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Immigration Exams

 

Services and Fees

Dr. Garcia is a licensed US Civil Surgeon who has been authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physicals and Immigration Exams for the Department of Homeland Security.

The cost of the Immigration Physical Examination is $175.00 and includes the following:

  • Basic Physical Examination
  • Required Blood work
  • Tuberculosis skin testing
  • Vaccination status verification
  • Copies of your laboratory results
  • Certified and Sealed I-693 Form

What to bring with you to the immigration exam or immigration physical

  • A complete patient information sheet. Click here to obtain a patient information sheet.
  • Valid, government issued picture ID such as a driver’s license or passport (preferred).
  • Immigration Physical Form I-693, Pre-completed with your information.
  • Proof of prior vaccinations.

 


Click here to access a detail copy of Form I-693 (Report of Medical Examination and Vaccination Record). The US Government requires specific vaccinations according to your age. Click here to access an Immigration Vaccine Immunization table.

 

 

Instructions for filling out the I-693 Form can be read by clicking here.

Additional services that may be required (such as required vaccinations and follow-up chest x-ray for TB testing) are not included in the price of the exam, but are offered or can be arranged in our office for an additional fee.

The Exam

The full INS immigration exam is very simple and requires only 4 basic steps and two office visits:

  1. Basic immigration physical exam and mental status evaluation (exam sometimes may be performed on the second visit)
  2. Blood Test: Applicants age 15 and older are required to have a serologic blood test for HIV (AIDS) and Syphilis (RPR). Applicants under age 15 may require HIV or syphilis testing at the discretion of the civil surgeon, or if there is reason to suspect the possibility of infection. Dr. Garcia will provide pre-test counseling to all applicants who take the HIV test. If you are found to have HIV infection , post-test counseling will be provided also.
  3. Tuberculosis skin test: Applicants age 2 and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to the office within 48 – 72 hours after administration. If the test reading is greater that 5 mm of induration, a chest X-ray will be required. The cost of the X-ray is not included in the price of the immigration exam but can be scheduled through our office for an additional fee.
  4. Proof of vaccinations or blood Titer to prove immunity. Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves that a person has immunity or antibodies for a particular disease. The Immigration Doctor will review your vaccination history with you to determine whether you have all the required vaccinations. The cost of additional vaccinations is not included in the price of the basic exam but they are offered through our office for an additional fee. Please bring all vaccination records to your scheduled appointment for the immigration physical.

After The Exam

After the immigration physical examination is completed, Dr. Garcia will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the INS. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of your blood tests results will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.

Click here to visit the Official US Citizen & Immigration Services website for more information.