Frequently Asked Questions

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.

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

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.).

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

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

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.

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.

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

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

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.

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.

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.

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

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.

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.

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

The examining doctor is female.

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.

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.

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

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.

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.

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

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.

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

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

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.

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.

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

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: 1. Under 18 or 45 and older: $430 (TB test only) 2. Age 18–24: $510 (TB, syphilis, and gonorrhea) 3. Age 25–44: $480 (TB and syphilis)