USCIS Immigration Examination Information


Our physician is a licensed U.S. Civil Surgeon who has been authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physical Examinations for the Department of Homeland Security.


For this service, our physician will be required to complete the I-693 form. Our physician will review your detailed medical history and perform a physical examination. If you need any additional vaccinations or blood work we will arrange for these services. Only the physician can determine which tests you need.


Two appointments in our office for adults, one for children

  • 1st appointment includes review of medical history, the physical examination and arrangement for vaccinations and/or testing (if needed).

  • 2nd appointment includes review of lab results, additional vaccinations if required and completion of I-693 forms.



With Insurance: 

There is a $75.00 fee for completion of I-693 forms and associated administrative work. Office visits, testing and vaccinations are billed to insurance. Please keep in mind that not all insurance companies cover this type of exam and these costs may go towards your deductible. Generally, insurances tend to cover lab work and vaccinations relatively well. 


Out of Pocket: 

$400 per person for office visits and completion of I-693 forms. If any lab work or vaccinations are required, information on associated costs will be provided.


  • Valid government issued picture ID such as a driver license or passport

  • Vaccination and other relevant medical records

  • If attainable, please bring a list of any immunization or vaccination records. If your records are from your home country, and not in English, it will benefit you to have our physician review them.

  • If you’ve ever had a positive skin test for tuberculosis (TB), please bring a certificate from your physician giving the circumstances of the positive test result. Indicate any treatment prescribed by your previous physician and how long it lasted. If you have ever been diagnosed with TB, you must present a written certification, signed by your doctor, proving that you were adequately treated. The certificate must include dates and types of medications you took. If you have ever had an abnormal chest X-ray, borrow the last X-ray films taken and bring them to your medical exam.

  • If you have had syphilis please bring a written certificate, signed by a physician or public health official, proving that you were adequately treated. If you have ever had a positive VDRL or other blood test for syphilis, and were not treated, you must bring a written explanation signed by your physician.

  • Bring a list of any medication you are taking. If you are being treated for a chronic medical condition or taking medication on a regular basis, be ready to explain your condition(s).


After the immigration physical examination is completed, our physician will certify the I-693 form. This paperwork will be given to you in a sealed envelope. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of the enclosed forms will also be provided for you to keep. The examination will only be valid up to a year after the immigration exam date.


Schedule a USCIS Physical Examination at our clinic by calling 425-825-3900 or by clicking here. To expedite the process of your office visit, please complete the new patient forms before your appointment. You can access them through the FORMS page.