Immigration Medical Exams

Over 24,500 immigration medical exams to date for immigrants from over 131 countries. We are doing a dozen or two more every day. We understand your need for reliable, expedient & low-cost service.

Our experience of 24,500 i-693 exams done, dependability, 100% rate, expedient service, attention to detail, total low cost of medical exams, and client satisfaction are compelling reasons to select us as your civil surgeon. 

We all are there to help & guide you in your medical exam. However, we defer legal questions for you to ask your attorney. We appreciate your trust in our experience, care, and trust in us. 

HOW LONG THE MEDICAL EXAM PROCESS TAKES?

• It will require 2 visits. The average time for the expedited process is 4-6 working days, depending upon your vaccination, lab results, medical history, timely follow-up, and how well you filled your form & brought supporting documentation.
  
  On Your First Visit:
  a) Bring the i-693 filled form, Vaccinations records, Photo ID & medical history for our review.
  You will have Physical Exam & our Physician will evaluate what Vaccines & tests you will need.
• We will give you order forms for Lab tests for Gonorrhea, Syphilis & TB. Lab results can take up to 5 working days. Let us know when your Lab results come; we will make you an appointment for 2^nd
• We will give you orders for vaccinations & lab tests. You can get it done anywhere you like. We will guide you for your expediency, convenience & lowest cost & coordinate with any insurance benefits. 

On Your Second Visit :
             Our USCIS Civil Surgeon Dr. Neema Malhotra will review your i-693 completed package, vaccines, and lab results and see if anything else is required per USCIS guidelines based on your info.

• You will be given a sealed envelope of your exam to be submitted to USCIS or your attorney. A duplicate electronic PDF copy will be provided to you via your email.
• Rarely, do you need an extra day for an X-Ray of your chest if your TB Test comes positive?
• You must pick up your I-693 sealed envelope within 30 days of a medical exam. You must submit I-693 sealed envelope within 60 days of signing & sealing by the Civil Surgeon. 

We all are there to help & guide you in your medical exam. However, we defer legal questions for you to ask your attorney. Please let us know if you have to meet deadlines and have RFE or a scheduled USCIS interview.

We take pride in delivering exceptional service to all applicants. If you're seeking a swift and efficient process, we're pleased to offer priority same-day appointments, direct access to USCIS Civil Surgeon Dr. Malhotra at any time, and a dedicated medical assistant to follow up with you. This service is available for a nominal fee of $150, ensuring that you receive the best possible experience & assure expedient processing. If your green card application is employer-sponsored, these charges may be covered by your employer. 

1. Any Vaccination Records
2. Valid Govt. Photo ID such as Passport or a USA Driver License
3. I-693 Printed Form, a 14 pages form expiring 07/31/2025. Applicant must fill first 4 sections about demographics etc. Rest of sections of the form will be filled by civil surgeon doctor Malhotra. Instructions for filling applicant section is in link below.
   

   This latest PDF fillable i-693 form can be downloaded on links below or at our website https://www.uscisclinic.com/uscis/

   Download Latest I-693 Form for Milpitas Location

   Download Latest I-693 Form for San Jose Location

   Instructions for Filling i-693 Form

4. Payment by Credit Card, Cash, Check, PayPal, Apple Pay, Zelie or Venmo. HSA or FSA cards are accepted.

Form Filling Instructions:

One form per applicant is required. Type and Print only in black ink.

Fill the 1st page with Applicant info; Fill a few lines on page 2 asking you how USCIS can contact you. Also each page top line has boxes asking your family name, first name and A-number. Please fill these boxes on all pages. If you do not have A-number given; leave it blank.

DO NOT sign or put any date. You have to sign & date before Civil Surgeon Dr. Malhotra.

After filling I-693 pdf form with your demographics; print form single sided. Do not use heavy paper as it is difficult to fold. Use 19-21 lb paper.  Make sure bar code is printed on each page and your name is also on each page. See sample filled form and instructions.

Instructions for I-693 Form - View or DOWNLOAD here. 

A Sample I-693 Filled Form - View or DOWNLOAD here.

Download N-648 Disability Waiver Form

DOWNLOAD on the links above the Latest Fillable I-693 Form ver 03/09/23 expiring 03/31/2025 with a Barcode, and prefilled page 4 with our clinic civil surgeon Dr. Neema Malhotra's info.

Use Adobe PDF Reader to populate and print. DOWNLOAD FREE Adobe PDF Reader and install. Do not use browsers as they may not support full PDF functionality. You may not see or print the barcode or auto-populate your name and A-number on each page. 

Always use Adobe Reader PDF Viewer. Print form without any printer page scaling or fit to page. 

Instructions for I-693 Form - View or DOWNLOAD here. 

A Sample I-693 Filled Form - View or DOWNLOAD here.

DOWNLOAD on the links above the Latest Fillable I-693 Form ver 03/09/23 expiring 03/31/2025 with a Barcode, and prefilled page 4 with our clinic civil surgeon Dr. Neema Malhotra's info.

Use Adobe PDF Reader to populate and print. DOWNLOAD FREE Adobe PDF Reader and install. Do not use browsers as they may not support full PDF functionality. You may not see or print the barcode or auto-populate your name and A-number on each page. 

Always use Adobe Reader PDF Viewer. Print form without any printer page scaling or fit to page. 

What Vaccinations are required?

         Bring with you your Immunization Records to determine what will be needed per USCIS.            

a) Adults: Tdap, MMR, Varicella (Chicken Pox) & Influenza, for age > 2 years   b) Children: Must be up to date with a vaccination schedule for their age per CDC guidelines for Hepatitis A and B, Influenza and influenza b (Hib), Measles, Mumps, & Rubella (MMR), Meningococcal, Pneumococcal, Pertussis (whooping cough), Polio, Rotavirus, Tetanus & Diphtheria, Varicella (chicken pox). Vaccine schedules are available on our website and CDC websites. Effective June 2022, Hepatitis B is required for ages under 60. 

 USICIS/CDC Vaccination Requirements for I-693 Medical Exam VIEW or DOWNLOAD here.  Do Not worry, our providers will determine any gaps during your medical exam. Bring your vaccination records. Even if you do not have any vaccination records, you will be presented with all available options to meet your requirements for your health needs, cost, and expediency of filing the I693 form. We will make sure your filing or acceptance is not delayed.

You can consult your healthcare provider for your specific needs and applicable waivers per USCIS that may be granted by the Civil Surgeon.

For your convenience; we give you orders and you can take your vaccines at any pharmacy such as CVS, Walgreens, Costco, and Walmart near you. Vaccines are covered by insurance with doctor's orders. Just bring with you a receipt or proof of vaccination and we will record it in the I-693 medical exam form.

If you do not have immunization/vaccination records, read this section on this FAQ. You can either take an immunity test or take vaccines. You can develop immunity either through natural disease or through prior vaccination. In some cases, Dr. Malhotra can give selective waivers based on medical history. COVID-19 Vaccine Requirements:

Per recent USCIS guidelines, COVID-19 vaccine is required as of 10/1/2021. Green Card Applicants will be required to show proof of vaccination to the Civil Surgeon during their I-693 Medical Exam. Proof of vaccination will be required for I-693 form processing. Two initial Covid-19 shots are required as a minimum. In addition, 1 or more doses of the updated (2023-2024 Formula)  shot is required. See the COVID-19 section in the Vaccination area of the website. 

COVID-19 vaccination is mandatory for USCIS per the current CDC schedule for anyone over 6 months of age. Above are general guidelines. It is best to see Civil Surgeon Dr. Neema Malhotra and discuss your specific vaccination & medical history, age, contraindications, pregnancy, country of origin, travel history, natural immunity, vaccination cost, and other factors to determine your vaccination gaps per USCIS guidelines.  A minimum of two COVID-19 shots & one or more COVID-19 Updated 2023-2024 version shots are required.   View the current USCUS policy on vaccinations.

Note: If both MMR & VARICELLA are needed, both must be taken on the same day. You may take a combined MMRV Vaccine. Our staff will give you a guide on what, where & when to take vaccinations at no or low cost. 

If you are planning to take the vaccine, wear short sleeves or loose clothes so that your arms can be easily accessed by the healthcare provider for giving the vaccination.

 

You are only required to receive a single dose of each vaccine when you visit the civil surgeon. You are encouraged to follow up with your private healthcare provider to complete the series. Once you have received the single dose appropriate at the time, the civil surgeon can sign and certify & seal Form I-693. The civil surgeon will indicate on the I-693 form that the next shots in the series have been scheduled.

The COVID-19 vaccine is the exception to this requirement. You must complete the COVID-19 vaccine primary series (for example, 1 or 2 doses, depending on which vaccine, in adults; 2 or 3 doses, depending on age and which vaccine, in children) and provide documentation of vaccination to the civil surgeon in person before completion of the medical examination.

For more information about the COVID-19 vaccination requirement, see the CDC Technical Instructions.

Make sure you take the additional vaccination shots per schedule. It is good for your health and the health of the public. You may be asked during your interview with the USCIS field officer at the time of visa grant or approval to show proof of scheduled vaccination by the civil surgeon as indicated on your Green Card application.

What If I Do Not Have Vaccines Records

• Do not worry. Most of the applicants do not have all the vaccination records. You can do an inexpensive lab test for immunity showing that you have acquired immunity either via vaccination or natural disease. If you do not have immunity, then you can take vaccinations.
• Vaccines are required by USCIS for communicable diseases. Bring any records you may have. We can take any vaccine records that were administered by anyone including in a foreign country. The Physician will do their best within their discretion and USCIS guidelines based on your medical history; they give you choices to either do a test for immunity or give vaccines. You can decide based on your filing timeline, cost, and the health & safety of others.
• For Example; MMR requires two shots 28 days apart. We can get one today & schedule your take 2^nd shot for MMR later. You can file the application now & give the proof to your attorney or take it with you on your USCIS interview and or fill it with your application.
• Read other FAQs section regarding what vaccines are required by the USCIS

  What Vaccinations are required?

           Bring with you your Immunization Records to determine during your medical exam to access gaps and what vaccinations will be needed per USCIS guidelines.             a) Adults: Tdap, MMR, Varicella (Chicken Pox) & Influenza, for age > 2 years. HEP-B for all up to age 59.              b) Children: Must be up to date with a vaccination schedule for their age per CDC guidelines for Hepatitis A and B, Influenza and influenza b (Hib), Measles, Mumps, & Rubella (MMR), Meningococcal, Pneumococcal, Pertussis (whooping cough), Polio, Rotavirus, Tetanus & Diphtheria, Varicella (chicken pox). Vaccine schedules are available on our website and CDC websites. The latest USCIS Vaccine guidelines are on this link.

   USICIS/CDC current Vaccination Requirements for I-693 Medical Exam VIEW or DOWNLOAD here.  Do Not worry, our providers will assess any gaps during your medical exam. Bring your vaccination records. Even if you do not have any vaccination records, you will be presented with all available options to meet your requirements for your health needs, cost, and expediency of filing the I693 form. We will make sure your filing or acceptance is not delayed.

  You can consult Dr. Neema Malhotra for your specific needs and applicable waivers per USCIS that may be granted by the Civil Surgeon due to medical history, pregnancy, and or religious beliefs.

Are Vaccines Safe? : Yes; Vaccines are safe.

• You can take another shot even if you have taken before.
• Consult your physician, if you are pregnant or sick or allergic to ingredients. You will need waiver from your physician or from Civil Surgeon for USCIS for these conditions. Speak to civil surgeon during your medical exam for guidance. 
• Civil Surgeon is also allowed to give vaccine waivers to applicants based on applicant's medical history, contraindications & religious beliefs.

In general, you can take any vaccine either 2 weeks before or 2 weeks after your Covid-19 vaccine injection. New CDC guidelines show that you can take any vaccine along within few days of taking Covid-19 vaccine until there are some contra indications based on your health history as determined by your health care provider. If you have any concern, ask our providers during your medical exam.

Covid -19 Vaccine Requirements:

Per USCIS guidelines, Covid Vaccine is required as of 10/1/2021. Green Card Applicants will be required to show the proof of vaccination to the Civil Surgeon during your I-693 Medical Exam. Proof of vaccination will be required for I-693 form processing. Two initial Covid-19 shots are required as a minimum. A third shot i.e. a Booster is preferred to assure acceptance by USCIS.

What Lab Tests are required?         

1. Quantiferon (Tuberculosis) for all ages
2. Syphilis after age 15 and up.
3. Gonorrhea for all applicants between ages 18-24 years. If an applicant has an adverse sexual medical history, ages can be 15 and up.
   
4. For these lab tests, NO fasting is required.
   
   Lab Information

All your lab tests are done by an accredited outside lab such as Quest, Bio-Reference, etc. We will recommend you the cheapest Lab. There are 5 labs in our area and their charges range from $450 to $1,000 for the 3 lab-required tests. Your insurance will not cover lab charges as these are very specific to immigration medical exams. Insurances cover labs (subject to plan deductibles) only if evidence of disease is present & you are visiting a physician for that reason. 

For convenience and the total low cost of your immigration medical exam; we have negotiated a package price for 3 tests for $190, if payable in advance at the time of the medical exam in our clinic. Your lab charges may range from $40 to $190 depending on your age & medical history. The independent labs are accepted by USCIS and are independent accredited facilities located across the Bay Area.

The lab locations are within two miles of both USCIS clinic's Milpitas & San Jose locations. No fasting or appointment is required. You can go to labs, as a walk-in w/o an appointment or go whenever to a convenient location near your home or work. 

Lab prices are subject to change by the lab. If you select the lab of your choice, you will be responsible to pay directly to the lab. We are not connected in any way to the labs. You are advised to check which labs are in your insurance network & if labs are covered under your insurance policy.

       The lab results take up to 3-4 working days which is the gating item in finishing your I-693 form & giving you a sealed copy for submission to USCIS. If you are in a hurry, we can try to expedite the process to walk in or make same-day appointments.

TOTAL LOW COST OF YOUR I-693 MEDICAL EXAM, GUARANTEED!

We do every effort to save you money and coordinate your insurance benefits for the Lowest Total Cost of your I-693 Medical Exam completion. All insurance will cover Vaccinations under preventive care.

Some insurance policies may cover Labs. If needed, you can get vaccinations from any pharmacy or any place and labs from anywhere for the lowest cost, convenience, and fast turnaround. We accept vaccination records from other countries. We coordinate benefits with your insurance and negotiate special rates with different labs & pharmacies to minimize your costs. During your first visit, we will give you all available options and guidance.

• Our Medical/Physical Exam Charges: $195 
• I-693 Form Processing: The fee is $200 per form.
  
  An electronic copy of the i-693 form processed by the civil surgeon is given free for your records. Insurances do not cover the cost of an Immigration medical exam. Your employer may pay for it. An immigration medical exam is different than your regular annual physical.
• 2nd I-693 Original Form copy is available at a discounted price if ordered at the same time as the first form.
• Vaccinations are covered by insurance with doctors' orders and may be taken at any pharmacy like CVS, Walgreen, Walmart, or Costco or from your primary care provider. If you do not have insurance, we will guide you for minimum cost and where to get vaccinations.
• Lab Tests: (Quantiferon, Gonorrhea & Syphilis) are required. We have compared all the labs in the Bay area. We will send you to the cheapest independent Labs having many locations. For your convenience or mobile Lab, service can come to your home or work to pick up the samples. Our recommended lab costs 3 to 5 times less than other labs such as Lab Corp, Quest, Stanford, or Sutter. Some insurance may cover some of your labs. Lab charges can vary from $0 to $200 depending on your age & medical history.
• Your Employer May Pay for Medical Exam Related Expenses. Your HSA or FSA Card will also cover expenses. We will give you a receipt for your records & reimbursement from your employer.
• We accept all Credit Cards, HSA Cards, Cash, Checks, Zelle, Venmo, PayPal, Apple Pay, and Google Pay.

Cost of N-648 Disability Waiver:

Our charges are $795 per applicant. The initial consult only is $200 to see if you could be eligible for such a waiver. This fee will be applied toward your N-648 form processing.

Is the Immigration Medical Exam the same as the Annual Physical?

The short answer is NO.

The purpose of the exam is to determine if the applicant is inadmissible to the United States due to a medical condition or a possible threat to society. The Immigration Medical Exam differs from a general annual physical exam. Per USCIS guidelines, the medical exam focuses on communicable diseases, drug dependency, and other mental or physical conditions that can constitute an applicant to be a threat to society and or USCIS inadmissibility criteria. 

Immigration medical exam does not require or focus on your general preventive health tests, diseases such as lipids, kidney, lung, metabolic disorders, or heart or blood or bone diseases, etc. It is recommended that you book an annual physical with your physician or with Dr. Malhotra where your annual physical which is usually covered by insurance as preventive. Immigration medical exam is usually not covered by insurance.

The USCIS Immigration Medical Exam is a medical examination that is required for certain immigrants to the United States. The exam is conducted by a USCIS-approved civil surgeon and includes a physical examination, a review of the applicant's medical history, and laboratory tests.

What are the health-related grounds for inadmissibility or Green Card denial?

USCIS is not concerned about your personal health (such as heart disease, diabetes, obesity, lipid or renal disorders, cancer, etc.)  but how your disease, physical or mental disorders, or addictions affect public health & safety and if pose any danger to society.

If you have any prior citations or arrests or DUI, please inform the civil surgeon so that this issue can be mitigated. 

U.S. immigration law divides the health-related grounds of inadmissibility into the following four general categories:

A. Communicable diseases of public health significance;

B. Lack of proof of having received required vaccinations;

C. Physical or mental disorders with associated harmful behavior or a history of associated harmful behavior; and

D. Drug abuse or addiction.

See INA section 212(a)(1)(A). HHS regulations classify these and other medical conditions into class A or B medical conditions. Class A medical conditions result in inadmissibility while Class B medical conditions do not.

Civil Surgeon has to document the above in the I-693 Form for the Immigration Medical Exam.

Do not worry. Dr. Neema Malhotra is a highly experienced USCIS Civil Surgeon to will guide you diligently through this medical exam process to ensure success in getting your Green Card quickly.

Appointments Booking:

• You can call us during clinic hours at 408-684-8600 or go on line at https://www.uscisclinic.com and request a tentative appointment. Our Patient Coordinator will confirm the appointment via voice or email or text message. Do not come without confirmed appointment.
• Book your 2^nd Visit appointment only after Lab results have come & you have forwarded us the copy
• More Info: > and Book appointment link is, https://www.uscisclinic.com/uscis/appointment/

USCIS Clinic Neema Malhotra MD USCIS Civil Surgeon, Milpitas & San Jose CA Immigration Physicals

You can do your Immigration first visit via a virtual TeleMed Visit.

Here are the steps.

1. Make a TeleMed Virtual appointment for the Immigration Medical Exam either online at our website at this link  (Make Appointment)
2. You will confirmation of the appointment and instructions.
3. Make a payment of $395 per applicant that includes your medical exam & processing of the I-693 form by the Civil Surgeon. We will send you a payment link by email or text so that you can pay by credit card or HSA Card. You can pay at our website at link https://www.uscisClinic.com/pay/. You will get an itemized receipt for reimbursement from your employer.
4. Upon payment of $395, you will get a TeleMed Video link. Our staff (physician nurse or medical assistant) will review your vaccination and medical history to assess any gaps in vaccinations and determine all the labs needed for I-693 form processing. Make sure you have all available Vaccination records with details date the vaccination was given, by whom & vaccine manufacturer's name. Please have a state-approved photo ID such as a driver's license or a passport.
5. After review of your medical history & vaccination records;
   we will give you Lab Orders & Vaccination Orders.
6. You can take vaccinations from any pharmacy or healthcare provider. Insurance will cover your vaccination. If you do not have insurance, we will guide you to get Vaccinations from the cheapest place to get them.
7. You can get labs done from anywhere. You will have a choice of pre-paid Lab orders from Quest or other labs at discounted volume prices. Only a few Insurances cover lab charges.  You can pre-pay the labs and take the pre-paid lab slip and walk into the lab with or without an appointment.
8.  Lab results take 3-4 working days. After your results come back & you have taken the vaccinations, you will make a follow-up appointment to see Civil Surgeon Dr. Neema Malhotra for your medical exam in person. You will sign your I-693 in the presence of the civil surgeon & show your photo ID.
9. At the end of the visit, you will be given your Completed, signed & sealed envelope for submission to USCIS. You will be also provided an electronic copy of the I-693 form for your records.

USCIS Clinic, San Jose CA is a full-service clinic for children and adults. Neema Malhotra, MD is the designated USCIS Civil Surgeon.

Dr. Malhotra has over 15 years of experience & has done over 24,500 Immigration Medical Exams, with an almost 100% success rate. Dr. Malhotra and our friendly staff welcome you and thank you for selecting us to be a part of your immigration team. We understand the process and your need for expediency, accuracy, timely submission,  and affordable competitive cost. 

We are experienced and have processed thousands of applicants. We are here to guide you thru. 

We conveniently schedule based on your timeline and follow you throughout the entire process. Our costs are competitively lower than other clinics, and we ensure that you will get the proper service that you need from us.  Dr. Malhotra is always available to the applicants, whenever needed. We believe in concierge service included in our low cost. Our reviews on Yelp and Google speak for Dr. Neema Malhotra.

WHY US

My Experience, Availability, Dependability, 100% Success Rate, Expedient Service, Total Low Cost of Medical Exams and  I have done over 24,500 Satisfied Clients are compelling reasons to select me as your USCIS doctor for your I-693 immigration medical exam. We are transparent in our costs & timeline. Our staff strives for excellence in whatever we do. 

EXPERIENCE

• Over 24,500 Exams processed by Dr. Neema Malhotra over the last decade.
• Concierge Service. Great Reviews. The provider is available anytime to address your needs.
• We Coordinate Benefits With Your Insurance
• 100% Success Rate of your I-693 by USCIS. We are Available & Dependable.
• Quick Turn Around & Expedient Service.
• We do not order tests or vaccinations that are not necessary. 
• Kaiser, HMOs, or  No Insurance Patients Are Welcome. We will guide you to the Lowest Cost.

We have 2 convenient locations, in Milpitas and San Jose.

Milpitas: 98 S Abel Street, Milpitas CA 95035

San Jose: We are located at 2730 Union Ave, Suite B, San Jose, CA 95124

See Contact Us for Map & Directions

We are open from 9 am to 5 pm on weekdays. 

Dr. Neema Malhotra is available in Milpitas on Monday, Wednesday & Friday and in San Jose on Tuesday & Thursday.

Please send us a request to Book an Appointment today online at any location and we will call you back with confirmation of appointment.

Or call us at 408-684-8600 during clinic open hours. 

Make sure you have a confirmed appointment.

How to Interpret Immigration Lab Results and Immunity Tests

Lab Results Interpretations.

A Sample Immigration Lab Report is shown below & how to interpret your lab results. 

 If results are within range and normal,  usually are shown in GREEN color, which means no further action is required. You can come and get your I-693 completed form. If the results are out of the normal range (abnormal), usually show in RED color, which means that further action is required. If QF TB Test is positive (Red color), you need an X-ray to rule out active TB. If immunity tests are abnormal ( Red Color), then you need to take that vaccination. If RPR or Gonorehea tests are reactive (abnormal) usually shown in RED color, just call us for the next steps to perform confirmatory tests and discuss options. 

QF TB, Syphilis, & Gonorrhea Tests should be Non-Reactive or Negative is considered normal. If you are Reactive, you had an infection in the past. If the TB test is Positive must have a chest X-ray (2 views) to rule out active TB. Orders given to you at the time of first visit, also include X-Ray orders.

Immunity Tests for Hep-B Surface Antibody, MMR, Varicella, etc. should be Positive or Reactive, meaning you have acquired immunity either through taking vaccines or natural immunity by disease.  Non-Ractive or Negative results mean that you do not have immunity and need to take the vaccine.

Click here to > Download a pdf above sample report explaining How To interpret Immigration Labs Results.

What If your QuantiFerron Lab TB Blood Test comes back positive?

TB is a contagious disease. It is part of the requirement by USCIS & CDC to make sure you do not have an active TB infection. Do not worry. 

About 10 % of the Asian, African & South American population comes with TB positive. Per USCIS, CDC & local public health requirements, the applicant must do an X-ray of the chest of two views of the lungs to determine if your TB is active or latent (dormant). Only about 1 to 2% of the X-rays show an active TB. You have about a 1 in 500 chance that you may have an active TB. Not to worry much. But if you have it, you need to get treated for your own health sake and the health of others. 

The X-ray report signed by a radiologist stating no evidence of TB is included with the I-693 form and sent to USCIS. In addition, civil surgeons have to also inform the local county public health department and send a copy of the TB Test and X-ray report.

If TB lesions show an active TB, you will have to undergo treatment & the local county public health department is informed and they will monitor you & treat you. 

We have given you already an X-ray order that will be required in case your TB Blood test is positive. You can take this order to any radiology facility. We have recommended a few places in the instructions, that are cost-effective (Cost less than $100 for 2 views of the chest) and send an X-ray report within a day or two. 

You can read more on our website about TB disease and Lab test and in this TB instructions for civil surgeons on on this TB link. 

Do not worry. Dr. Neema Malhotra, the civil surgeon is highly experienced in guiding you to get your I-693 done successfully. 

Time is of Essence.

 Your i-693 form signed & sealed in an envelope by the Civil Surgeon is usually valid for 2 years, until or unless asked by the USCIS otherwise.

You are expected to send the sealed envelope to the USCIS promptly. Your completed I-693 medical exam sealed envelope must be received by USCIS to process your application, otherwise may delay your approval of your green card application.

You must pick up your I-693 from our Clinic within 30 days of your first visit i.e. initial medical exam. Otherwise, the form will be discarded and a review of documents & new form-filling fee of $130 will apply.

If the delay is more than 30 days, you may have to repeat sexual diseases lab tests.

USCIS Policy Highlights effective 4/10/2024

Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.

Newly I-693 Form sealed & certified by a Civil Surgeon can be used indefinitely & does not expire.

    Below is the latest policy updated on April 10, 2024

• Policy Clarifies that a properly completed Form I-693 signed by a civil surgeon on or after November 1, 2023, retains its evidentiary value and does not expire.

• Clarifies that a properly completed Form I-693 signed by a civil surgeon before November 1, 2023, continues to retain its evidentiary value for 2 years from the date of the civil surgeon's signature.

• Reiterates that USCIS officers have the discretion to request further evidence or a new or updated Form I-693, even if the original Form I-693 submitted is otherwise valid, if they have reason to believe the Form I-693 submitted does not accurately reflect the applicant’s medical condition.

What can you do right now to expedite your Green Card?  

Hire experienced experts to help you, both the medical (civil surgeon) & legal. Share your challenges with them. They are there to help you.

Select an experienced Civil Surgeon such as Dr. Neema Malhotra who has done over 24,500 immigration medicals.  We at USCIS Clinic offer you a reliable, expedient & affordable service.

• Be patient. I know this is easier said than done. You miss your family and you’re frustrated with the delays. We understand. However, getting angry won’t help your application go faster.
• Get your application in. Yes, the lines are long, but the sooner you get your application completed the sooner you are at least in line.
• Submit the best application with the strongest evidence possible. Do everything you can to make sure your application won’t be rejected. Recheck your application.
• Type or Print your application in black ink. Follow the instructions.
• Read FAQs & processes on this website and follow the instructions provided to you by our USCIS Clinic staff & Dr. Neema Malhotra. We are glad that you are reading this.

Get It: We have people asking us all the time, “What if I’m missing this or that?” If you’re missing something, GET IT. If you are missing a test or a vaccine to be compliant, get it.

Fix It: If you have something in your background that you think might keep you from being approved, FIX IT. Listen to your advisors. 

Sending in an incomplete application or forms and hoping that immigration doesn’t notice will not only delay the processing but may also cost you more money & lost opportunities. 

EXPEDITED SERVICE: Further, we offer expedited service at a nominal cost of $150 and can complete the process within a few working days. We can get your labs expedited & get you priority appointments.

Show your gratitude to those who help you. An appreciation, a smile, and or taking a minute or two to thank & write a review.

Someone said a drop of honey (appreciation) can attract more bees than a pound of vinegar.