Immigration Medical Exam
You can start the I-693 process online now, without an appointment. Only one office visit is required when your form is ready to be signed and picked up.
If you prefer, you can complete the process entirely in person. This will require two office visits, one to begin the I-693 process, and one to sign and pick up the form.
Fill out the I-693 Applicant Information Form online. If you have insurance and/or immunization records, please attach them as instructed on the form.
Within one business day of submitting your application, you will receive detailed instructions about next steps by email. You can expect to:
1) Lab tests (Blood and urine test)
Get blood and urine tests at a testing center of your choice. There are many testing centers (link) available in the region.
Occasionally, blood tests come back positive for Tuberculosis (TB). If you test positive for TB, you will need a chest X-ray.
If your email instructs you to receive immunizations, get them at a pharmacy or clinic of your choice.
If you choose to receive an immunity test, we will email further instructions once the test results are available.
Once your lab tests and immunizations have been completed, we will set up an appointment to sign and seal your I-693 form, which is usually 4-5 business days after you receive the lab tests.
Call 253-200-1988 to make an initial appointment. Please bring: 1) photo identification, 2) insurance card (if available), 3) immunization records (if available). To shorten the visit, you may fill out the I-693 Applicant Information Form online prior to the appointment.
During the appointment, you will get lab tests (blood and urine tests) and detailed instructions about immunizations.
If you are instructed to receive immunizations, get them at a pharmacy or clinic of your choice, at your convenience.
Once your lab tests and immunizations have been completed, we will set up an appointment to sign and seal your I-693 form, which is usually 4-5 business days after the initial appointment.