What to Bring to Your Immigration Medical Exam (Checklist)

Bring a government-issued photo ID — a passport, permanent resident card, or driver's license; a passport works best because the name and photo match your immigration file. If USCIS or your attorney gave you a copy of Form I-693 to bring, bring it — if you don't have it, don't worry, we provide and complete the form ourselves.

Bring every vaccination record you have, including cards from your home country — legible records with dates can save you from repeating shots. Add a list of your current medications with doses (a photo of the bottles works), your medical history (any major conditions, surgeries, or hospital stays, and the name of any doctor treating an ongoing condition), payment for the $190 all-inclusive exam, and your glasses or contacts if you wear them. If you've ever had a positive TB test, TB treatment, or a chest X-ray for TB, bring that paperwork too — it can change which tests you need.

No surprises: once you're in the room with Dr. Hendry Pascual, our USCIS-designated civil surgeon, the visit covers a review of your history and records (vaccines, medications, and past conditions), a physical exam (heart, lungs, eyes, ears, nose, throat, skin, and a general check — not invasive), and the required lab tests: tuberculosis screening for everyone two and older, plus testing for syphilis and gonorrhea depending on your age. All of that is included in your $190.

We also verify your vaccination records — telling you which vaccines, if any, you still need, and pointing you to where you can get them free, since we don't administer vaccines on site — and complete your Form I-693, sealed the way USCIS requires. Most adults are in and out without any issue; if a lab needs a follow-up or a missing vaccine has to be resolved before we can finalize the form, we tell you the exact next step before you leave.

The single most common reason someone needs a return visit is missing vaccine records. If there's any chance you were vaccinated back home, track those records down before your appointment — call family, check old files, whatever it takes. Bringing them is the easiest way to finish everything at once.

The lab work is the one part that isn't instant — tuberculosis and other required tests go to the laboratory, and results take a few days to come back. We don't finalize and seal your Form I-693 until those results are in, because USCIS needs a complete form; that's normal and built into the process everywhere, not just here.

So the realistic sequence is: exam first, results in a few days, sealed Form I-693 ready shortly after. If you need a vaccine to complete your record, that happens in parallel — you get it free at the county, bring proof, and we finish the form. Come prepared with your records and there is usually nothing standing between you and a completed I-693. For current appointment timing, call PassQual Health at (786) 677-9922.