I-693 Green Card Medical Exam

Made easy: One location, one simple price

doctor with clipboard talking to patient.

What is the USCIS medical exam?

The USCIS I-693 immigration medical exam is for people who want a green card. After your exam, you get the certified form in a sealed envelope. You send this with your adjustment of status (Form I-485) application.

Why choose us for your immigration exam?

Since 2007, we are the Bay Area’s top civil surgeon team providing the fastest, easiest, and most convenient green card medical exam.

We have a 100% success rate due to our experience with thousands of exams annually.

Other clinics require multiple appointments, separate lab visits, signing up for confusing online portals, uploading documents and completing online forms.

Our process has been carefully designed to make it simple and accurate with our all-in-one location and personalized support and care.

What we offer and the value that brings you
We offer… This means…

✅ Fair, flat price: includes exam, documentation, blood test, and lab work.

🚫 No surprise lab bills, either at your exam or weeks afterwards.

🚫 No extra fee for us to complete forms on your behalf.

✅ Fast turnaround: receive completed I-693 in 3 to 5 days for most people.

✅ Walk-ins and same-day appointments: when you need it fast.

🚫 No unnecessary delays.

✅ One stop: no extra trips for lab tests.

🚫 No separate lab appointment.

🚫 No running around town.

🚫 No need to coordinate multiple appointments.

✅ In-person care and support: We:

  • Have a conversation with you to gather information instead of asking you to complete a long form.
  • Complete the I-693 for you.
  • Personalize for your budget, language, and health conditions.
  • Walk you through the entire process start to finish.

🚫 No confusing online portals.

🚫 No guessing which vaccines you need.

🚫 No impersonal online chats and texts.

🚫 No completing the I-693 on your own.

Specialized support for complex cases

Our team has extensive experience helping patients with unique medical, legal, or personal circumstances.

If your situation is not listed below, contact us for tailored guidance.

RFE and correcting prior I-693 issues

We have significant experience assisting patients who:

  • Have received a Request for Evidence (RFE) related to their I-693 medical exam.
  • Need to redo an I-693 that was incorrectly completed by another provider.
  • Have concerns about missing documentation, vaccination records, or form errors.
  • Need expert review and correction of prior immigration medical exam issues.

We regularly help patients resolve problems caused by improperly performed or documented I-693 exams.

Families including LGBTQIA+

We welcome families of all sizes and have extensive experience working with:

  • Couples completing their immigration medical exams together.
  • LGBTQIA+ families of all types.
  • Parents and children attending the same appointment.
  • Small and large family groups.
  • Patients of all ages, from young children to older adults.

When possible, we can coordinate family appointments to make the process more convenient and comfortable for everyone.

We regularly assist patients with:

  • Prior arrests or legal records involving alcohol- or drug-related offenses.
  • Current incarceration or detention.
  • Legal histories involving mental health concerns.
  • Ongoing immigration court or removal (deportation) proceedings.
  • Complex immigration-related documentation requirements.

Our staff will work closely with your lawyer and social workers to ensure you have all the support you need during your I-693 process.

Health problems

We have experience evaluating and documenting cases involving:

  • Diabetes.
  • Heart disease.
  • Cancer.
  • HIV.
  • Other chronic medical conditions.
  • Current or prior sexually transmitted infections (STIs).
  • Active tuberculosis (TB), prior TB infection, or latent TB infection (LTBI).
  • Patients currently receiving LTBI treatment.
  • Concerns about whether a medical condition could affect immigration eligibility.

Mental health concerns

We provide compassionate care for patients with:

  • Depression, anxiety, OCD, ADHD, and other mental health conditions.
  • Histories of psychiatric treatment or hospitalization.
  • Psychotic disorders or other serious mental health diagnoses.
  • Prior suicide attempts or self-harm history.
  • Significant anxiety about the immigration medical exam process itself.

Disabilities and special accommodations

We strive to make the exam process accessible and comfortable for patients with:

  • Vision impairment or blindness.
  • Hearing loss or deafness.
  • Speech and communication disorders.
  • Mobility limitations.
  • Developmental, cognitive, or other special needs.

Blood draw anxiety

Our staff are highly experienced in working with patients who:

  • Have a fear of needles or blood draws.
  • Have fainted during prior blood tests.
  • Experience significant anxiety about laboratory testing.

We use gentle techniques, take extra time when needed, and focus on making the experience as comfortable as possible.

Standard I-693 Exam

One location, one price

The most cost-effective exam with expert guidance from start to finish. We do your labs, conduct your exam, and accurately complete your forms all in one location for one low price.

Exam details
Cost

$400

Health insurance plans do not cover USCIS medical exams.

You can pay with HSA/FSA, debit card, credit card, or cash.

Don’t assume lab tests elsewhere are cheaper. Your insurance plan probably requires copays, coinsurance, and deductibles for lab tests, and your bill arrives weeks after your exam. These are often more expensive than our rates.

What’s included?
  • Exam by a USCIS-certified civil surgeon.
  • Blood drawn during your exam.
  • All required lab testing.
  • Personalized review of your vaccination records.
  • We complete your I-693 documents for you.
  • Completed and signed Form I-693.
  • Follow-up appointment to complete I-693 process.
  • One sealed copy for USCIS.
  • One unsealed copy for your records.
  • Any follow-up visits at our office required for related medical issues.
What’s not included?
Optional add-ons

How it works

Steps in the Standard exam
Before exam
  • You can eat and drink normally.
  • Drink water – it helps with the blood test.
  • Bring ID and any printed vaccine records.
  • Do not attempt to get missing vaccines before your exam. (See What about vaccines?)
  • If you need to cancel, do so at least 48 hours ahead to avoid a $100 fee.

Bring to your appointment:

  • Your passport or photo ID.
  • Any printed vaccination records you have.
At exam

Meet with our certified civil surgeon for your exam — about 30 minutes:

  • We ask about your health.
  • We check your vital signs.
  • We take a blood sample.
  • We do a short physical exam.

Vaccines:

  • We review vaccines with you.
  • We give you a personalized list of any required vaccines.
  • We assist you in getting any missing vaccines.
  • See What about vaccines?
After exam

We wait 3 to 5 days for lab results, then you return for a follow-up appointment — about 15 minutes.

  • You review your Form I-693.
  • Be certain everything is correct to avoid a $50 fee to later make corrections.

You leave with:

  • One sealed envelope to send to USCIS.
  • One unsealed copy for your records.

Easy I-693 Exam

One location, one price, one stop

The most convenient, time-saving option for busy people. It’s like the Standard I-693 Exam above, but:

  • You don’t need to return to our clinic for a second appointment.

  • Your completed exam is mailed to you or your immigration attorney.

Compare: Standard vs. Easy

Standard versus Easy Exam
Standard I-693 Exam Easy I-693 Exam
$400 $500
2 visits:
30 minutes for first visit,
15 minutes for second visit
1 visit:
45 minutes
  • Less expensive
  • Includes the follow-up appointment
  • More convenient
  • Includes the cost of mailings

Frequently asked questions (FAQs)

When should I get the exam?

Don’t wait to get this exam.

Immigration policies and timelines now involve a lot of uncertainty and unpredictability. Don’t be discouraged. Currently:

  • I-693 medical exams are valid indefinitely.
  • The rules that apply to an exam are the ones in effect on the day it is completed.

Getting an exam now locks in today’s requirements, even if USCIS introduces new rules, documentation, or vaccination requirements in the future. It helps you:

  • Avoid future changes to USCIS rule or policy.
  • Reduce the risk of RFEs or interview delays.
  • Be fully prepared if the case moves faster than expected.
  • Eliminate last-minute stress in a backlogged system.

Preparation gives you an advantage—especially in uncertain times.

What about vaccines?

Don’t attempt to get your missing vaccines before your appointment. If you have any vaccination records, bring those to your appointment, and we’ll guide you.

Vaccination requirements for immigration can be surprisingly complicated. It depends on your age, your health history, the types and timing of your prior immunizations. Immunity tests can be used to waive some, but not all, vaccine requirements. Some vaccines may require additional doses, and certain vaccines have specific timing requirements.

As a general guide you may need to proof vaccination for:

  • Hepatitis B.
  • MMR (measles, mumps, rubella).
  • Tdap (tetanus).
  • Chickenpox.
  • Polio.
  • Flu (September to March).

Other vaccines may be needed.

What if I’m missing vaccines?

  1. You can get vaccines at a pharmacy. Most health plans will cover the cost.
  2. For some vaccines, we can add a blood test to see if you need it.
  3. You can get vaccines from us. We stock all required vaccines at lower cost than retail.
  4. We can direct you to the health department clinic that gives free or low-cost vaccines.

How long to get my paperwork?

Paperwork turnaround time
Standard I-693 Exam Easy I-693 Exam
You will pick up your completed exam in 3 to 5 days. Your completed exam is mailed to you or your immigration attorney via USPS Priority Mail 3 to 5 days after your visit. Mail delivery time following that is 2 to 3 days.

Do I need to go somewhere else for blood tests and lab work?

No. We do all blood tests and lab work at our clinic.

Are you using the latest Form I-693?

Yes. We check daily with USCIS to make sure we use the newest forms.

What if I am pregnant?

You still need the exam. Some parts may wait until after your baby is born.

What if I have a health problem?

Don’t worry. 99% of health problems are not a reason to deny your green card. We just need to address and document medical issues clearly and correctly, following all of the USCIS procedures. Our team of civil surgeons is very experienced in completing I-693 documents for people with a wide variety of medical, mental health, and legal issues. We’ll help you understand your options and stay with you every step of the way.

What if one of my tests comes back positive?

Don’t worry. It might take a little longer to complete your I-693 documents because USCIS will require more steps. You might require a chest X-ray, additional testing, historical medical documents, or treatment. We have lots of experience with positive test results and will work with you to get all of those additional requirements completed quickly and correctly.

Can any doctor do this immigration exam?

No. Only a doctor who is a certified civil surgeon by the U.S. government can do this. We have three certified civil surgeons at our clinic.

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