Immigration physicals are required for the process of citizenship. Specially designated doctors provide this examination, requiring a completed I-693 Form.

The INS requires that you be current with all the necessary vaccines for your given age group your vaccine history recorded on “Supplemental Form I-693.” Both forms are placed in a sealed envelope and given to you for your interview with INS.

Guidelines have been established regarding the elements needed to complete the proper forms. You will be examined with an emphasis on detecting communicable diseases. Blood tests for syphilis and tuberculosis will be taken, as well as a urine test for gonorrhea.

Your written vaccine history will be reviewed (if available) and necessary updates will be given. It usually takes 4-5 business days to complete the examination, tests, and forms.

Immigration Physical Fees:

Current prices may vary, so be sure to contact us for an accurate price quote. We’ve designed packages to fit everyone’s individual budgets based on their ability to be within compliance of the I-693 form requirements.

I-693 Form Requirements:

Under 15-Years-Old:

  • Physical Exam
  • TB & Syphilis Blood Test
  • Vaccination Record
  • Sealed Envelop with Form I-693

Adults Over 15-Years-Old:

  • Physical Exam
  • TB & Syphilis Blood Test
  • Gonorrhea Urine Test
  • Vaccination Record

For a list of the required vaccines to be in compliance with the I-693 exam, please visit

https://www.uscis.gov/news/questions-and-answers/vaccination-requirements

Common Questions:

How Much Will the Examination Cost?

The basic examination fee quoted by the receptionist covers blood tests for syphilis and tuberculosis, as well as a urine test for gonorrhea. Your written vaccine history will be reviewed (if available) and necessary updates will be given after the initial exam.

Chest x-rays and vaccine costs are additional (available on request.) Vaccine and test costs vary from time to time and are reflected in the fees. While rarely required, we reserve the right to change fees if needed.

What If I Have A Condition Found In The Exam? Am I Excluded From Applying?

Depending on the abnormality of the newfound condition, you may require treatment started or completed prior to the final completion of all forms.

You may also be referred to the Health Department. For some chronic medical conditions, a determination of severity (mild, moderate, or severe), recovery, rehabilitation (minimal, partial, or full), and need for further care (none, low, or high) is required by INS. Your regular doctor may be asked to assist in this determination.

Steps In The Process

Registration:

Information needs to be accurate and clear as this information will be used to fill out INS documents.

Physical Examination:

Some brief questions will be asked relating to past medical history and symptoms. If you do not speak English well, we can help you in your own language. You will be examined with special attention to identify any evidence of infectious or mental diseases.

Lab & Blood Tests:

A blood test for tuberculosis will be taken. If the test is positive, then you will be required to have a chest x-ray to ensure that the disease is not active. A positive reaction usually means that you have been infected by someone with TB disease.
If you have recently been infected with TB bacteria, the chest x-ray will serve to clarify the results of the blood test. A chest x-ray will be taken to ensure that the disease is not active.

Vaccines:

The INS requires that you be current with all the vaccines for your given age group (see table on the back of the brochure). A legibly written document of your previous vaccines is required.

As per INS instructions, “self-reported doses of the vaccine without written documentation are not acceptable.” Many applicants do not have documents of previous vaccines and will require vaccination.

For most adults, this requires 2 or 3 vaccines (diphtheria/tetanus, measles/mumps/rubella, and varicella/chickenpox.) There are additional charges for these vaccines.

Your vaccine history will be recorded on “Supplemental Form I-693.” A copy will be placed in a sealed envelope and a copy is given to you for your records.

INS Forms:

After all the information is gathered, the quadruplicate Form I-693 can be completed. This will be signed by you and placed in a sealed envelope along with the vaccine form (Supplemental Form  I-693). This envelope is to remain sealed until it’s reviewed by an INS officer.