IMMIGRATION MEDICAL EXAM (I-693)

Immigration Physical Exam and Vaccination Record Forms (I-693)
Located in the international community, we know how we can help you. Please book online after you read through the following information. Please allow 3-5 business days to complete the form. If you need to expedite a process please call us ahead.

• If you want mailing service for sealed I693 form please bring your return envelope
• $349 - No insurance (The fee includes all lab tests and x-ray if necessary)
• $249 - With Blood test coverage by your insurance
• If you cannot make an appointment online please text at 734-619-0777 to schedule an appointment

PRICE DETAILS:

• $349: Includes all paper works in a sealed envelope, Physical Exam, TB blood Test, Syphilis Blood test, and Gonorrhoeae Urine Test. Vaccination record review and counseling. Chest X-ray if necessary
• $249: If you have a health insurance benefit for preventive TB blood Test & Gonorrhoeae Urine Test

* As the patient you are always responsible for any charges not paid by your insurance

THE PRICE DOES NOT INCLUDE VACCINATION FEE

• Your photo ID: U.S. Driver's License or Passport
• Please type the first 2 pages of I-693 form (single side), and bring the printed copy on your initial visit
• If you don't bring your I693 we can type for you with additional fee
• All medical records, including all vaccine records if you have (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

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

1. Communicable Disease Screening including blood and urine tests
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: Because of the nature of the time sensitive test we don't do on-site blood drawing and we will give the order to use nearby blood drawing station of University of Michigan.
• 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 and Other Communicable Diseases

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

New formula (2024/2025) FLU AND COVID vaccine is required regardless of your past doses

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 could be performed for evidence of immunity.

In general, adults aged between 18 and 64 are required to have following vaccination: