A $50 deposit is required to book your green card medical appointment. This deposit is applied to your final payment and is fully refundable if you cancel at least 24 hours in advance. The remaining $370 is due at the time of your visit. We accept cash, debit, and credit card payments.
Immigration Medical Exam
at Arthur Direct Care
Trusted USCIS Civil Surgeon
Welcome to Arthur Direct Care
Your trusted USCIS-approved doctor for immigration medical exams. We make your immigration journey smoother with thorough, efficient, and compassionate care. Our certified team ensures that your Form I-693 is accurately completed and ready for submission to USCIS.
Whether you’re applying for permanent residency through marriage, employment, or family sponsorship, we help make your immigration journey easier with expert care and on-site services.
What is an Immigration Physical?
An Immigration Physical—also known as a Green Card Medical Exam, Permanent Residency Medical Exam, or Green Card Immigration Exam—is required by USCIS for all applicants adjusting their status to become lawful permanent residents.
During this process, applicants must complete Form I-693 (also known as the immigration physical form or USCIS medical form) with the assistance of a certified civil surgeon. This form confirms that the applicant meets the health standards outlined by USCIS.
What to Expect During the Immigration Medical Exam
Your visit includes all services required by USCIS:
- A complete physical examination
- Review of your vaccination records
- Administration of required immunizations (if needed)
- Tuberculosis (TB) screening
- Testing for gonorrhea and syphilis
**We recommend scheduling your exam just before submitting your I-485 application.Once signed by the civil surgeon, the I-693 form is valid for 2 years.
What to Bring to Your Appointment
To help avoid delays, please bring the following:
- A valid government-issued photo ID (passport or driver’s license)
- Completed Part 1 of Form I-693 using black ink only (do not sign Part 2)
- Proof of prior vaccinations or immunizations
- Your medical history and a list of current medications
- Payment – due at the time of your visit (we accept cash, debit, and credit cards)
- Interpreter, if you need assistance with English
Vaccination Requirements for Immigration Medical Exams
Meeting the USCIS vaccination requirements is a key part of your immigration medical exam. These vaccination requirements vary based on your age and health status and are necessary to complete the I-693 form. If you do not have proof of immunization, you may need to begin new vaccinations. We can conveniently provide the necessary vaccines in-house at a competitive price. Alternatively, you can obtain the vaccines from other providers or pharmacies and submit proof of immunization afterward.
Required Vaccines for Adults:
- MMR (Measles, Mumps, Rubella)
- Varicella (Chickenpox)
- Hepatitis B
- Polio
- Tdap (Tetanus, Diphtheria, Pertussis)
- Influenza (Flu) – Required October through March
- Pneumococcal (Required for applicants 65+)
Children must show proof of all CDC-recommended childhood immunizations as part of the immigration medical exam requirements.
**COVID-19 vaccine is no longer required as of January 2025**
USCIS vaccine requirements are based on age, health status, and CDC guidelines. We’ll review your records and help you meet all necessary criteria. For detailed guidance, click on the button below for vaccine requirements based on applicant age for the Green card medical exam.
SAVE TIME AND COMPLETE YOUR FORMS ONLINE
The immigration physical exam can be a daunting experience, and it is important to be prepared to ensure a successful outcome. Having the right documents and being aware of what is required before and during the exam can help reduce stress and avoid delays or issues that can lead to a denial of the application. It is a good idea to take the initiative and complete the application form I-693 (Part 1) before your appointment. Do not sign or date the form until the doctor instructs you to do so. At the end of the exam, Dr. Arthur will complete his portion of the form. Click here to download the form.
Required Lab Testing for Completion of Form I-693
- A TB blood test (QuantiFERON) for applicants age 2 and older.
Should the results come back positive, you will be referred for a chest X-ray at an external imaging facility.
Pregnant Applicants: If a chest X-ray is necessary, you must sign a consent form. We’ll guide you through the process to ensure you understand your options. - Gonorrhea Testing – Urine test required for applicants ages 18–24.
- Syphilis Testing – (RPR) Blood test for applicants ages 18–44.
- A TB blood test (QuantiFERON) for applicants age 2 and older.
Immigration Exam Cost and What It Covers
The cost of the green card medical exam is $420 per adult or child applicant. This does not include vaccinations or vaccine titers to prove immunity. Payment must be made in cash, debit or credit card only.
** We do not accept medical insurance for all services required for the I-693 Immigration form **
What is included in the cost of Exam
- A full physical by a USCIS civil surgeon.
- Quantiferon (Tuberculosis) Test
- Gonorrhea Test
- Syphilis Test
- Vaccination status verification
- Copies of your laboratory results
Completion and sealing of Form I-693 (with a copy for your records)
What is NOT included in the cost of Exam
Please be aware that the following additional tests are not included in the total cost of $420 and are available for an additional fee:
- Vaccine titers
- Vaccinations
- Chest X-rays
- Seasonal Flu Shot (Required during the flu season (Oct 1 – March 31)
Scheduling Your Immigration Medical Exam Appointment
- Rescheduling and Appointment Cancelations
- Applicants can reschedule up to 2 times for free.
- Same-day appointment reschedules will incur a $25 fee.
- Same-day appointment cancellations will result in loss of deposit.
Ready to move forward in your Green Card process?
Take the next step confidently with a trusted immigration physician.📞 Call us or 📧 email us to schedule your appointment
What to Expect After the Immigration Physical
Once your immigration medical exam is complete, please expect the following:
📑 Turnaround time: Your Form I-693 will be ready for pickup within 7 business days, provided all results are good and we have received your complete vaccination records.
📩 You will receive a sealed envelope containing your completed Form I-693 and lab results.
🚫 DO NOT OPEN the sealed envelope to avoid it being rejected by the USCIS.
- Need a Replacement for Your Sealed Form I-693?
- Replacement sealed Form I-693: $200 (exact duplicate, no exam required)
- Need a new I-693? A new exam will be required – $420
Have questions? Call us at 512-763-0457 or 512-551-0792.
We’re happy to guide you through the USCIS medical exam process.
Why Choose Arthur Direct Care?
- USCIS Approved Civil Surgeons
- Fast, friendly, and accurate service
- On-site lab testing
- Optional in-house vaccines
- Transparent pricing and clear policies
- Multiple convenient locations in Hutto, TX and Round Rock, TX
Where We Serve?
We proudly offer immigration medical exams to individuals and families in:
- Hutto
- Round Rock
- Pflugerville
- Manor
- Taylor
- Elgin
- Georgetown
- Cedar Park
- Austin
- Leander
- Jarrell
- Liberty Hill
Useful Links for Green Card Medical Exam Process
