Your Source for I-693 Green Card Medical Exams

The I-693 medical exam tests for six different things:
 

Category	Details	Example
Infectious Diseases	The exam screens for various infectious diseases to ensure public health safety.	Tuberculosis, Syphilis
Vaccination Status	The exam verifies that the applicant has received vaccinations against preventable diseases, aligning with public health recommendations.	Polio, Tetanus
Mental Health and Substance Use Disorders	The exam includes an evaluation of mental health to identify any disorders that may pose a threat to the public or indicate a lack of self-care, which could lead to public dependency.	Psychotic disorders, Substance-related disorders, Harmful behaviors to oneself or others
Physical Examination	A comprehensive physical exam is conducted to identify any health conditions that might require further evaluation or treatment.
Drug and Alcohol Screening	Screening may be required to assess current use and potential impact on health status.
Other Health Conditions	The civil surgeon will look for other health conditions that might pose a public health threat or indicate a likelihood of becoming a public charge due to significant medical needs.

Non-pregnant adults between 18 -49 yrs require proof of following six vaccinations:
 

Vaccine Name	Vaccine Abbreviation	Doses	Notes
Polio	IPV	3 doses each 1 month apart
Tetanus, Diphteria, Pertussis	Tdap	1 dose every 10 years
Measles, Mumps, Rubella	MMR	2 doses
Hepatitis B		3 doses
Varicella (Chickenpox)		2 doses	Not needed if you had chickenpox as a child

The specific requirements can vary based on age, medical history, and current CDC guidelines.

Reference: https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html

We accept all official vaccine records from different countries and in foreign languages. All vaccine records must have the patient’s full name and date of birth.

You can get vaccinated at any pharmacy. It’s free if you have insurance

Walgreens: https://www.walgreens.com/topic/pharmacy/immunization-services-appointments.jsp

CVS: https://www.cvs.com/immunizations/get-vaccinated

The I-693 has four parts and the total costs depend on your insurance status. 
 

	Insurance	No Insurance
1. Review of medical records	$0	$0
2. Vaccinations	$0 (at pharmacy)	Pharmacy price
3. Lab work	$0	$144.91 (routine testing)
4. Physical exam and certification of I-693 form	$399	$399
Total:	$399	$543.91

Prices can vary depending on what workup is needed, for example, additional labs, X-rays, and specialist referrals.

Your first appointment with US Medical Exams is right now! Here are the steps: 
 

Steps	Your Task	US Medical Exam	Duration
1 ) Upload Medical Records	Sign up today! Upload all your vaccine records and any other relevant past medical history	A Civil Surgeon will review all your documents in 24 hours and get back to you with what vaccines are missing	24hrs
2) Vaccines and Lab Work	Get your missing vaccines at the local pharmacy. Complete the bloodwork at the closest lab site.	Scheduling the vaccines and lab draws is up to you. The lab takes 2-5 days to come back.	2-5 days
3) Get your I-693	Complete your part of I-693 online and schedule an appointment with a Civil Surgeon for the physical exam	The Civil Surgeon will meet you in person and conduct a physical exam and hand you the completed I-693 form	15 min

The influenza vaccine, commonly known as the flu shot, primes the immune system to recognize and fight the influenza virus. By receiving the vaccine, you reduce your risk of getting the flu and prevent potential complications associated with the infection. The vaccine is a requirement for the I-693 medical exam.

What are the Minimum Requirements for the Influenza Vaccine?

• 1 dose of the influenza vaccine is required for applicants during the flu season, from September 1st to March 31st.

Are There Any Exemptions? 

• No influenza vaccine is required if your I-693 form is completed between April 1st and August 31st.

A U.S. civil surgeon is a physician designated by the U.S. Citizenship and Immigration Services (USCIS) to conduct medical examinations for immigrants seeking adjustment of status to become permanent residents. The role involves assessing applicants for communicable diseases, vaccination status, physical and mental disorders, and substance abuse issues.

The designation of civil surgeons was formalized in 1979, evolving from earlier practices where local public health authorities conducted immigrant medical examinations. The role has grown in importance with increasing immigration and stricter health requirements to ensure public safety and compliance with U.S. immigration laws.

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