To Our Shores is proud to provide comprehensive USCIS Immigration Medical Examinations (Form I-693) performed by a designated USCIS Civil Surgeon. We are committed to making the immigration medical examination process as convenient, efficient, and stress-free as possible.

Our experienced clinical team will guide you through every step of the examination and ensure that all required documentation is completed accurately in accordance with current USCIS requirements.

Individuals applying for adjustment of status (permanent residency/Green Card) are generally required by the U.S. Citizenship and Immigration Services (USCIS) to complete a medical examination performed by a designated Civil Surgeon.

The examination determines whether an applicant has any medical conditions that may affect admissibility under U.S. immigration law.

At the completion of your examination, you will receive your completed USCIS Form I-693 in a sealed envelope for submission to USCIS.

Please bring the following:

• Government-issued photo identification
  • Passport (preferred)
  • Driver's License
  • State Identification Card
  • Military Identification
  • Refugee or Immigration Identification (if applicable)

If available, please bring:

• USCIS appointment notice
• Alien Registration Number (A-Number)
• Copy of immigration paperwork
• Previous Immigration Medical Examination (if applicable)

If already completed:

• Form I-693 (do not sign prior to your appointment)

If you do not have the form, we will provide one.

Please bring any available documentation showing previous immunizations, including:

• Childhood vaccination records
• School immunization records
• Military vaccination records
• Health department records
• Personal immunization card
• Records from previous physicians
• COVID-19 vaccination documentation (if applicable under current USCIS requirements)

Incomplete or missing records may require additional vaccinations or laboratory testing.

Please bring:

• Current medication list
• List of Medical conditions
• Allergies
• Clinic information (if applicable)

Your Immigration Medical Examination may include:

• Comprehensive medical history
• Physical examination
• Review of vaccination history
• Blood pressure
• Height and weight
• Vision assessment (when indicated)
• Tuberculosis (TB) screening
• Syphilis testing
• Gonorrhea testing
• Additional testing if medically indicated
• Review of medical conditions
• Completion of USCIS Form I-693

USCIS requires applicants to meet vaccination requirements based upon age and current recommendations from the Centers for Disease Control and Prevention (CDC).

Vaccines may include:

• Measles, Mumps, Rubella (MMR)
• Tetanus, Diphtheria, Pertussis (Td/Tdap)
• Varicella (Chickenpox)
• Polio
• Hepatitis A
• Hepatitis B
• Influenza (during flu season)
• Pneumococcal
• Meningococcal
• Rotavirus (children)
• Haemophilus influenzae type B (Hib)
• COVID-19 (if required under current USCIS policy)

Vaccination requirements vary by age and individual medical history.

If you cannot locate your vaccination records, you may choose laboratory testing (titers) to determine whether you already have immunity to certain diseases.

Titers may be available for:

• Measles
• Mumps
• Rubella
• Varicella
• Hepatitis B
• Other vaccines when medically appropriate

Laboratory results generally require approximately one week to return.

Once results are received, your Civil Surgeon will determine whether additional vaccinations are necessary.

Depending on your age and current CDC guidelines, TB screening may include:

• IGRA Blood Test (preferred)
• Chest X-ray (if indicated)
• Referral for additional evaluation if necessary

USCIS-required laboratory testing includes:

• Syphilis testing
• Gonorrhea testing

Testing requirements are based upon current USCIS and CDC guidelines.

If your vaccination record is incomplete or laboratory testing shows you are not immune, vaccinations may be administered during your visit.

Our clinic offers many required vaccinations for your convenience.

Vaccinations are billed separately and are not included in the Immigration Medical Examination fee.

Need your paperwork quickly?

We offer Expedited Same-Week Completion for applicants who need their sealed USCIS Form I-693 completed as quickly as possible.

Eligibility depends upon:

• Completion of all required laboratory testing
• Availability of laboratory results
• Completion of any required vaccinations
• No additional medical evaluation being necessary

An additional expedited processing fee applies.

• USCIS Immigration Medical Examination
• Civil Surgeon Physical Examination
• USCIS Form I-693 Completion
• Review of Vaccination Records
• Vaccine Titers (Immunity Blood Testing)
• Tuberculosis (TB) Testing
• Syphilis Testing
• Gonorrhea Testing
• Required Vaccinations
• Medical Record Review
• Follow-up Visits (if necessary)
• Replacement Copies (when available)
• Expedited Same-Week Processing
• Immigration Medical Consultation

ServiceFeeImmigration Medical Examination__________USCIS Form I-693 CompletionIncludedExpedited Same-Week Processing__________Vaccine Titers__________TB Blood Test (IGRA)__________Syphilis Testing__________Gonorrhea Testing__________Required VaccinationsVariesChest X-ray (if required)__________Follow-up Visit__________Replacement Form (if applicable)__________

Most appointments take approximately 45–60 minutes.

Most completed forms are available after all required laboratory results have been received, generally within one week. Expedited same-week processing may be available for an additional fee when all requirements have been satisfied.

Yes. We offer many of the vaccines required by USCIS for your convenience. Additional charges apply.

No problem. We can perform immunity (titer) blood testing or administer the required vaccines if appropriate.

Yes. USCIS requires Form I-693 to be provided in a sealed envelope. Do not open the envelope before submitting it to USCIS.

Yes. We recommend keeping a copy of your completed Form I-693 for your personal records before submitting the sealed envelope to USCIS.

Our knowledgeable team is ready to assist you throughout the immigration medical examination process. We strive to provide timely appointments, accurate documentation, and compassionate care to help you complete your USCIS requirements with confidence.

Call us today to schedule your appointment and let us help make your immigration medical examination as smooth and efficient as possible.