Preparation for Your Immigration Medial Examination Visit

1. Identification

Please bring with you at the appointment a valid government issued photo ID (such as driver’s license or passport).

2. Form I-693

  1. Please email a copy of Form I-693 (https://www.uscis.gov/i-693).
  2. Email to: contact@3Dmedicalimmigration.com.
  3. Fill in Part 1 and Part 2. DO NOT SIGN Part 2.
  4. Fill top of the page for pages 2–14.

If I-693 forms are not filled out prior to appointment, you will be charged $10.

3. Medical Record

Please bring your original documents or copies of (if any):

  1. Vaccination Records (preferred for quicker processing)
  2. Proof of prior treatment for TB or other infectious disease
  3. Mental health records

Provide Certified Translation into English in case records are in a different language.

4. Interpreter

3D Medical does not provide interpretation services. If you need such service, please have someone who is fluent in both English and your native language accompany you. Please understand that the interpreter will have to be present during the medical examination.

5. Upfront Fee

There is a payment of $370 due the day of the visit (cash, check, card, or Apple Pay). The fee covers (i) the medical examination, (ii) certification of Form I-693, (iii) a copy of the certified form, (iv) and mandatory lab work.

6. Labs

There are three mandatory labs for TB GOLD (ages 2 and up), Gonorrhea (ages 18–24 only), and Syphilis (ages 18–44 only). The Civil Surgeon will order the labs after the medical examination takes place. These tests must be performed by our office even if they have been recently done somewhere else.

Be prepared to leave a urine sample for the Gonorrhea test (ages 18–24 only).

However, you may contact your health insurance company to see if they will reimburse you on these labs required for the Immigration Medical Exam, as required by the USCIS. We will provide you with a receipt for the labs preformed. These labs are tested by Quest Diagnostics.

7. Vaccines

You will need to provide proof of your vaccine history, which should include TD/Tdap, Varicella, MMR, Hepatitis B, and Covid-19. These are the general vaccinations required for adults. Vaccinations required for children can be found on the CDC website.

  1. If you have not been vaccinated, you can obtain the required vaccine(s) at your primary care doctor’s office, a local urgent care facility, community health center, or pharmacy. Make sure to ask for proof of vaccination and send proof of vaccinations to contact@3dmedicaldpc.com.
  2. If you cannot provide proof of Varicella or MMR but believe you have been vaccinated, we can draw titers to find out if you have immunity.
  3. You will also need to have a TD/T-dap vaccination dated within the last 10 years.
  4. Starting May 12, 2023, COVID-19 vaccinations are required by USCIS for all applicants ages 6 months and up. Only 1 dose Bivalent is required at the moment, booster doses are optional.
  5. Starting May 21, 2022, Hepatitis B vaccinations are required by USCIS for all applicants ages birth to 59 years old.
  6. Influenza vaccination is required during the flu season (For purposes of Form I-693, the flu season commences annually on October 1st and runs through March 31st).

Vaccines we offer at an out-of-pocket cost at our clinic: see Pricing.

Check with your health insurance company to see if they cover these vaccines. Some pharmacies, community health centers, and medical clinics may offer free flu vaccine.

What to Expect After the First Office Visit

  1. Your form will be ready in about one week after your visit. This is conditional on your fulfilling of all the requirements for lab work and vaccinations.
  2. You will be notified by phone call or email when the form is ready.
  3. You will receive the certified I-693 form in a sealed envelope as required by USCIS, and a digital copy for your own records via email.
  4. Your records will be kept in our office for 2 years.

IMPORTANT:DO NOT BREAK THE SEAL OR OPEN THE ENVELOPE. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

USCIS Policy Updates

  1. Effective August 7, 2023, save time by submitting Form I-693, Report of Immigration Medical Examination and Vaccination Record, at the same time you file Form I-485, Application to Register Permanent Residence or Adjust Status. We generally consider a completed Form I-693 to remain valid for 2 years after the date the civil surgeon signed Form I-693.

    Filing your Form I-485 with Form I-693 may eliminate the need for us to issue a Request for Evidence (RFE) to obtain your Form I-693, which delays review of your application until you respond to the RFE.
  2. Effective March 31, 2023, USCIS is removing the requirement that civil surgeons must sign Form I-693, Report of Immigration Medical Examination and Vaccination Record, no more than 60 days before an individual applies for an underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status).
  3. Effective December 9, 2021, USCIS is temporarily waiving the requirement that the civil surgeon sign the Form I-693 no more than 60 days before the date the applicant files the application for the underlying immigration benefit. It is still in the best interest of applicants to undergo the immigration medical examination close to the time of filing the application, as the Form I-693 only retains its evidentiary value for 2 years from the date of the civil surgeon’s signature. After the 2-year timeframe, the applicant would need to submit a new Form I-693 if USCIS has not adjudicated the application for the underlying immigration benefit. This temporary waiver is in effect until March 31, 2023.
  4. Effective November 1, 2018, Form I-693 will be valid for a maximum period of 2 years from the date of the civil surgeon’s signature on Form I-693, provided that the civil surgeon signs the medical examination 60 days before the date the applicant files an application for an underlying immigration benefit with USCIS.
  5. Effective Aug. 1, 2016, the Centers for Disease Control and Prevention (CDC) issued
  6. new Technical Instructions that require gonorrhea testing for most adjustment of status applicants 15 years of age and older who are required to have a full medical examination when they file Form I-485, Application to Register Permanent Residence or Adjust Status.

Additional USCIS Guidelines to Processing

  1. You should schedule the medical examination as close as possible to the time you file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable).
  2. Be sure to provide enough time for any laboratory testing or additional testing.
  3. Print out and bring the most recent version of Form I-693, Report of Medical Examination and Vaccination Record to your medical exam appointment. Complete Part 1 & Part 2 of Form I-693 but do not sign until the civil surgeon instructs you to do so.
  4. The civil surgeon will complete, sign, and seal Form I-693 and any supporting documents in an envelope. You must submit the sealed envelope to USCIS as directed in the Form I-693 instructions.

IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.