QUALIFIED MEDICAL CLINIC

The doctor is a Civil Surgeon for the United States Citizenship and Immigration Services (USCIS).  This medical clinic is cosmopolitan helping those around the world immigrate here.

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BRING

FEDERAL IDENTIFICATION

• passport

• USA Employment Authorization Card (if any)

• USCIS online account # (if any)

• Alien # (if any)

• marriage license / name change documents (if any)

TESTING/VACCINATION/OTHER

• Reports of above Requirements (if any) (don't worry if you haven't had any of this testing done yet, we will help you)

• Reports for your other diseases/conditions (if any including hypertension, diabetes, etcetera) [I-693 Form p.10 Other Medical Conditions]

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INFORMATION

USCIS instructs USCIS Civil Surgeons to "follow U.S. Department of Health and Human Services (HHS) regulations and Centers for Disease Control and Prevention (CDC) guidelines."  [I-693 Instructions p.4]   In addition to the below testing and immunizations, the medical history and physical examination includes a mental and physical examination.  The mental status examination includes cooperativeness.  "Physical disorders are diagnosed according to the diagnostic criteria in the most recent edition of the World Health Organization’s Manual of the International Classification of Diseases, Injuries, and Causes of Death (ICD) or by another authoritative source as determined by the CDC director.  The civil surgeon will ask you general questions during the medical examination to determine whether you have such a condition.  The civil surgeon may refer you to a specialist for further evaluation, if necessary."  The form requests "diagnosis, likelihood of recurrence of the harmful behavior, therapy given, and any counseling or referrals".

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GOOD FAITH FEE ESTIMATE

IMMIGRATION MEDICAL EXAMINATION INTIAL CONSULTATION: $300

The Immigration Medical Examination Consultation Fee of $300 is for the initial visit.  Follow up visit fees for immigration or completion of the form are at no additional charge.

TESTS

• Age 2+: Tuberculosis: (QuantiFERON or T-Spot): $140 

• Age 18-44: Syphilis: $23

• Age 18-24: Gonorrhea: $64

• Blood Draw: $15​

• Immunity Blood Test (if you prefer, instead of providing proof of vaccination): HepB $60, MMR $74, Var $56

VACCINATIONS

• TDaP: Tetanus Diphtheria Pertussis: (booster every 10 years, pregnant week 27-36) $62

• MMR: Measles Mumps Rubella: (born after 1957, if no proof of immunization or immunity) $111

• VAR: Varicella (chicken pox): if no history of vaccination or disease) $216

• flu: Influenza: if season: 1 October - 31 March, (version 2024-2025 on or after 22 Aug 2024) $30

• HepB: Hepatitis B: (if age <60) $105

• PCV20: Pneumococcal: (if =age65, chronic lung disease, smoker, diabetes, and no history of any pneumococcal vaccination): $434

   COVID: NOT required (as of 22 Jan 2025 regulation)

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BILLING

ACCOUNTING

We charge all applicants upfront.  We always provide receipts, including for employer reimbursement and tax preparation. 

INSURANCE

For PPO (not HMO) health plans, with contracted health insurance, we charge upfront for the exam, bill the insurance for the exam and any immunization (the lab will bill your insurance directly); then whatever the insurance pays us for the exam we will refund back to you.  If you wish to buy health insurance, you may consult an Insurance Agent.

INVESTMENT

To immigrate to the Unites States of America,  medical examination is a ONE time investment.  USCIS will not charge you to submit the medical form.

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FORMS

We have the latest I-693 form (electronic format, 14 page document, Edition 9Mar2023 expires 31Mar2025).  Upon completion of all tests and vaccinations, we will ask you to return for a follow-up visit to review and sign your form.  You will be given the completed form in a sealed envelope (do not open) for you to submit to USCIS.  You will also be given a copy of the form for your records.  We recommend you mail the form to USCIS with tracking for the rare <1% chance it gets lost you have proof of submission.

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TIMELINE

Effective 2 Dec 2024, Form I-485 (Application to Register Permanent Residence or Adjust Status) must be submitted with Form I-693 (Report of Immigration Medical Examination and Vaccination Record).  Any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire