Immigration Physical Exams

What Is an Immigration Physical Exam?

The immigration medical evaluation includes multiple areas that must be completed by your exam provider and verified by a civil surgeon. Testing for communicable diseases – Individuals will undergo lab testing for tuberculosis, syphilis and gonorrhea. Testing for syphilis and gonorrhea are only done for individuals over the age of 15.

Which Vaccines Do I Need for My I-693 Form?

section below for more information on which vaccinations are required.

Do I Need an Immigration Medical Exam for My Green Card?

Yes, an immigration medical exam is required as part of the I-693 form. This medical form must be signed by the civil surgeon who performed the exam within 60 days of filing Form I-485. The I-693 form must show proof of vaccination for all required immunizations. The USCIS must then make a decision within two years of Form I-693’s submission.

Will I See a Civil Surgeon for My Immigration Physical?

Yes, immigration physicals are conducted under the direction of civil surgeon’s per USCIS requirements. Immunizations and testing may be done by nurses or other qualified staff, but document review and approval will be conducted by a civil surgeon. Individuals with additional questions may contact their local Passport Health by calling for more information.

How Much Does a USCIS-compliant Immigration Medical Exam Cost?

USCIS Immigration physicals and I-693 form completion costs can vary based on individual need. Some may have previously received all required vaccines while others may require multiple immunizations. If you have questions about vaccine or other costs, please call us at for more information.