Immigration Physicals (I-693)
USCIS-designated Civil Surgeon for Form I-693 immigration medical exams — fast, accurate, and fully accepted by USCIS.
About This Service
Applying for a green card or adjusting your immigration status requires a medical examination completed by a USCIS-designated Civil Surgeon. RASMED Clinic is an authorized Civil Surgeon practice, and our physicians are trained to conduct the Form I-693 Medical Examination and Vaccination Record strictly according to United States Citizenship and Immigration Services (USCIS) guidelines. The immigration physical examination includes a review of your medical history, a complete physical exam, required laboratory testing (including tuberculosis screening and blood work), and a review of your vaccination history. Missing vaccines must be administered or documented before the exam can be completed. All findings are recorded on USCIS Form I-693, which must be signed and sealed by the Civil Surgeon and submitted with your immigration application in a sealed envelope — we prepare everything correctly so there are no delays in your case. Our team has extensive experience assisting patients from diverse backgrounds navigate the immigration medical process. We offer appointments on short notice, speak multiple languages including Spanish, Urdu, Hindi, and Punjabi, and work efficiently to complete your exam and return your sealed envelope promptly.
USCIS-designated Civil Surgeon — results fully accepted by USCIS and immigration courts
Appointments available on short notice — typically within 1–3 business days
Multilingual staff (Spanish, Urdu, Hindi, Punjabi) to guide you through the process
On-site TB testing and vaccine administration — no need to visit multiple locations
Properly sealed and signed Form I-693 — reduces risk of USCIS processing delays
Transparent, flat-fee pricing with no hidden costs
What We Offer
- USCIS Form I-693 medical examination and completion
- Full physical examination per USCIS guidelines
- Tuberculosis (TB) skin test (TST) and QuantiFERON-TB Gold blood test
- Required blood work (syphilis serology, gonorrhea screening where applicable)
- Review and documentation of vaccination history
- On-site administration of required vaccines (MMR, Tdap, Varicella, flu, etc.)
- Chest X-ray referral and coordination (when required for TB follow-up)
- Sealed Form I-693 envelope preparation
- Supplemental documentation for waivers or medical conditions
- Follow-up appointments for pending lab results
Conditions We Treat
Why Choose RASMED Clinic?
Experienced Providers
Board-certified physicians with years of experience
Modern Facilities
State-of-the-art equipment and technology
Convenient Locations
Valley Stream and Brooklyn offices
Walk-Ins Welcome
No appointment necessary for most services
Frequently Asked Questions
What is a Civil Surgeon and why do I need one for my immigration physical?
A Civil Surgeon is a physician designated by USCIS to conduct the Form I-693 immigration medical examination. Only a USCIS-designated Civil Surgeon can perform and sign the I-693 — results from any other physician are not accepted. RASMED Clinic's physicians are designated Civil Surgeons authorized to conduct these exams.
What vaccinations are required for the immigration physical?
USCIS requires documentation of all ACIP-recommended vaccinations for which you are age-appropriate. These typically include MMR (measles, mumps, rubella), varicella, Tdap, flu, hepatitis A and B, meningococcal, and COVID-19 vaccines. We can administer any missing vaccines in-office during your visit.
How long does the immigration physical take?
Most immigration physical exams take 1–2 hours, depending on how many vaccines or additional tests are needed. TB testing requires a return visit 48–72 hours later to read the skin test result. We schedule both visits to minimize the total time from exam to sealed envelope.
How soon will I receive my sealed Form I-693 envelope?
You typically receive your sealed I-693 envelope at your return TB test reading visit (48–72 hours after your initial exam), provided all lab results are back. If blood work is pending, we notify you as soon as results are available. The sealed envelope must be submitted to USCIS within 60 days of the Civil Surgeon's signature.
I have a medical condition — will it affect my immigration application?
Certain medical findings can require additional documentation or referrals, but most conditions do not disqualify applicants. Conditions that may require follow-up include active tuberculosis, syphilis, and certain mental health or substance use conditions. Our physicians document findings accurately and provide guidance on next steps. We recommend consulting with your immigration attorney if you have specific concerns.
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Valley Stream & Brooklyn | Walk-Ins Welcome