Question 1

What does the I-693 medical exam test for?

Accepted Answer

The I-693 medical exam tests for six different things: Infectious Diseases (e.g. Tuberculosis, Syphilis); Vaccination Status (e.g. Polio, Tetanus); Mental Health and Substance Use Disorders; Physical Examination; Drug and Alcohol Screening; and Other Health Conditions that might pose a public health threat.

Question 2

What vaccines are required to pass the I-693 medical exam?

Accepted Answer

Non-pregnant adults between 18–49 yrs require proof of the following six vaccinations: Polio (IPV, 3 doses); Tetanus, Diphtheria, Pertussis (Tdap, 1 dose every 10 yrs); Measles, Mumps, Rubella (MMR, 2 doses); Hepatitis B (3 doses); Varicella (2 doses, not needed if you had chickenpox as a child). Requirements can vary based on age, medical history, and current CDC guidelines. Reference: https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html

Question 3

What vaccine records are accepted?

Accepted Answer

We accept all official vaccine records from different countries and in foreign languages. All vaccine records must have the patient's full name and date of birth.

Question 4

Where can I get vaccinated?

Accepted Answer

You can get vaccinated at any pharmacy. It's free if you have insurance. Walgreens: https://www.walgreens.com/topic/pharmacy/immunization-services-appointments.jsp — CVS: https://www.cvs.com/immunizations/get-vaccinated

Question 5

How much does the I-693 medical exam cost?

Accepted Answer

The I-693 has four parts. With insurance: $399 total (records review $0, vaccinations $0 at pharmacy, lab work $0, physical exam and I-693 certification $399). Without insurance: $543.91 total (lab work $144.91, physical exam $399; vaccinations at pharmacy price). Prices can vary for additional labs, X-rays, or specialist referrals.

Question 6

How long does it take to get the completed I-693?

Accepted Answer

Step 1: Upload medical records — a Civil Surgeon reviews in 24 hours. Step 2: Get missing vaccines at a pharmacy and complete bloodwork at a lab (results in 2–7 days). Step 3: Complete your part of I-693 online and schedule the in-person physical exam; the Civil Surgeon hands you the completed I-693 form (about 15 min).

Question 7

Do I need the Flu vaccine?

Accepted Answer

The influenza vaccine is required for the I-693 during flu season (September 1st to March 31st). One dose within the last year is required in that period. No influenza vaccine is required if your I-693 is completed between April 1st and August 31st.

Question 8

What is a Civil Surgeon?

Accepted Answer

A U.S. Civil Surgeon is a physician designated by USCIS to conduct medical examinations for immigrants seeking adjustment of status. They assess applicants for communicable diseases, vaccination status, physical and mental disorders, and substance abuse. The role was formalized in 1979 and ensures public safety and compliance with U.S. immigration laws.

Question 9

Got another question? Text a Civil Surgeon for free

Accepted Answer

Text #FAQ followed by your question to (209) 219-1751. Our doctors are tending to patients with care and attention. If you don't hear back immediately, they may be with another patient—when it's your turn, you'll have their full focus.

Your Source for I-693 Green Card Medical Exams

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Upload Your Medical Records

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Complete Lab Work & Vaccinations

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Meet with a USCIS Civil Surgeon

Dr. Matthias Kochmann, MD

Dr. Jonathan Patberg, M.D.

Dr. Mira Yoon, DO, MPH

Dr. Alexander Lee Werne, MD

Dr. Jeffrey Ernest Ferrell, MD

Dr. Shital Kaushik Patel, M.D.

Dr. Mohammad Mertaban, M.D.

Dr. Kristin Marie Wong, M.D.

Dr. Ines Bardin Munoz de Laborde, M.D.

Dr. Wen Hsin Shen, MD

Dr. Daniel Talamo, D.O.

Dr. Jean Kim, M.D.

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