21

How many vaccines can I get in one visit, and is it safe to do them all at once?

Accepted Answer

This can be discussed with the doctor during your appointment. In general, it’s often safe to receive multiple vaccines at once, but it depends on your medical history and which vaccines are required.

Question 22

What if I’m pregnant or can’t receive certain vaccines (medical exemption/contraindication)?

Accepted Answer

If you are pregnant or have a medical contraindication to a vaccine, you may be exempt from certain vaccines. The doctor will document this appropriately on the I-693 according to USCIS/CDC requirements, and will review the safest plan with you during the appointment.

Question 23

Is a drug test required for the I-693 exam?

Accepted Answer

No. A drug test is not required as part of the I-693 medical exam.

Question 24

Can my elderly parent come once, and I pick up the sealed form later without them?

Accepted Answer

Yes—in most cases, we can arrange for the patient to come for the exam once, and a family member can pick up the sealed packet later. Please let us know in advance.

Question 25

Does the I-693 form expire?

Accepted Answer

In general, the sealed I-693 does not have a fixed expiration date, but USCIS policies can change.

Question 26

What happens if USCIS does not accept the form?

Accepted Answer

It’s uncommon, but if USCIS requests corrections due to an error, we will correct and reissue the form at no additional charge.

Question 27

I’m changing my last name—what documents should I bring?

Accepted Answer

If you’re in the process of a name change, bring the documents you currently have (ID, passport, legal name change documents if available). If you have an attorney, it’s best to confirm with them how your application should be filed.

Question 28

I’m in the process of gender transition—what documents should I bring, and will anything be reflected on the form?

Accepted Answer

Bring the documents you currently have, and we will complete the form based on the information you provide and the identifiers you indicate. If you have an attorney, we recommend confirming what to use for your USCIS filing.

Question 29

We’re a family/group—do you offer a discount?

Accepted Answer

Group pricing is considered case-by-case. Please ask when booking, and we can check with the manager.

Question 30

How much does the USCIS Immigration Medical Exam (Form I-693) cost?

Accepted Answer

Pricing depends on age because USCIS-required lab testing varies. The physical exam fee is $285 (plus labs and vaccines if needed). Most patients fall into one of these total price tiers:
Under 18 or 45 and older: $450 (TB test only)
Age 18–24: $530 (TB, syphilis, and gonorrhea)
Age 25–44: $500 (TB and syphilis)

Fast, Low Cost & High Quality I-693 Immigration Exams
All Required Vaccines & Labs in One Visit!
415-361-6212

Frequently Asked Questions

Quick answers about Immigration Medical Exams (Form I-693), travel visits, DOT physicals, and our policies.

Schedule the Appointment Today!