Step by Step Guide for the U.S. Immigration Medical Exam with a Primary Care Physician

Step-by-step guide for the U.S. immigration medical exam with a primary care physician – illustration showing a clipboard, stethoscope, and pen on a background with American flag elements

Introduction

The U.S. immigration medical exam is an important part of the Green Card or immigration status adjustment process. It ensures that applicants meet the health and vaccination standards established by the U.S. Citizenship and Immigration Services (USCIS).

At True Family Clinic, our primary care physicians are USCIS certified and dedicated to making your immigration exam smooth and stress-free.

1. What Is the U.S. Immigration Medical Exam?

The USCIS immigration medical exam verifies that applicants meet the required U.S. health and vaccination standards. It prioritizes both public health safety and your long-term well-being.

The exam typically includes:

  • Physical examination
  • Review of medical history
  • Laboratory Testing
  • Blood tests for infectious diseases
  • Vaccination review and updates

Completion and sealing of Form I-693 for USCIS submission

 Learn more about our U.S Immigration Medical Exam.

2. Why Choose a USCIS Certified Civil Surgeon for Your Immigration Exam

Choosing your primary care doctor or family practitioner for the U.S. immigration exam offers key advantages:

  • Personalized care: Your doctor already knows your medical background and current conditions.
  • Comprehensive service: Vaccines, lab work, and exams are all handled in one place.
  • Trust and comfort: You’re treated by someone you already know and trust.
  • Continuity of care: Your primary physician can continue supporting your health after your immigration process is complete.

At True Family Clinic, our primary care providers are USCIS certified civil surgeons so that you can complete your entire exam and follow-up in one trusted location.

3. Step-by-Step Process of the U.S. Immigration Medical Exam

Step 1: Confirm Your Doctor’s USCIS Designation

Before scheduling your appointment, make sure USCIS authorizes your primary care physician or family practice doctor to perform immigration exams.
You can verify this by using the official USCIS “Find a Doctor”  Tool or simply contacting True Family Clinic, and our team will confirm your doctor’s certification for you.

Note: Only USCIS-certified civil surgeons can legally complete and sign Form I-693, so confirming this step early saves you time and prevents delays in your U.S. immigration exam process.

Step 2: Schedule Your Appointment

When booking your visit, clearly mention that it’s for the U.S. immigration medical exam (Form I-693). Ask about the total cost, any required lab tests, and available vaccinations.

Bring the following documents:

  • Government-issued ID or passport
  • Vaccination records
  • Medical history documents
  • Blank Form I-693 (do not sign before your appointment)

Note: Being prepared ensures a smooth visit and reduces the chances of needing a follow-up. At True Family Clinic, our primary care doctors help you organize these documents ahead of time for a seamless process.

Step 3: Prepare Before the Exam

If you have chronic health conditions, your family practice physician will check that your condition is stable for the exam. You might also need to update certain vaccinations required by USCIS, such as MMR, Tdap, Varicella, Influenza, and COVID-19.

Tip: Staying up to date on your vaccines avoids processing delays and keeps your medical records complete for the immigration medical exam.

Step 4: The Exam Day

During your scheduled appointment, the civil surgeon or primary physician will:

  • Review your medical history
  • Conduct a comprehensive physical examination
  • Perform TB and blood testing
  • Verify or administer required vaccines
  • Complete and sign Form I-693

Your primary care physician will discuss all findings with you and guide you through any next steps or follow up care if needed.

Note: A thorough, accurate exam ensures your USCIS immigration Physical exam is accepted without issues or resubmission.

Step 5: Form I-693 Review and Sealing

After your exam, your doctor will:

  • Seal your Form I-693 in an envelope (never open it yourself)
  • Provide you with a copy for your personal records
  • Instruct you on how to submit it with your immigration paperwork

Note: USCIS only accepts sealed I-693 forms from authorized doctors. Opening the envelope will invalidate the form.
If you have any questions about next steps, reach out through our Contact Page. Our staff will guide you through safe submission and follow up.

4. Cost and Insurance Information

The cost of the U.S. immigration medical exam usually ranges between $250–$650, depending on required vaccines and lab work.

Most insurance plans do not cover the immigration exam itself, though some vaccines or tests might be partially reimbursable. Always confirm coverage before your appointment.

5. How a Primary Care Physician Streamlines the Process

Having your primary care physician handle your USCIS immigration medical exam ensures a more efficient and trustworthy experience.

They can:

  • Prepare your health before the exam
  • Provide updated vaccination records
  • Manage any follow-up care after approval

By working with the primary care physicians at True Family Clinic, you ensure accuracy and continuity in your immigration journey.

Top 4 common mistakes during the U.S. immigration medical exam infographic — scheduling with a non-USCIS-approved physician, forgetting vaccination records, signing Form I-693 before the visit, and waiting too long as the form expires after two years

6. Common Mistakes to Avoid

  • Scheduling with a non-USCIS-approved physician
  • Forgetting to bring vaccination records
  • Signing Form I-693 before your visit
  • Waiting too long, the form expires after 2 years

Avoid delays by visiting True Family Clinic, where primary care doctors and family practitioners guide you through every step.

7. Frequently Asked Questions (FAQs)

Q1: What if my primary care doctor isn’t a USCIS civil surgeon?
You must visit an approved civil surgeon, but your primary physician can still help you prepare with vaccines and tests.

Q2: How long does the exam take?
Most U.S. immigration physical exams take about 45 minutes to 2 hours, depending on your case.

Q3: Are vaccination updates mandatory?
Yes. USCIS requires proof of immunizations like MMR, Tdap, Influenza, and COVID-19.

Q4: What if I test positive for TB or another illness?
Your family practitioner will guide you through the required treatment before completing your form.

Q5: Is the exam covered by insurance?
The immigration exam itself typically isn’t, but certain lab tests or vaccines might be.

Q6: How long is Form I-693 valid?
It’s valid for two years from the date signed by the civil surgeon.

Q7: Can my family complete the exam together?
Yes! True Family Clinic offers convenient family scheduling for immigration exams.

8. Conclusion

Completing your U.S. immigration medical exam is an essential step toward U.S. residency. By choosing a Certified Civil Surgeon, you’ll make the process smoother, faster, and more accurate.

At True Family Clinic, our USCIS certified Civil Surgeons offer complete medical exams, vaccinations, and family care all under one roof.

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