Low-cost Immigration Physicals

The following are required to complete the I-693 form:

1. Physical examination [$250] (includes review of health history and brief exam by a physician of external genitalia, a female chaperon will be present for female exams); please bring your eyeglasses!
2. Tetanus vaccine [$85 for Tdap], not older than 10 years
3. Quantiferon Gold blood testing for all age groups including children
4. Chest x-ray [$75] (necessary only when TB test is positive; the x-ray must not be older than 1 year)
5. Syphilis blood testing (RPR) is required for ages 15-and-older (blood work performed at outside lab; not older than 1 year)
6. Gonorrhea urine test is required for ages 15-and-older (urine test performed at outside lab; not older than 1 year)
7. MMR titers ($150) if patient is born in 1957 or later. This is not required if patient has an immunization record of two MMR vaccines.
8. Varicella titer ($200). This is not required if patient has a history of chicken pox disease or an immunization record of two varicella vaccines.
9. Flu vaccine (during flu season [October to March]; flu vaccine is $40 or can be obtained at a pharmacy or primary care office)
10. Pneumococcal vaccine for patients ages 65 years and older - obtainable at primary care office or pharmacy.
11. Meningococcal vaccine for patients ages 17-20 years old - obtainable at pharmacy for ages 18 and older, or through VFC (public health) for ages below 18 by appointment.
12. Childhood vaccination records for patients ages 18 years and under.

I-693 Form I-693 Instructions

Upon completion, a signed I-693 form with supporting documentation will be provided in a sealed envelope. This envelope may NOT be opened and is to be submitted to the USCIS as part of the application process. When submitting to USCIS or an attorney, please do not write or place stamps on the sealed envelope (if mailing, please place the sealed envelope in a separate, larger stamped envelope).