I-693 Immigration Medical Exam

I-693 Immigration Medical Exam – What to Expect

During your first appointment, we will:

• Review your medical history and vaccination records to confirm you meet USCIS requirements for your age.

• If any required vaccines are missing, we offer most adult vaccines in-office for an additional fee.

• Alternatively, we can provide a vaccine order for a pharmacy or health department. Any fees charged by those facilities are the patient’s responsibility.

• Take your vital signs and collect required blood and urine samples (based on USCIS guidelines and age requirements).

Lab Results & Follow-Up Appointment

• Once your samples are collected, we will schedule your follow-up visit with the Civil Surgeon to review your lab results and complete your exam.

• Lab results typically return within 5–7 business days, so follow-up appointments are usually scheduled about one week after the initial visit.

Tuberculosis (TB) Testing

• If your tuberculosis blood test is positive, we will notify you promptly and refer you for a chest X-ray at an outside imaging center.

• The chest X-ray fee is paid directly to the imaging facility.

• Some insurance plans may cover this cost, or you may pay out of pocket at a reasonable self-pay rate.

• We will submit a STAT chest X-ray order so results are typically sent to us within 24 hours or sooner.

Completion of Your I-693 Form

• At your follow-up visit, if all lab results are normal and all vaccine requirements are met:

• You will sign your I-693 form

• We will place the completed form in a sealed USCIS-required envelope

• You will also receive copies of your I-693 and lab results for your personal records

Our goal

Our goal is to make the I-693 process simple, efficient, and stress-free while ensuring full compliance with USCIS requirements.