Personal Physician Care is your trusted source for all immigration healthcare. Our team of experienced designated civil surgeons perform all necessary immigration-related medical examinations. Our expertise in immigration healthcare enables us to help our patients through the medical examination process quickly and affordably.
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Immigration Physicals (I-693 Medical Examination)
Personal Physician Care’s team of Designated Civil Surgeons has been authorized by the U.S. Department of Homeland Security and the U.S. Citizenship and Immigration Services (“USCIS”) to perform the required medical examinations necessary for completion of Form I-693 (Report of Medical Examination and Vaccination Record). Our highly experienced and equally compassionate Designated Civil Surgeons expertly perform all necessary immigration-related medical examinations. Generally, USCIS requires that anyone filing for adjustment of status to that of a permanent resident must submit Form I-693 completed by a Designated Civil Surgeon.
Form I-693 is used to report the results of the required medical examination to the USCIS. The medical examination is required to establish that an individual seeking adjustment of status is not inadmissible to the U.S. on public health grounds, which are divided into four categories as follows: (1) Communicable diseases of public health significance; (2) Lack of required vaccinations; (3) Physical or mental disorders with harmful behavior; and (4) Drug abuse or addition. Medical examination results are confidential and are used only for immigration purposes.
We know that navigating through the immigration process can be frustrating and complex, often involving long waits and a pile of confusing forms to complete. But we can help you get through the medical examination portion of the immigration process smoothly and stress-free. Our entire team is fully committed to making the experience as pleasant and quick as possible. We will expertly, patiently, and respectfully guide you through the process of having your Form I-693 properly completed and ready for submission.
Our Designated Civil Surgeons are officially authorized to perform all required immigration medical examinations required for completion of Form I-693. Each evaluation includes a medical examination performed in accordance with the strict guidelines established by the Department of Homeland Security, U.S. Citizen and Immigration Services, and Centers for Disease Control. Our Designated Civil Surgeons will record all data and results on Form I-693 for proper submission to the USCIS.
Complete Immigration Exam Includes:
- Physical examination
- Completion of all required documents and paperwork
- Vaccine status verification
- TB (tuberculosis) skin test
- Labs - MMR, RPR (syphilis screen), Quantiferon and Varicella
- Certified and sealed I-693 Form
Please note: X-ray fee is not included since it may not be required for all patients. In addition, if you require blood titers or immunizations, separate fees apply depending on the specific ones you need in order to pass the immigration medical examination.
What to Bring with You to the Examination
For your convenience, it is important that you bring the following items with you to our offices at the time of your examination:
- Photo Identification—valid, government issued picture ID such as your passport (preferred) or driver’s license
- Pre-completed Form I-693 (top portion of first page only).
- Proof of prior vaccinations, immunizations, and shots (do not worry if you do not have these records, we can provide all necessary vaccinations, etc.) Tip: Do your best to find and bring all your records, doing so could save you time and money.
- Hospital or clinic records, including proof of prior treatment for tuberculosis or other infectious disease (if any)
- Prior chest X-rays and / or other diagnostic tests (if any)
- Any mental health records (if any)
What to Expect During the Medical Examination
The complete immigration medical examination is very simple and requires only a few basic steps as follows:
Basic immigration physical examination and mental status evaluation—the U.S. Citizenship and Immigration Services medical requirements mandate that the Civil Surgeon’s examination must include a search for any indications of infectious diseases involving the entire body, which may include private areas of the body.
Blood Test—Applicants 15 years and older are required to have a serologic blood test for HIV (AIDS) and Syphilis (RPR). Applicants younger than 15 years of age may require HIV and/or Syphilis testing at the discretion of the attending Civil Surgeon or if there is a reason to suspect the possibility of infection.
Tuberculosis Skin Test—Applicants 2 years and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to our offices within 48 to 72 hours after administration. If the test reading is greater than 5 mm of induration, a chest X-ray will be required.
Proof of Vaccinations or Blood Titer to Prove Immunity—Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the past 5 years), Measles, Mumps, Rubella, and Varicella (Chicken Pox). A blood titer is a test that proves an individual has immunity or antibodies for a particular disease. We will review your vaccination history with you in order to determine whether you have all the necessary vaccinations required by Form I-693. Again, please remember to bring all vaccination records with you to your scheduled appointment for your immigration medical examination.
After the Examination
Once your immigration medical examination is completed, our Civil Surgeon will certify your Form I-693 with the test results of the examination and vaccination history and provide them in a sealed envelope for submission with your immigration application to the U.S. Citizenship and Immigration Services. It is extremely important that you DO NOT OPEN THE SEALED ENVELOPE. Please keep in mind that your immigration medical examination will only be valid for up to one year following the examination date.
Frequently Asked Questions
A Civil Surgeon is a doctor authorized by the USCIS to perform medical examinations of aliens in the U.S. who are applying for adjustment of status to permanent resident or who are required by the USCIS to undergo a medical examination.
The health-related grounds of inadmissibility under the U.S. immigration laws are divided into four categories:
- Communicable diseases of public health significance;
- Lack of required vaccinations;
- Physical or mental disorders with harmful behavior; and
- Drug abuse or addiction.
For detailed information on health-related grounds of inadmissibility, please review the USCIS Policy Manual: http://www.uscis.gov/policymanual/HTML/PolicyManual-Volume8-PartB.html
- Measles, Mumps, Rubella vaccine
- Tetanus / Diphtheria vaccine
- Varicella (Chicken Pox) vaccine
- Influenza (during flu season)
For Children (depends on age and may include):
- Rotavirus vaccine
- Measles, Mumps, Rubella vaccine
- Tetanus, Diphtheria, Pertussis vaccine
- Polio vaccine
- Haemophilus Influenzae Type b vaccine
- Hepatitis B vaccine
- Hepatitis A vaccine
- Pneumococcal vaccine
For addition information, visit the Official U.S. Citizen & Immigration Services website for further information at: http://www.uscis.gov/