Immigration Medical Exams

Anyone filing Form I-485 to apply for a U.S. green card or adjusting their immigration status within the U.S. is required by the USCIS (U.S. Citizenship and Immigration Services) to have an immigration medical examination. Only doctors designated by the USCIS as civil surgeons can complete an immigration exam.

The exam assesses your health to determine if you meet the requirements for immigration to the U.S. Expect a review of your medical history, mental health, and physical exam.

Blood and urine testing is required based on age to evaluate infectious diseases including tuberculosis, syphilis, and gonorrhea. A lab order to a local Quest Diagnostics draw site will be given to you at your appointment after discussing with Dr. Quigley which labs are appropriate for you (based on age and need for antibody titers to prove immunity). Labs MUST be ordered by a USCIS-designated civil surgeon (such as Dr. Quigley) AT your exam. You are expected to have your labs done immediately AFTER your medical exam. Labs ordered by another physician prior to your immigration medical exam are not allowed per USCIS guidelines. We will provide information with locations and directions to Quest Diagnostics. Please discuss with us if you require labs to be drawn at a different lab. Vaccinations are required if proof of age-appropriate vaccinations per CDC (Centers for Disease Control and Prevention) recommendation is not up to date. We do not provide vaccines but we do have resources to help you find cost-effective locations for vaccination. You can eat/drink before the exam.

Common medical conditions such as diabetes, high cholesterol, and high blood pressure that are not of concern to public health do not interfere with the immigration process but are required to be listed on USCIS Form I-693 (Report of Medical Examination and Vaccination Record). Upon completion of all Form I-693 requirements, you will be given a completed signed and dated Form I-693 in a sealed envelope. Do not open this envelope; it should be submitted in the sealed envelope to the USCIS as part of the application process. An unsealed identical set of documents will also be provided to you.

Cost of exam and paperwork is $235 with a $10 discount if paid in cash. In addition, a $25 discount is given if we receive the documents and form completed as instructed at least 24 hours prior to your appointment. The only additional costs will be for labs and vaccines. The cost of labs and vaccines is discussed in the Lab Testing and Vaccinations sections in the link for Frequently Asked Questions below.

This examination is not a substitute for a full physical examination, consultation, diagnosis, or treatment by your primary health care provider.