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Immigration

 

IMMIGRATION MEDICAL EXAMINATION 

I-693 FORM

QUALIFIED MEDICAL CLINIC

The doctor is a Civil Surgeon for the United States Citizenship and Immigration Services (USCIS).  This medical clinic is cosmopolitan.

BRING

FEDERAL IDENTIFICATION

  • passport

  • USA Employment Authorization Card (if any)

  • USCIS online # (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)

INFORMATION

USCIS instructions follow U.S. Department of Health and Human Services (HHS) regulations and Centers for Disease Control and Prevention (CDC) guidelines.  You do not need to bring in the I-693 form.  We have it here and will fill it out for you electronically.

GOOD FAITH FEE ESTIMATE

IMMIGRATION MEDICAL EXAMINATION 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

  • Tuberculosis (QuantiFERON or T-Spot) $190

  • Syphilis $23

  • Gonorrhea $64

  • Blood Draw $15

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) $198

  • flu Influenza (if season: 1 October - 31 March) $30

  • COVID COrona VIrus Disease (2023 or 2024 version)

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

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

   Immunity Blood Test (if you prefer): HepB $60, MMR $110, Var $56

USCIS does not charge a fee for submitting this form.

BILLING

ACCOUNTING

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

INSURANCE

For contracted PPO health insurance plans only, we charge upfront for the exam, the lab will bill the insurance for the testing, and we bill the insurance for the exam and any immunization; then what the insurance pays us for the exam we will refund back to you.  If you wish to buy health insurance consult an Insurance Agent.

INVESTMENT

The medical examination is a one time investment to immigrate to the United States of America.

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.

TIMELINE

It is most expeditious to submit I-485 together with I-693.  Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire, and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.

IF YOUR TUBERCULOSIS TEST IS ABNORMAL

Tuberculosis is an infection that primarily infects the lungs, but can spread anywhere. It is not uncommon in the rest of the world; 2 billion people in the world have Tuberculosis infection so America screens all immigrants and requires treatment if necessary. If your tuberculosis blood test is abnormal, you will need to get a chest X-ray and start treatment (Rx).  In >99% of the cases we see, the chest X-ray is normal.  87% of active tuberculosis cases are due to persons progressing from latent (inactive) tuberculosis.

CHEST X-RAY NORMAL

= LATENT (INACTIVE) TUBERCULOSIS

up to 15% chance of activation

 

-> take 1 Rx x 4 months

 

with initiation of proper treatment does not disqualify or delay your application

CHEST X-RAY ABNORMAL

= ACTIVE TUBERCULOSIS

 

 

-> take 4 Rx x 2+ years

 

with initiation of proper treatment may apply for waiver on application

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