Immigration Medical Exam


Immigration Physical Exam and Vaccination Record Forms (I-693)

  • Located in international community we know how we can help you.
  • Walk-in initial counseling is welcome.
  • Late evening schedule is available on Wednesday until 9:00 pm.
  • Once you set up the appointment, please bring all requirements below
  • Please allow 3-5 business days to complete the form. If you need to expedite a process please call us ahead.

* Effective from November, 2018 you need to submit your medical examination within 60 days of completion date so please check your timeline to avoid redoing.


To complete the I-693 medical examination form you need to meet three required parts: 

1. Communicable Disease Screening

2. Physical Exam

3. Vaccination

* By USCIS Policy all laboratory tests should be ordered by authorized civil surgeon, NOT BY YOUR PRIMARY CARE PHYSICIAN

1. Communicable Disease Screening

(1) Tuberculosis (TB) - For all applicants 2 years of age and older

  • You will be screened with tuberculosis blood test.
    • TB Blood Test: 
    • The test is called the QuantiFERON-TB Gold Test. For this test, at least 3ml of a blood sample is required. Results are usually available in 3-5 days.
    • To comply the new change by USCIS TB skin test is not accepted, effective from 10/01/2018.
  • If the test result shows positive for TB, chest X-ray is required.
  • If the chest X-ray results show active TB lesion(s) or suspicious finding(s), the applicant is mandatorily referred to county health department for further evaluation/treatment.

(2) Syphilis

  • You will be examined by blood test.
  • If the test result shows positive, additional test is required for confirmation

(3) Gonorrhea urine test and Other communicable diseases will be assessed by civil surgeon


 2. Physical Exam

This part includes physical or mental disorders with associated harmful behavior, drug abuse or addiction, and other medical conditions. Our civil surgeon will thoroughly review your medical record, then conduct a medical exam. Your medical records will be reviewed.


3. Vaccination

The Centers for Disease Control and Prevention (CDC) adopts specific vaccination criteria that would be required for any person who seeks an immigrant visa or adjustment of status for permanent residence. Therefore, all applicants must be up to date their vaccination before filing I-693.

  • If you have a vaccination record (i.e., proof of vaccination including the name of vaccine, date, and provider) and all vaccine requirements are met, our provider may not ask additional vaccination.
  • If you had certain vaccination but do not have the record, a blood test will be performed for evidence of immunity.
  • In general, adults aged between 18 and 64 are required to have following vaccination: Tdap, MMR, Varicella, & annual Influenza(between Oct 1st to March)
    • Tdap (Tetanus, Diphtheria, Pertussis): It is good for 10 years
    • MMR (Measles, Mumps, Rubella)
    • Varicella (Chickenpox): If you have had a history of varicella, vaccination can be waived but required to test immunity by blood test.
    • Influenza (Flu): The flu season starts on October 1 and ends on March 31 each year. If your immigration medical exam is during this period, you are required to have the seasonal flu vaccine.



Please bring the following documents on your visit:

  • Your photo ID: U.S. Driver’s License or Passport
  • Please bring the first page of I-693 form completely filled out in English at time of check-in
  • All medical records, including all vaccine records if you have it, not necessary if you don't have on your initial visit
  • All documents must be in English
  • If you have positive tuberculosis test in the past please bring the valid written document with your name, date of birth. 


Required Immunization for Immigration Process




2731 Plymouth Rd.
Ann Arbor, MI 48105
Phone: 734-219-5989
Fax: (734) 365-6417
Office Hours

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