I-693 Medical Exam in Lower Pacific Heights, San Francisco
Complete your I-693 green card medical exam at our Lower Pacific Heights, San Francisco, CA office. Start your records and vaccinations online, then visit a USCIS-designated civil surgeon to finish your sealed I-693 form.
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Office location
2211 Post St, Suite 300 San Francisco, CA 94115 View in mapsWhat to expect at your Lower Pacific Heights, San Francisco I-693 exam
Upload your medical and vaccine records online for a civil surgeon to review within 24 hours. Complete any missing vaccinations at a pharmacy and bloodwork at a lab, then come to our Lower Pacific Heights, San Francisco office for a short in-person physical. You leave with your completed, sealed I-693 form.
I-693 vaccine requirements: full guide →Common questions
What does the I-693 medical exam test for?
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.
What vaccines are required to pass the I-693 medical exam?
Non-pregnant adults 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); Influenza (1 dose, seasonal — only required if the I-693 is completed September 1–March 31). Requirements can vary based on age, medical history, and current CDC guidelines. Reference: https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age.html
How much does the I-693 medical exam cost?
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.
What is a Civil Surgeon?
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.