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Immigration medical exam (I-693)

Most people applying for a green card from inside the U.S. need a medical exam recorded on USCIS Form I-693. It has to be done by a USCIS-designated civil surgeon, and not every urgent care has one.

Who can do it

Only a USCIS-designated civil surgeon can complete Form I-693. Use the USCIS locator to find one, then call to confirm availability.

Find a civil surgeon (USCIS) ↗

Who needs it

  • Most people filing to adjust status to permanent resident (green card) from within the U.S.
  • Some other immigration applicants, as directed by USCIS

What to bring

  • Government-issued photo ID
  • Your vaccination records
  • The current edition of Form I-693 from uscis.gov, if the office asks you to bring it
  • A list of your medicines and medical history

What to expect

  • Medical history and physical exam
  • Tests required by CDC instructions, which may include blood work and a TB test
  • A vaccination review, with any required vaccines
  • Possible follow-up visit for results

Cost

Not usually covered by insurance. Civil surgeons set their own fees, so ask for the full price, including tests and vaccines.