Immigration Medical Exam


I-693 Form Requirements

+ Basic questionnaire and physical examination
+ Blood test for tuberculosis (Quantiferon test)*
+ Blood test for syphilis for ages 15 and up
+ Urine test for gonorrhea for age 15 and up
+ Various age-specific immunizations

Completion of the I-693 typically takes 5-7 business days with two clinic visits (one visit if process was started online).

* Tuberculosis test comes back positive in about 3-5% of cases. If your tuberculosis test is positive, you will need to get a chest x-ray at your own expense.



+ Immigration medical exam including required labs: $300
+ Optional immunity test for MMR (Measles/Mumps/Rubella) and Varicella: Add $70

+ Immigration medical exam if your insurance covers the required labs: $250
+ Tuberculosis screening (without immigration medical exam): Add $105



Please provide us with your immunization record if available. We accept your documents in English, Spanish, Korean, or Russian. If your documents are in another language, please provide us with an English translation.

If you need immunizations, you will need to get them at a pharmacy or clinic of your choice. Most insurance plans cover the cost of the immunizations.

If you are age 18 or under: You must receive all childhood immunizations per CDC (Center for Disease Control) recommendation.

If you are age 19 - 64:
+ Tdap (Tetanus, Diphtheria, and Pertussis)
+ MMR (Measels, Mumps, and Rubella)**
+ Varicella
+ Flu during the winter seasons (Oct - Mar)

If you are age 65 or older:
+ Tdap (Tetanus, Diphtheria, and Pertussis)
+ MMR (Measels, Mumps, and Rubella)**
+ Varicella
+ Pneumonia
+ Flu during the winter seasons (Oct - Mar)

** Please note: ​You do not need MMR and/or Varicella immunizations if you:
+ Were born in 1956 or earlier (you do not need MMR but you still need Varicella)
+ Are confirmed immune to MMR and/or Varicella by an immunity blood test ($60 for MMR and $50 for Varicella)
+ Are confirmed pregnant by urine pregnancy test ($10)



+ Cornerstone Consent Form: PDF
+ Current Edition of the I-693 Form (Part I only)
+ Current Information on USCIS I-693 Form (official website):

Vaccination Information
+ CDC Vaccination Requirements According to Applicant Age: PDF
+ CDC Vaccination Schedule for Age 0-18: PDF
+ CDC Vaccination Schedule for Adults: PDF
+ USCIS Vaccination Requirements for Immigrants:

Miscellaneous Information
+ CDC Technical Instructions for Civil Surgeons: