IMMIGRATION PHYSICAL EXAMINATION
The immigration medical examination is not a complete physical examination. Its purpose is to screen for certain medical conditions relevant to U.S. immigration law. The U.S. government doesn’t require the doctor to evaluate you for any conditions except those the U.S. Public Health Service specifies for U.S. immigration purposes. Likewise, the government doesn’t require the doctor to provide you with diagnosis or treatment even if he or she discovers other issues related to your health. This examination is not a substitute for a full physical examination, consultation, diagnosis, or treatment by your primary health care provider.
What to bring for your immigration medical exam:
Please bring following items for your immigration medical exam:
· Valid passport or other government-issued photo identification such as a driver’s license.
· Vaccination records (if available)
-You can fill out the first 4 pages of the form by yourself at home. Please do not sign the form before your appointment.
· List of medications (if you are being treated for a chronic medical condition or taking medications on a regular basis)
· Written records If you have been treated or hospitalized for psychiatric or mental illness, or alcohol or drug abuse.
· Exam fees (we accept cash, credit, debit). Please note this exam is not covered by insurance.
After the immigration physical examination is completed, the Doctor will certify Form I-693 with the test results of the immigration exam and vaccination history and place the same within a sealed envelope to be presented to the INS. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of the completed form will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.
Frequently Asked Questions:
Can I use my health insurance to pay for my immigration physical exam?
We do not accept health insurance for immigration physical exam or any lab work that is done as part of this examination.
What are the fees for the physical and labs etc?
Pls note that effective April 1, 2022 the charges will be as follow:
Doctor's exam fees $160.
Lab charges for 3 mandatory screening tests (TB gold interferon, RPR for Syphillis and Nisseria Gonorrhea urine PCR) is $150
Kids under age 2-15 yrs only need TB gold interferon instead of 3 mandatory tests. TB interferon cost is $100
Infants under age 2 do not need any blood tests.
MMR Titres $60 (optional for those who want to check their immunity instead of getting the vaccine)
Varicella Titres $40 (optional for those who want to check their immunity instead of getting the vaccine)
What vaccines are required in order to pass the immigration exam?
Vaccine requirements are different based on age of the applicant so the doctor will review your immunization records if availalable and recommend the required vaccinations. Most commonly recommended vaccines are MMR (not required for those age 65 or older), Varicella, Tdap, Flu (October through May), COVID, Pneumococcal vaccine for those older than 65 or those with certain chronic medical conditions. If you are from certain countries where Polio is endemic and you have travelled there within last 1 year then you may be required to have proof of polio vaccine as well.
Can I get the vaccines prior to my appointment?
You can get your age appropriate vaccinations prior to your appointment.
Can I get the required blood tests (TB, syphilis, Gonorrhea) done prior to my appointment?
No, we do not accept the results of these tests if performed anywhere else. These tests can not be performed prior to your appointment. We may accept the results of "titers" to show as proof of having certain diseases such as MMR, Varicella, tetanus/diptheria/pertusis.
Can I get exemptions for the required vaccinations based on my relegious or personal beleifs?
Please note that if you want an exemption on religious or personal beleifs then you will have to fill out form I 690 and apply for a waiver with USCIS and pay a fees of about $700. Our doctor can not waive your vaccine requirement as it has to be approved by USCIS. Please note that there is high rejection rate for vaccine waiver applications.
Will I get a copy of the completed form?
Can I get 2 sealed envelopes with 2 original completed forms?
Yes. Will charge extra for this.
What is the turn around time for completing the form?
This depends on your lab results and completeness of your immunization records. Generally speaking, if your immunization records are uptodate and your lab results come back normal then we can fill out the form within 5-7 business days.
What to expect at the appointment?
What if my TB screening test is positive?
There is no need to panic if your TB screening test results are positive. Doctor will order a chest xray in that case. If your chest xray comes back normal and If you do not have any symptoms of active TB then the doctor will be able to fill out the form and you should be good. In case your chest xray comes back positive for active TB then you will be referred to an infectious disease or pulmonary specialist specialist for treatment of TB before the doctor can complete your immigration form.
Do you see children?
Yes. Pls bring their immunization records.