Immigration Physicals & I693 Forms

What You Must Bring

You must bring:

• A valid photo ID or passport

• All available vaccination records

• Vaccination records must be translated into English

If you do not speak English, you MUST bring a translator who is at least 18 years old. Your translator must also be available to return with you when your completed paperwork is ready, as both you and your translator must sign the paperwork in person.

If you need assistance finding a translator, please contact our office. We can provide contact information for our preferred translator.

 

Cost of the Immigration Physical

The total cost of the immigration physical is $450. This includes:

• The physical examination

• Required blood work and testing

• Completion of all necessary immigration medical paperwork

Vaccinations are NOT included in the $450 fee, and we do not administer vaccines in our office.

A $100 NON-REFUNDABLE deposit is required at the time of booking to hold your appointment. The deposit will be applied toward your total balance of $450.

 

Vaccination Information

If you need vaccines to meet USCIS requirements, we recommend visiting your local Health Department. You may also use pharmacies such as CVS or Walgreens.

Please be aware that some patients have reported that pharmacies may not administer all required vaccines at the same time. Additionally, certain vaccines, such as the polio vaccine, may require a prescription from your primary care physician. Our office cannot provide prescriptions for vaccines.

 

IMPORTANT: Live Vaccines and TB Blood Testing

If you receive a live MMR (measles, mumps, and rubella) or Varicella (chickenpox) vaccine, special timing requirements apply to your TB blood test.

The live vaccine and TB blood test may be completed on the same day. However, if they are not completed on the same day, you must wait at least four (4) weeks after receiving the live vaccine before completing your TB blood test.

Receiving a live vaccine shortly before TB testing may interfere with the accuracy of the test and could result in a false-negative TB result.

If you have recently received an MMR or Varicella vaccine, please notify our office so we can determine whether your appointment or TB testing needs to be rescheduled.

 

Before Your Appointment

Please review the immigration physical information available on our website before your visit. Our website includes:

• Helpful information about the immigration physical process

• Health Department contact information

• Estimated vaccine pricing

• USCIS vaccination requirements by age

• Patient forms to complete before your appointment

Please complete your paperwork ahead of time using the forms available on our website whenever possible.

If you are unable to complete the forms before your appointment, please arrive 30 minutes early to allow enough time to complete them in our office.

Website: www.ImmediateMed.com

 

What to Expect at Your Appointment

During your immigration physical, you will receive a comprehensive medical examination. We will review your:

• Family medical history

• Personal medical history

• Current medications

You will also have blood drawn as part of the required testing. You do not need to fast for this blood work.

Patients between the ages of 18 and 24 will also be required to provide a urine sample in accordance with USCIS guidelines. Please arrive well-hydrated so all required testing can be completed smoothly.

 

Children Scheduled for Immigration Physicals

If a child is scheduled for an exam, parents or guardians should prepare the child for what to expect, including blood work, and be ready to actively assist in keeping the child calm and comfortable throughout the process.

To help us provide the safest and most efficient care possible, we ask that patients—and parents or guardians of minor patients—arrive prepared to focus on the examination.

We understand that arranging childcare can be difficult. However, bringing additional children who do not have scheduled appointments can create distractions and make it difficult to maintain the attention necessary for the examination.

We respectfully ask that you arrange childcare for children who do not have scheduled appointments so we can provide a safe, smooth, and focused experience for everyone.

 

When Will My Immigration Paperwork Be Ready?

Our office can usually complete your immigration paperwork in less than two weeks, provided your TB blood test is negative.

If your TB blood test is positive, you will need to have a chest X-ray through the Health Department to determine whether you have an active TB infection.

You must first be referred to the Health Department and then schedule an appointment. This process may add several days to the completion of your paperwork, depending on your availability and the Health Department's schedule.

Please do not panic if your TB blood test is positive. A positive TB blood test does not necessarily mean that you have active tuberculosis. Additional evaluation, including the required chest X-ray, is used to determine whether active TB is present.

 

Questions?

If you have any questions about your immigration physical, required testing, vaccinations, or paperwork, please contact our office before your appointment.

We look forward to seeing you!