More than a routine physical
The immigration physical follows USCIS and CDC requirements, so the visit is different from a regular annual checkup.
Immigration physical exam
Immigration physical exam for Form I-693
The immigration physical exam is part of the Form I-693 medical process, along with required testing, vaccine record review, and civil surgeon documentation.
- Physical exam plus required medical history review
- CDC-required testing by age and risk factors
- Vaccine records reviewed before final paperwork
- Sealed I-693 packet guidance after completion
More than a routine physical
The immigration physical follows USCIS and CDC requirements, so the visit is different from a regular annual checkup.
Testing can affect timing
TB screening, syphilis or gonorrhea testing, titers, or chest X-ray follow-up can change the schedule.
Records help control cost
Complete records reduce unnecessary repeat vaccines, titers, and back-and-forth.
What is reviewed during the physical exam
- Medical history, medication list, and condition history relevant to the immigration exam.
- Physical exam findings required by the civil surgeon workflow.
- Tuberculosis screening results and any chest X-ray follow-up if needed.
- Syphilis and gonorrhea testing when required by CDC instructions.
- Vaccination status and any age-based vaccine next steps.
What to bring
- Passport or other government-issued photo ID.
- Any USCIS, I-485, attorney, or RFE paperwork already received.
- Dated vaccine records and certified translations for non-English records.
- Prior TB, chest X-ray, syphilis treatment, or relevant medical records.
- Current medications and allergy information.
Final civil surgeon locations
Final Form I-693 visits are currently coordinated at these Nao Medical sites when the case is ready.
StuyTown
Final civil surgeon site259 1st Ave, New York, NY 10003
The Manhattan location for final civil surgeon visits and city-accessible scheduling.
View this location
Hicksville
Final civil surgeon site232 W Old Country Rd, Hicksville, NY 11801
A Nassau County location where patients can start the process and, in many cases, complete the final civil surgeon visit.
View this location
Mineola
Final civil surgeon site135 Mineola Blvd, Mineola, NY 11501
A Nassau County location for final civil surgeon visits on Long Island.
View this locationOfficial USCIS and CDC references
Current government guidance is especially important for Form I-693 rules, vaccine documentation, and civil surgeon requirements.
USCIS Form I-693
official Form I-693 resource with edition, filing, and applicant submission guidance.
USCIS Find a Civil Surgeon
Official USCIS tool for checking designated civil surgeon options by address or ZIP code.
CDC vaccination instructions
Current CDC vaccine record, age-based vaccine, titer, and sealed-envelope guidance for civil surgeons.
USCIS I-693 validity update
June 11, 2025 USCIS update on validity for forms signed on or after November 1, 2023.
Related guides
Open the care details you need next for pricing, locations, or paperwork.
Frequently asked questions
Common questions based on the visit details above.
Is the immigration physical exam the same as a regular physical?
No. It includes a civil surgeon exam and documentation process tied to Form I-693, required testing, vaccination review, and USCIS submission rules.
Does the exam include tuberculosis screening?
CDC technical instructions require IGRA testing for applicants 2 years of age or older, unless an exception applies. A positive result or certain history can require additional review.
Does the exam include HIV testing?
HIV testing is not part of the required immigration medical screening process under current CDC civil surgeon guidance.
Will I need a chest X-ray?
Not everyone needs a chest X-ray. It may be required when TB screening, symptoms, history, or documentation creates a follow-up need.
Can I complete vaccines before my appointment?
You can bring outside vaccine records. The civil surgeon reviews whether the records are complete, dated, translated when needed, and acceptable for Form I-693.
Can I open the sealed I-693 packet?
No. If the packet is sealed for USCIS, do not open it before submission.