{"id":5769,"date":"2025-12-25T16:08:46","date_gmt":"2025-12-26T00:08:46","guid":{"rendered":"https:\/\/www.uscisclinic.com\/uscis\/?page_id=5769"},"modified":"2026-06-01T00:11:16","modified_gmt":"2026-06-01T07:11:16","slug":"faq","status":"publish","type":"page","link":"https:\/\/www.uscisclinic.com\/uscis\/faq\/","title":{"rendered":"Frequently Asked Questions Immigration Medical Exam"},"content":{"rendered":"\n\n<h1>I-693 Frequently Asked Questions<\/h1>\n<h2>USCIS Immigration Medical Exams<\/h2>\n<h2>USCIS Clinic, Neema Malhotra M.D.<br \/>\nPediatrics &amp; Family Medicine<\/h2>\n<p>98 S Abel Street, Milpitas CA 95035<\/p>\n<p>2730 Union Ave, Ste B, San Jose CA 95124<\/p>\n<h3><strong>(408) 684-8600<\/strong><\/h3>\n<h3><strong>hablamos espa\u00f1ol<\/strong><\/h3>\n<h2>Click here &gt; <a href=\"#\" data-gt-lang=\"es\" class=\"notranslate\"><img decoding=\"async\" src=\"https:\/\/www.uscisclinic.com\/uscis\/wp-content\/plugins\/gtranslate\/flags\/svg\/es-mx.svg\" width=\"24\" height=\"24\" alt=\"es\" loading=\"lazy\"> <span>Spanish<\/span><\/a>\u00a0 \/\u00a0 <a href=\"#\" data-gt-lang=\"en\" class=\"gt-current-lang notranslate\"><img decoding=\"async\" src=\"https:\/\/www.uscisclinic.com\/uscis\/wp-content\/plugins\/gtranslate\/flags\/svg\/en-us.svg\" width=\"24\" height=\"24\" alt=\"en\" loading=\"lazy\"> <span>English<\/span><\/a> \/ <a href=\"https:\/\/www.uscisclinic.com\/uscis\/translate\/\"><strong data-wp-editing=\"1\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2025\/02\/uscis-clinic-civil-surgeion-neema-malhotra-md-language-translation-globe-nb.jpg\" alt=\"\" width=\"50\" height=\"49\" \/><\/strong>All\u00a0Languages<\/a><\/h2>\n\t\t\t<a href=\"https:\/\/uscisclinic.janeapp.com\/\"  target=\"_self\">\n\t\t\t\t\t\tMake Appointment\n\t\t\t\t\t<\/a>\n\t<h2><strong>Frequently Asked Questions (FAQs)<\/strong><\/h2>\n<h3>USCIS I-693 Immigration Medical Exams<\/h3>\n<h2>\n\t\t\tFrequently Asked Questions\t<\/h2>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-0\">What Civil Surgeon Does in I-693 Medical?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-0\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/button>\n<p><strong>What Civil Surgeon Does in I-693 Medical Exam?<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2026\/05\/USCIS-Clinic-I-693-Sealed-Envelope-500x356.jpg\" alt=\"\" width=\"500\" height=\"356\" \/><\/p>\n<p>Form I-693 is a mandatory medical examination required for immigration purposes in the United States. Civil surgeons are authorized by the U.S. Citizenship and Immigration Services (USCIS) to conduct these examinations. Here is the technical instructions summary for civil surgeons to conduct the I-693 immigration medical exam:<\/p>\n<ol>\n<li><strong>Obtain Form I-693 filled<\/strong> by the applicants with their demographic information. If the applicant cannot understand English, an interpreter&#8217;s information is required.<\/li>\n<li><strong>Verify the identity of the applicant:<\/strong>\u00a0 Check the identification documents of the applicant to ensure that they match the information on Form I-693.<\/li>\n<li><strong>Conduct a medical examination:<\/strong> Conduct a thorough medical examination of the applicant per USCIS guidelines, which includes:<\/li>\n<\/ol>\n<ul>\n<li>A medical history<\/li>\n<li>A physical examination<\/li>\n<li>A tuberculin blood test (or chest x-ray for those who have a positive test)<\/li>\n<li>Blood tests for syphilis &amp; gonorrhea urine test for (if over 18 years old)<\/li>\n<li>Vaccination assessment and update, if necessary<\/li>\n<li>Assess any applicant&#8217;s inadmissibility per USCIS guidelines.<\/li>\n<li>Refer to the public health department or specialists, in case there is a communicable disease detected.<\/li>\n<li>Interview the applicant in person &amp; have the applicant sign the form in the civil surgeon&#8217;s presence.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li><strong>Complete Form I-693<\/strong>: Fill out the form completely and accurately, ensuring that all required fields are completed. Include your professional medical opinion on the applicant&#8217;s health status and any recommended treatment.<\/li>\n<li><strong>Seal Form I-693 in an envelope:<\/strong> Once the examination is complete and the form is filled out, place the form in a sealed envelope with your signature across the seal. The applicant or anyone should not open the envelope. (Only USCIS should open the envelope).<\/li>\n<li><strong>Give the sealed envelope to the applicant<\/strong> to submit along with their immigration application to USCIS.<\/li>\n<li><strong>Medical record: <\/strong>Keep\u00a0a copy of the completed Form I-693 for the Civil Surgeon&#8217;s records and also give a copy of the same to the applicant.<\/li>\n<\/ol>\n<form>\nWe will guide you through the entire Immigration Medical Examination process and see that you get the tests and consultations that you need. Everyone is different: health, history, age, lifestyle, language and even country of birth may play a role in what it involves in processing your Medical Examination. In some cases, special waivers may even be needed to fulfill all the requirements of the examination. Your patience and active participation will be the key to completing the process outlined by the USCIS.\nYou can be rest assured that one of , for an acccurate &amp; compliant I-693 medical exam in an expedient &amp; cost effective manner.\n<\/form>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-1\">How Many I-693 Medical Exams your Clinic has Processed?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-1\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-1\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>Over 27,000 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 &amp; low-cost service.<\/p>\n<p>Our experience of 27,000 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.\u00a0<\/p>\n<p>We all are there to help &amp; 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.\u00a0<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-2\">How Long the Process Takes?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-2\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-2\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/clock-1.jpg\" alt=\"\" width=\"192\" height=\"192\" \/><\/p>\n<p><strong>HOW LONG THE MEDICAL EXAM PROCESS TAKES?<\/strong><\/p>\n<ul>\n<li>It will require\u00a0<strong>2 visits<\/strong>. The average time for the expedited process is 4 to 7 working days, depending upon your vaccination, lab results, medical history, and your timely follow-up. If you have an urgency, we will help you expedite it for you.<\/li>\n<\/ul>\n<ul>\n<li><strong>On 1st Visit:<\/strong>\u00a0\u00a0a) Bring<strong>\u00a0the i-693 filled form<\/strong>, vaccination records, Photo ID &amp; medical history for our review.\u00a0You will have a Physical Exam &amp; our Physician will evaluate what Vaccines &amp; tests you will need.<\/li>\n<li>We will give you order forms for Lab tests for Gonorrhea, Syphilis &amp; TB (QuantiFeron Blood Test). Lab results can take up to 4 or 5 working days. Let us know when your Lab results come; we will make you an appointment for your second visit.<\/li>\n<li>After reviewing your medical history &amp; age, we will determine the needed vaccines or give you orders for you to get them from anywhere you so desire. Vaccinations are covered by insurance as preventive care. We have Walgreens and CVS within a few blocks.<\/li>\n<\/ul>\n<p><strong>On Your 2<sup>nd<\/sup>\u00a0Visit:<\/strong>\u00a0 \u00a0Our USCIS Civil Surgeon 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 can download your Lab Results from the patient portal of the lab or our patient portal. You can download instructions on how to interpret your\u00a0<strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/lab\/\" rel=\"noopener\">Lab Results by clicking here<\/a><\/strong>.\u00a0<\/p>\n<ul>\n<li>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.<\/li>\n<li>Rarely, do you need an extra\u00a0 day for an X-ray of the chest, if your TB Test comes back positive.<\/li>\n<\/ul>\n<p>If you are in a hurry, just call us and we may be able to expedite it by pre-ordering labs determining vaccination gaps in a TeleMed video consult, and doing your exam in one visit.<\/p>\n<p>We all are there to help &amp; 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. <\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-3\">What is Cost of Medical Exam and Lab Tests?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-3\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-3\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><a href=\"https:\/\/www.uscisclinic.com\/contact\/attachment\/greencard\/\" rel=\"attachment wp-att-492\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/08\/greencard-300x186.jpg\" alt=\"\" width=\"300\" height=\"186\" \/><\/a><\/p>\n<p><strong>TOTAL LOW COST OF YOUR I-693 MEDICAL EXAM, GUARANTEED!<\/strong><\/p>\n<p><strong>We\u00a0do every effort to save you\u00a0money and coordinate your insurance benefits for the Lowest\u00a0Total\u00a0Cost\u00a0of\u00a0your I-693 Medical\u00a0Exam completion. All insurance will cover Vaccinations under preventive care.<\/strong><\/p>\n<p>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 &amp; pharmacies to minimize your costs. During your first visit, we will give you all available options and guidance.<\/p>\n<ul>\n<li><b>Our Medical\/Physical Exam Charges: <\/b><strong>$200<\/strong><\/li>\n<li><strong>I-693 Form Processing: The fee is $210 per form.<br \/>\n<\/strong><strong>Total Cost $410 includes two visits, visit for medical exam and 2nd visit to review your medical evaluations and fill I-693 form and process it.<br \/>\n<\/strong><br \/>\nAn 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.<\/li>\n<li><strong>2nd I-693 Original Form copy<\/strong> is available at a discounted price of $195 if ordered at the same time as the first form.<\/li>\n<li><strong>Vaccinations<\/strong> are covered by insurance with doctors&#8217; orders and may be taken at any pharmacy like CVS, Walgreens, 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.<\/li>\n<li><b>Lab Tests:<\/b> (Quantiferon, Gonorrhea &amp; Syphilis) are required. We have compared all the labs in the Bay area. We will send you to the <strong>cheapest independent Labs such as Quest at 60% discounted prices. <\/strong>These labs have many locations including near our clinic in Milpitas &amp; San Jose. For your convenience, a 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 $130 to $210 depending on your age &amp; medical history &amp; medical records.<\/li>\n<li><b>Your Employer m<\/b><b>ay reimburse you <\/b><b>for\u00a0<\/b><b>Medical Exam Related Expenses<\/b><b>. Your HSA or FSA Card will also<\/b><b> c<\/b><b>over expenses. <\/b>We will give you a receipt for your records &amp; reimbursement from your employer.<\/li>\n<li><strong>We accept<\/strong> all Credit Cards, HSA Cards, Cash, Checks, Zelle, Venmo, PayPal, Apple Pay, and Google Pay.<\/li>\n<\/ul>\n<p><strong>Cost of N-648 Disability Waiver:<\/strong><\/p>\n<p>Our charges for N-648 waivers are $795 per applicant.\u00a0 This includes two visits with civil sureon and form completion. The initial consult only is $395 to review medical history and if you have compelling reasons for the waiver. This consult fee will be applied toward your N-648 form processing.<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-4\">What You Need to Bring On My First Visit to USCIS Clinic?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-4\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-4\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/USCIS-Clinic-Milpitas-first-visit-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" \/><\/p>\n<ol>\n<li>Any Vaccination Records<\/li>\n<li>Valid Govt. Photo ID such as Passport or a USA Driver&#8217;s License<\/li>\n<li>I-693 Printed Form, a 14-page form expiring <strong>09\/30\/2027<\/strong>. You can<a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\"><strong> download<\/strong> <\/a>latest version of I-63 form in our Forms section. Applicant must fill first 4 sections about demographics etc. The rest of the sections of the form will be filled by civil surgeon. Instructions for filling out the applicant section are in the link below.<br \/>\n<h4>This latest PDF fillable<strong> i-693 form can be downloaded<\/strong> on the links below or at our website https:\/\/www.uscisclinic.com\/uscis\/<\/h4>\n<p><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/08\/i-693-new-version-uscis-doctor-malhotra-Milpitas.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Download the Latest I-693 Form for the Milpitas Location<\/strong><\/a><\/p>\n<h3><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/08\/i-693-new-version-uscis-doctor-malhotra-San-Jose.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Download the Latest I-693 Form for the San Jose Location<\/strong><\/a><\/h3>\n<h3><b><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/10\/i-693-instructions-ver-3-9-23-from-uscis-clinic.pdf\" target=\"_blank\" rel=\"noopener\">Instructions for Filling i-693\u00a0<\/a>Form<\/b><\/h3>\n<\/li>\n<li><strong>Payment<\/strong> by Credit Card, Cash, Check, PayPal, Apple Pay, or Zelle. HSA or FSA cards are accepted.<\/li>\n<\/ol>\n<p><strong><em>Form Filling Instructions:<\/em><\/strong><\/p>\n<p>One form per applicant is required. Type and Print only in black ink.<\/p>\n<p>Fill the 1st page with Applicant info; Fill the first few lines on page 2 asking you how USCIS can contact you. Also, each page&#8217;s top line has boxes asking for your family name, first name, and A-number. Please fill these boxes on all pages. If you do not have an A-number given; leave it blank.<\/p>\n<p><strong>DO NOT sign or put any date. <\/strong>You have to sign &amp; date in presence of the Civil Surgeon.<\/p>\n<p>After filling out the I-693 pdf form with your demographics; <strong>print the form single-sided<\/strong>. Do not use heavy paper as it is difficult to fold. Use 19-21 lb paper.\u00a0 Ensure the <strong>bar code<\/strong> is printed on each page and your name is on each page. See the sample filled form and instructions.<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-5\">Can We Expedite my Immigration Medical Exam? Yes we can.<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-5\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-5\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>We take pride in delivering exceptional service to all applicants. If you&#8217;re seeking a swift and efficient process, we&#8217;re pleased to offer priority same-day appointments, direct access to Dr. Malhotra or the civil surgeon at any time, and a dedicated medical assistant to follow up with you. This service is available for a nominal fee of <strong>$150<\/strong>, ensuring that you receive the best possible experience &amp; assure expedient processing. If your green card application is employer-sponsored, these charges may be covered by your employer.\u00a0<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-6\">What Vaccinations are required?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-6\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-6\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/USCIS-Clinic-Vaccinaions-List-Dr-Malhotra-300x168.jpg\" alt=\"\" width=\"300\" height=\"168\" \/><\/p>\n<p><strong>What Vaccinations are required?<\/strong><\/p>\n<strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Bring<\/strong> with you your Immunization Records to determine what will be needed per USCIS. <strong>Do not<\/strong> take any vaccine till you have consulted a Civil Surgeon such Dr. Neema Malhotra has reviewed your medical and vaccination history.<br \/>\nConent provided here below is for information purposes only.<br \/>\nEffective 1\/22\/2025 USCIS has Waived COVID-19 Vaccination Requirement for Adjustment of Status Applicants (I-693).\n a) <strong>Adults:<\/strong> Tdap, MMR, Varicella (Chicken Pox) &amp; Influenza, for age &gt; 2 years <br \/>\nb) <strong>Children:<\/strong> 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, &amp; Rubella (MMR), Meningococcal, Pneumococcal, Pertussis (whooping cough), Polio, Rotavirus, Tetanus &amp; 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.\u00a0\n<p>\u00a0USICIS\/CDC<a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/\"> Vaccination Requirements for I-693 Medical Exam VIEW or DOWNLOAD<\/a> here.\u00a0 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.<\/p>\n<p> You can consult your healthcare provider for your specific needs and applicable waivers per USCIS that may be granted by the Civil Surgeon.<\/p>\n<p>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&#8217;s orders. Just bring with you a receipt or proof of vaccination and we will record it in the I-693 medical exam form.<\/p>\n<p>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, physicians or civil surgeon\u00a0 can give selective waivers based on medical history. You can discuss it with us during the consult.\u00a0<\/p>\n<p><strong>Polio Virus Vaccine:<\/strong> is required for all ages.\u00a0<\/p>\n<table width=\"0\">\n<thead>\n<tr>\n<td colspan=\"8\">\n<h2><strong>USCIS Vaccine Requirements According to Applicant Age<\/strong><\/h2>\n<\/td>\n<\/tr>\n<tr>\n<td><strong>Vaccines by applicant age<\/strong><\/td>\n<td><strong>Birth-1 Month<\/strong><\/td>\n<td><strong>2-11 Months<\/strong><\/td>\n<td><strong>12 Months-6 Years<\/strong><\/td>\n<td><strong>7-10 Years<\/strong><\/td>\n<td><strong>11-17 Years<\/strong><\/td>\n<td><strong>18-64 Years<\/strong><\/td>\n<td><strong>\u2265 65 Years<\/strong><\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>DTP\/DTaP\/DT<\/strong><\/td>\n<td>NO<\/td>\n<td colspan=\"2\">YES<\/td>\n<td colspan=\"4\">NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Td\/Tdap<\/strong><\/td>\n<td colspan=\"3\">NO<\/td>\n<td>\u00a0Sometimes*<\/td>\n<td colspan=\"3\">YES, substitute 1-time dose of Tdap for Td booster; then boost with Td or Tdap every 10 years<\/td>\n<\/tr>\n<tr>\n<td><strong>Polio** (IPV\/OPV)<\/strong><\/td>\n<td>NO<\/td>\n<td colspan=\"4\">YES<\/td>\n<td colspan=\"2\"><strong>\u00a0YES<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>Measles, Mumps, and Rubella<\/strong><\/td>\n<td colspan=\"2\">NO<\/td>\n<td colspan=\"4\">YES, if born in 1957 or later<\/td>\n<td>\u00a0NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Rotavirus***<\/strong><\/td>\n<td>NO<\/td>\n<td>YES 6 weeks to 8 months old<\/td>\n<td colspan=\"5\">NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Hib<\/strong><\/td>\n<td>NO<\/td>\n<td colspan=\"2\">YES 2 through 59 months old<\/td>\n<td colspan=\"4\">NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Hepatitis A<\/strong><\/td>\n<td colspan=\"2\">NO<\/td>\n<td colspan=\"3\">YES 12 months through 18 years old<\/td>\n<td colspan=\"2\">NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Hepatitis B<\/strong><\/td>\n<td colspan=\"6\">YES, through 59 years old<\/td>\n<td>NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Meningococcal (MenACWY)<\/strong><\/td>\n<td colspan=\"4\">NO<\/td>\n<td>YES 11 through 18 years old<\/td>\n<td colspan=\"2\">NO<\/td>\n<\/tr>\n<tr>\n<td><strong>Varicella<\/strong><\/td>\n<td colspan=\"2\">NO<\/td>\n<td colspan=\"5\">YES<\/td>\n<\/tr>\n<tr>\n<td><strong>Pneumococcal<\/strong><\/td>\n<td>NO<\/td>\n<td colspan=\"2\">YES, 2 through 59 months old (administer PCV)<\/td>\n<td colspan=\"3\">NO<\/td>\n<td>One dose PCV15 followed by PPSV23 or one dose PCV20<\/td>\n<\/tr>\n<tr>\n<td><strong>Influenza<\/strong><\/td>\n<td colspan=\"2\">NO, if less than six months old<\/td>\n<td colspan=\"5\">YES, <u>&gt;<\/u>\u00a06 months<br \/>\n(Annually; August to June or when the flu vaccine is available)<\/td>\n<\/tr>\n<tr>\n<td><strong>COVID-19<\/strong><\/td>\n<td colspan=\"7\">\u00a0NONE, Effective 1\/22\/2025<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>You can View and Download more info in our <a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/\">Vaccination<\/a> section of our website.<\/strong><\/p>\n<p><strong>COVID-19 vaccination is NOT required as of 1\/22\/2025. <\/strong>\u00a0<a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/\" target=\"_blank\" rel=\"noopener\">View the current USCIS policy on vaccinations.<\/a><\/p>\n<p><strong>Note: If both MMR &amp; 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 &amp; when to take vaccinations at no or low cost.\u00a0<\/strong><\/p>\n<p><strong>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.<\/strong><\/p>\n<p><strong>You may elect to do Immunity Tests\/Titers as you may have already immunity and need not take most of the vaccines. You can acquire immunity from disease in childhood or vaccination or both. The immunity tests are very affordable, Most of applicants opt to take immunity tests. You can discuss it with us, to determine the best option for you.\u00a0<\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-7\">What If I Do Not Have Vaccines Records?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-7\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-7\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/vaccination-record-covid-19-850x480-1-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" \/><\/p>\n<p><strong>What If I Do Not Have Vaccines Records<\/strong><\/p>\n<ul>\n<li>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. <\/li>\n<li>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 &amp; safety of others.<\/li>\n<li>For Example; MMR requires two shots 28 days apart. We can get one today &amp; schedule your take 2<sup>nd<\/sup> shot for MMR later. You can file the application now &amp; give the proof to your attorney or take it with you on your USCIS interview and or fill it with your application.<\/li>\n<li>Read other FAQs section regarding what vaccines are required by the USCIS<img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/cdc-vaccine-uscis-clinic-milpitas.jpg\" alt=\"\" width=\"300\" height=\"200\" \/>\n<p><strong>What Vaccinations are required?<\/strong><\/p>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Bring<\/strong> with you your Immunization Records to determine during your medical exam to access gaps and what vaccinations will be needed per USCIS guidelines.  \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 a) <strong>Adults:<\/strong> Tdap, MMR, Varicella (Chicken Pox) &amp; Influenza, for age &gt; 2 years. HEP-B for all up to age 59.\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 b) <strong>Children:<\/strong> 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, &amp; Rubella (MMR), Meningococcal, Pneumococcal, Pertussis (whooping cough), Polio, Rotavirus, Tetanus &amp; Diphtheria, Varicella (chicken pox). Vaccine schedules are available on our website and CDC websites. The latest USCIS <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/\" target=\"_blank\" rel=\"noopener\">Vaccine guidelines<\/a><\/strong> are on this link.<\/p>\n<p>\u00a0USICIS\/CDC current Vaccination Requirements for I-693 Medical Exam VIEW or DOWNLOAD here.\u00a0 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.<\/p>\n<p> 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.<\/p>\n<\/li>\n<\/ul>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-8\">Where to Download Latest i-693 &amp; N-648 Forms, Instructions &amp; Sample Filled Form?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-8\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-8\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/02\/Employment-Medical-Exam-1-1-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" \/><\/p>\n<h3><strong>Download the Latest I-693 from our website. It has page #4 filled with our USCIS clinic info and will auto-populate your name and A number on top of each page.\u00a0<\/strong><\/h3>\n<p><strong>ALERT:\u00a0<\/strong><\/p>\n<p><strong>USCIS I-693 form, edition 01\/20\/25, expiring 09\/30\/2027, is the current version. Please download this 14-page, fillable form, which has the civil surgeon&#8217;s information pre-populated on page 4.<\/strong><\/p>\n<p><strong>You can <a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\" target=\"_blank\" rel=\"noopener\">Download the current I-693 Form<\/a> &amp; instructions &amp; sample on our website. This I-693 form should be filled &amp; printed using <a href=\"https:\/\/get.adobe.com\/reader\/?promoid=TTGWL47M\" target=\"_blank\" rel=\"noopener\">Adobe Reader.<\/a> Do NOT use Chrome, Edge, or Safari Browsers.<\/strong><\/p>\n<p><strong>DOWNLOAD on the links above the Latest Fillable I-693 Form with a Barcode, and prefilled page 4 with our clinic civil surgeon Dr. Neema Malhotra&#8217;s info.<\/strong><\/p>\n<p><strong>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.\u00a0<\/strong><\/p>\n<p><strong>Always use Adobe Reader PDF Viewer. Print form without any printer page scaling or fit to page.\u00a0<\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\" target=\"_blank\" rel=\"noopener\">Download the current I-693 Form here<\/a><\/strong><\/p>\n<p><a href=\"https:\/\/www.uscisclinic.com\/uscis\/download-i-693\/\" target=\"_blank\" rel=\"noopener\"><strong>Instructions for I-693 Form &#8211; View or DOWNLOAD here.\u00a0<\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/04\/i-693-New-version-03-09-23-Sample-Filled-Form-USCIS-Clinic.pdf\" target=\"_blank\" rel=\"noopener\"><strong>A Sample I-693 Filled Form &#8211; View or DOWNLOAD here.<\/strong><\/a><\/p>\n<p><strong><a href=\"https:\/\/www.uscis.gov\/sites\/default\/files\/document\/forms\/n-648.pdf\" target=\"_blank\" rel=\"noopener\">Download N-648 Disability Waiver Form<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-9\">How To Filll Up I-693 Form with my info? Can I Get a Sample Filled Copy?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-9\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-9\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/Fill-I-693-uscis-clini-milpitas-san-jose-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" \/><\/p>\n<p><a href=\"https:\/\/www.uscisclinic.com\/uscis\/download-i-693\/\" target=\"_blank\" rel=\"noopener\"><strong>Instructions for I-693 Form &#8211; View or DOWNLOAD here.\u00a0<\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/04\/i-693-New-version-03-09-23-Sample-Filled-Form-USCIS-Clinic.pdf\" target=\"_blank\" rel=\"noopener\"><strong>A Sample I-693 Filled Form &#8211; View or DOWNLOAD here.<\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>DOWNLOAD on the links above the Latest Fillable I-693 Form ver 09\/30\/2027 with a Barcode. You are required to fill the first 4 pages. Civil surgeon fills the rest.<\/strong><\/p>\n<p><strong>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.\u00a0<\/strong><\/p>\n<p><strong>Always use Adobe Reader PDF Viewer. Print form without any printer page scaling or fit to page.\u00a0<\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-10\">Can i-693 form be submitted  with one shot when a series of shots are required in vaccination.<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-10\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-10\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>&nbsp;<\/p>\n<div id=\"attachment_1664\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-1664\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/USCIS-Clinic-Vaccinaions-List-Dr-Malhotra-300x168.jpg\" alt=\"vaccination uscis clinic Neema Malhotra, MD Milpitas , vaccinations for Immigration Medical Exams &amp; Physicals Milpitas, San Jose, Silicon Valley , SF Bay Area CA uscisclinic.com\" width=\"300\" height=\"168\" \/><p id=\"caption-attachment-1664\" class=\"wp-caption-text\"><strong>\u00a0<\/strong><\/p><\/div>\n<p><strong>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 &amp; seal Form I-693. The civil surgeon will indicate on the I-693 form that the next shots in the series have been scheduled.<\/strong><\/p>\n<p><strong>Provide documentation of vaccination to the civil surgeon before completion of the medical examination. <\/strong><\/p>\n<p><strong>For more information about the COVID-19 vaccination requirement, see the <a href=\"https:\/\/www.cdc.gov\/immigrantrefugeehealth\/civil-surgeons\/covid-19-technical-instructions.html\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cdc.gov\/immigrantrefugeehealth\/civil-surgeons\/covid-19-technical-instructions.html&amp;source=gmail&amp;ust=1681883083450000&amp;usg=AOvVaw282YgxJGfTb9uy7elCgONB\">CDC Technical Instructions<\/a>.<\/strong><\/p>\n<p><strong>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.<\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-11\">Are Vaccines Safe. What if I am pregnant or sick?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-11\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-11\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/cdc-UC9_itYaafM-unsplash-300x198-1.jpg\" alt=\"\" width=\"300\" height=\"198\" \/><\/p>\n<p><strong>Are Vaccines Safe? :<\/strong> Yes; Vaccines are safe. <\/p>\n<ul>\n<li>You can take another shot even if you have taken before. <\/li>\n<li>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 the physician or civil surgeon during your medical exam for guidance.\u00a0<\/li>\n<li>Civil Surgeon is also allowed to give vaccine waivers to applicants based on applicant&#8217;s medical history, pegnancy, contraindications &amp; religious beliefs.<\/li>\n<\/ul>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-12\">What Lab Tests are required? Can I bring my own printed lab results done by moy lab?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-12\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-12\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/Lab-Test-USCIS-Clinic-San-Jose-Milpitas-CA-300.jpg\" alt=\"\" width=\"300\" height=\"188\" \/><\/p>\n<p><strong>\u00a0 \u00a0 \u00a0What Lab Tests are required? \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n<ol>\n<li>Quantiferon (Tuberculosis) for all ages over 6 months old.<\/li>\n<li>Syphilis at or after age 18 and up.<\/li>\n<li>Gonorrhea for all applicants between ages 18-24 years. If an applicant has an adverse sexual medical history, ages can be 15 and up.<br \/>\n<\/li>\n<li>For these lab tests, NO fasting is required.<\/li>\n<li>General Lab guidelines are below. Some of the labs are required and others depend on your vaccination, medical history, and age. Please come and see Dr. Malhotra or the civil surgeon\u00a0 first before you get the labs done.<\/li>\n<li><br \/>\n<strong><em>Lab Information<\/em><\/strong><\/li>\n<\/ol>\n<p>All your lab tests are done by an accredited outside major lab such as Quest, LabCorp, Foundation Lab or IHD Labs, etc.\u00a0 They have multiple locations. You can take the pre-paid lab slips and walk in and no appointments or fasting is required. We have a volume group buying agreement with these labs to offer you discounted prices of up to 65% off. We have labs in our area and their charges range from $450 to $1,000 for the 3 lab-required tests but you can get a discount with our clinic orders. We will recommend you the cheapest Lab &amp; cost-effective &amp; convenient solution. We have these lab locations a mile or two away from our clinic and you can go to give your samples right after the medical exam in our clinic. We strive to give you convenience, cost-effective, and proven solutions and outcomes to get your green card without any delays. You can depend upon our experienced civil surgeon &amp; staff.<\/p>\n<p>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 &amp; you are visiting a physician for that reason.\u00a0<\/p>\n<p>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 $200 depending on your age &amp; medical history. The independent labs are accepted by USCIS and are independent accredited facilities located across the Bay Area. <\/p>\n<p>The lab locations are within two miles of both USCIS clinic&#8217;s Milpitas &amp; 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.\u00a0<\/p>\n<p>Lab prices are subject to change by the lab. If you select the lab of your choice, you will be responsible for paying 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 &amp; if labs are covered under your insurance policy.<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0The lab results take up to 3-4 working days which is the gating item in finishing your I-693 form &amp; giving you a sealed copy for submission to USCIS. If you have deadlines, we can try to expedite the process to walk in or make same-day appointments &amp; quick results.<\/p>\n<h3><a href=\"https:\/\/www.uscisclinic.com\/uscis\/lab\/\"><strong>Click Here is more info about or Lab page<\/strong><\/a><\/h3>\n<p>&nbsp;<\/p>\n<strong><em>Laboratory Testing<\/em>: <\/strong>Effective 9\/1\/2025; <strong>Civil surgeons are permitted to order laboratory testing up to two weeks prior to the visit with the civil surgeon. The labs must be ordered by the civil surgeon, and the civil surgeon should be able to directly access the lab results. Hand-carried results cannot be accepted unless they can be independently verified with the laboratory.<br \/>\n<em>We are connected with Quest, LabCorp, Foundation and IHD Labs to order and receive lab results, which are directly reported into our EHR.<\/em><\/strong>\n<p><strong><em> To ensure chain of custody, prevent tampering, and maintain USCIS compliance, lab from Kaiser, Stanford, Sutter, or other labs must send results directly to the civil surgeon via fax, secure email, or postal mail. Hand-carried results cannot be accepted.<\/em><\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-13\">Is Immigration Medical Exam same as Annual Physical? <\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-13\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-13\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><strong>Is the Immigration Medical Exam the same as the Annual Physical?<\/strong><\/p>\n<p>The short answer is NO.<\/p>\n<p>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 or public health. 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.\u00a0 <\/p>\n<p>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 <a href=\"https:\/\/www.uscisclinic.com\/uscis\/malhotra\/\">Dr. Neema Malhotra<\/a> where your annual physical which is usually covered by insurance as preventive. Immigration medical exam is usually not covered by insurance.<\/p>\n<p>The USCIS Immigration Medical Exam is a medical examination required for certain United States immigrants. The exam is conducted by a USCIS-approved civil surgeon and includes a physical examination, a review of the applicant&#8217;s medical history, and laboratory tests. You will be referred to one of civil surgeon in our practice network to complete your immigration exam and paperwork.<\/p>\n<p>If you need an Annual Physical or a Sick visit, book another appointment. Those appointments are billable to insurance. Immigration medical exam are NOT billable to insurances. But preventive care such as vaccinations are covered by insurances.\u00a0<\/p>\n<p>Dr. Malhotra is a board-certified Pediatrician. She practices Pediatrics and Family Medicine &amp; provides primary care, annual physicals, preventive care, and integrative, wellness &amp; holistic medicine for the best patient outcomes. We are in the network and accept all major insurances. We accept HMOs through Santa Clara County IPA (SCICPA). Dr. Neema Malhotra has over 40 years of experience as a physician.<\/p>\n<p>Regular sick and insurance visits are only provided at our San Jose Clinic location on Tuesdays &amp; Thursdays.<\/p>\n<p>Please learn more about our at this link\u00a0<strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/services\/?swcfpc=1\">Services<\/a>.<\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-14\">What are the health-related grounds for inadmissibility &amp; Green Card denial?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-14\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-14\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><strong>What are the health-related grounds for inadmissibility or Green Card denial?<\/strong><\/p>\n<p>USCIS is not concerned about your personal health (such as heart disease, diabetes, obesity, lipid or renal disorders, cancer, etc.)\u00a0 but how your disease, physical or mental disorders, or addictions affect public health &amp; safety and if pose any danger to society. <\/p>\n<p>If you have any prior citations or arrests or DUI, please inform the civil surgeon so that this issue can be mitigated.\u00a0<\/p>\n<p>U.S. immigration law divides the health-related grounds of inadmissibility into the following four general categories:<\/p>\n<p>A. Communicable diseases of public health significance;<\/p>\n<p>B. Lack of proof of having received required vaccinations;<\/p>\n<p>C. Physical or mental disorders with associated harmful behavior or a history of associated harmful behavior; and<\/p>\n<p>D. Drug abuse or addiction.<\/p>\n<p>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.<\/p>\n<p>Civil Surgeon has to document the above in the I-693 Form for the Immigration Medical Exam.<\/p>\n<p>Do <strong>not<\/strong> 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.<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-15\">Waivers for Vaccinations &amp; Disability N-648<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-15\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-15\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<h2><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/10\/Waivers-for-Vaccination-USCIS-Clinic.jpg\" alt=\"\" width=\"629\" height=\"171\" \/><\/h2>\n<h2>Waivers for Vaccinations due to medical or religious reasons &amp; Disability N-648 Waivers.<\/h2>\n<h3>We provide services for;<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/\">Vaccinations<\/a> Waivers for Medical reasons<\/li>\n<li>Vaccinations Waiver on religious or moral grounds ( <a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/10\/i-601-FORM-DIABILITY-WAIVER-USCIS-MALHOTRA.pdf\" target=\"_blank\" rel=\"noopener\"><strong>I-601<\/strong><\/a> )<\/li>\n<li>Disability <a href=\"https:\/\/www.uscisclinic.com\/uscis\/citizenship\/\">Waiver N-648<\/a> for Civic Tests &amp; English language for US Citizenship<\/li>\n<\/ul>\n<p>Civil Surgeon Dr. Neema Malhotra can review and do assessments, waivers, and certifications in case you have a history of citation of DUI or any substance abuse, criminal offense, or any other challenges. We can give <strong>Vaccination and X-ray waivers<\/strong> if you are pregnant or have an adverse medical history &amp; or any contraindications.<\/p>\n<p>We also do Medical exams and issue <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/citizenship\/\">N-648<\/a> waivers<\/strong> for Green Card holders who are becoming a US citizens but are unable to read, write or speak English and pass the civic test due to disability or illness, or other challenges. Please <a href=\"https:\/\/www.uscisclinic.com\/uscis\/appointment\/\">book an appointmernt<\/a> and <strong>bring<\/strong> your health history with you for review by a Civil Surgeon or Dr. Neema Malhotra to see how we can be of help. <\/p>\n<h3><strong>Vaccine Waivers on Health Grounds<\/strong><\/h3>\nImmigration Applicants can be deemed ineligible if they lack proof of having had <strong>all<\/strong> required vaccinations. But USCIS may approve a waiver of vaccination inadmissibility based on health grounds. Civil Surgeon can grant Vaccine waivers based on your medical condition, pregnancy &amp; contraindications. Please <strong>bring<\/strong> your health history for advise and review with you for review by Civil Surgeon. There is an extra fee for waivers.<br \/>\n\n<h2><strong><br \/>\nWaiver (I-601) If the vaccination would go against the applicant&#8217;s religious beliefs or moral grounds<\/strong><\/h2>\n<p>The <a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/10\/i-601-FORM-DIABILITY-WAIVER-USCIS-MALHOTRA.pdf\" target=\"_blank\" rel=\"noopener\"><strong>I-601<\/strong><\/a> waiver, also known as the Application for Waiver of Grounds of Inadmissibility, is a form used by certain individuals who are not U.S. citizens who need to request a waiver for specific grounds of inadmissibility. These grounds of inadmissibility may include reasons such as vaccination waiver on religious grounds, unlawful presence, criminal offenses, fraud or misrepresentation, and more.<\/p>\n<p>However, please note that our expertise is mainly on the USCIS i-693 form, essential for immigration medical exams. If you need more detailed information on the I-601 waiver, we recommend reaching out to an<a href=\"https:\/\/www.uscisclinic.com\/uscis\/legal\/\"> immigration attorney<\/a> or an expert. We can work with legal experts &amp; help you in filling the I-601 Form and presenting your case for waiver based on religious or moral grounds and other legal grounds as shown in form I-601.<\/p>\n<p>While there are many grounds on which an applicant can be found inadmissible, under which USCIS or the Secretary of the DHS determines that requiring convictions will approve an<a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/10\/i-601-FORM-DIABILITY-WAIVER-USCIS-MALHOTRA.pdf\" target=\"_blank\" rel=\"noopener\"> I-601 waiver.<\/a><\/p>\n<p>The current USCIS Filing Fee for the I-601 waiver is $1,050. The typical USCIS processing time for the I-601 waiver is 9 months to over 2 years. It is reported on the web that currently the approval rate is about 65%.<\/p>\n<p>We charge an additional $200 to handle the I-601 waiver support documentation. There is NO guarantee that I-601 waivers will be granted by USCIS. It is the <strong>sole<\/strong> decision made by USCIS and or DHS.<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-16\">How To Book an Appointment?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-16\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-16\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/0005-300x200-1.jpg\" alt=\"\" width=\"300\" height=\"200\" \/><\/p>\n<p><strong>Appointments Booking: <\/strong><\/p>\n<ul>\n<li>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.<\/li>\n<li>Book your 2<sup>nd<\/sup> Visit appointment only after Lab results have come &amp; you have forwarded us the copy<\/li>\n<li><strong>More Info:<\/strong> &gt; and Book appointment link is, <strong><u>https:\/\/www.uscisclinic.com\/uscis\/appointment\/<\/u><\/strong><\/li>\n<\/ul>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-17\">TeleMed Virtual Visit I-693 Immigration Medical Review &amp; Orders Steps<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-17\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-17\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/02\/tele-med-visit-by-Dr-Neema-Malhotra-MD-USCIS-Clinic-w-300x200.jpg\" alt=\"USCIS Clinic Neema Malhotra MD USCIS Civil Surgeon, Milpitas &amp; San Jose CA Immigration Physicals\" width=\"300\" height=\"200\" \/><\/p>\n<p>You can do your Immigration first visit via a virtual TeleMed Visit.<\/p>\n<p>Here are the steps.<\/p>\n<ol>\n<li>Make a TeleMed Virtual appointment for the Immigration Medical Exam either online at our website at this link\u00a0 (<a href=\"https:\/\/www.uscisclinic.com\/uscis\/appointment-jane\/?swcfpc=1\" target=\"_blank\" rel=\"noopener\"><strong>Make Appointment<\/strong><\/a>)<\/li>\n<li>You will confirmation of the appointment and instructions.<\/li>\n<li>Make a payment of $395 per applicant that includes your medical exam &amp; 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\/.\u00a0You will get an itemized receipt for reimbursement from your employer.<\/li>\n<li>Upon payment of $410, 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 &amp; vaccine manufacturer&#8217;s name. Please have a state-approved photo ID such as a driver&#8217;s license or a passport.<\/li>\n<li>After review of your medical history &amp; vaccination records; we will give you Lab Orders, Vaccination Orders and X-ray orders.<\/li>\n<li>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.<\/li>\n<li>You can get labs done from anywhere. You will have a choice of pre-paid Lab orders from Quest, LabCorp, Foundation or IHD labs at discounted volume prices. Only a few Insurances cover lab charges. Most insurances do not cover labs. You can pre-pay the labs and take the pre-paid lab slip and walk into the lab with or without an appointment.<\/li>\n<li>\u00a0Lab results take 3-4 working days. After your results come back &amp; you have taken the vaccinations, you will make a follow-up appointment to see Civil Surgeon for your medical exam in person. You will sign your I-693 in the presence of the civil surgeon &amp; show your photo ID.<\/li>\n<li>At the end of the visit, you will be given your Completed, signed &amp; sealed envelope for submission to USCIS. You will be also provided an electronic copy of the I-693 form for your records.<\/li>\n<\/ol>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-18\">About Our USCIS Civil Surgeon<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-18\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-18\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>USCIS Clinic, P.C. San Jose CA is a full-service clinic for children and adults as well as Immigration Medical Exams.<\/p>\n<p>Dr. Malhotra in the past has over 15 years of experience &amp; has done over 27,000 Immigration Medical Exams, with an almost 100% success rate. Dr. Malhotra and our Civil Surgeons team 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,\u00a0 and affordable competitive cost.\u00a0<\/p>\n<p>We have experienced team of Civil Surgeons and have processed thousands of applicants. We are here to guide you thru.\u00a0<\/p>\n<p>We conveniently schedule based on your timeline and follow you throughout the entire process. Our costs are competitively with other clinics, and we ensure that you will get the proper service that you need from us.\u00a0<\/p>\n<h3><strong>WHY US<\/strong><\/h3>\n<p>Our USCIS Clinic&#8217;c Experience, Availability, Dependability, 100% Success Rate, Expedient Service, Total Low Cost of Medical Exams and\u00a0 I have done over 27,000 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 &amp; timeline. Our staff strives for excellence in whatever we do.\u00a0<\/p>\n<h2><strong>EXPERIENCE<\/strong><\/h2>\n<ul>\n<li>Over 27,000 Exams processed by Dr. Neema Malhotra over the last decade.<\/li>\n<li>USCIS Clinic, P.C. has many experienced civil surgeons associated with our practice who will be doing physical exam and completing your I-693 form.<\/li>\n<li>Concierge Service. Great Reviews. The provider is available anytime to address your needs.<\/li>\n<li><i>We Coordinate Benefits With Your Insurance<\/i><\/li>\n<li>100% Success Rate of your I-693 by USCIS. We are Available &amp; Dependable.<\/li>\n<li>Quick Turn Around &amp; Expedient Service.<\/li>\n<li>We do not order tests or vaccinations that are not necessary.\u00a0<\/li>\n<li>Kaiser, HMOs, or\u00a0 No Insurance Patients Are Welcome. We will guide you to the Lowest Cost.<\/li>\n<\/ul>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-19\">What are two Locations of Clinic and Open Hours?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-19\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-19\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>We have 2 convenient locations, in Milpitas and San Jose. <\/p>\n<p><strong>Milpitas: <\/strong>98 S Abel Street, Milpitas CA 95035\u00a0<\/p>\n<p><strong>San Jose:<\/strong> We are located at 2730 Union Ave, Suite B, San Jose, CA 95124<\/p>\n<p><strong>See <a href=\"https:\/\/www.uscisclinic.com\/uscis\/contact\/\">Contact Us<\/a> for Map &amp; Directions<\/strong><\/p>\n<p>We are open from <strong>9\u00a0am to 5 pm<\/strong> on weekdays.\u00a0<\/p>\n<p>Dr. Neema Malhotra is available in Milpitas on Monday, Wednesday, Friday and in San Jose on Tuesday &amp; Thursday. Check available days when booking an appointment. Saturday appointments are by &#8220;Appointment Only&#8221;<\/p>\n<p><strong>Please send us a request to <a href=\"https:\/\/www.uscisclinic.com\/uscis\/appointment\/\">Book an Appointment<\/a> today online at any location and we will call you back with confirmation of appointment. <\/strong><\/p>\n<p><strong>Or call us at 408-684-8600 during clinic open hours.\u00a0 <\/strong><\/p>\n<p><strong>Make sure you have a confirmed appointment.<\/strong><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-20\">How to Interpret Immigration Lab results &amp; What to do?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-20\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-20\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<h2><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/02\/USCIS-Clinic-Immigration-Lab_Report_Interpretation_of_Results-Neema-Malhotra-MD.pdf\" target=\"_blank\" rel=\"noopener\">How to Interpret Immigration Lab Results and Immunity Tests<\/a><\/h2>\n<h3><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/01\/Lab-Results-uscis-300x210.jpg\" alt=\"\" width=\"300\" height=\"210\" \/><\/h3>\n<p>&nbsp;<\/p>\n<h3>Lab Results Interpretations.<\/h3>\n<p><strong>A Sample Immigration Lab Report is shown below &amp; how to interpret your lab results.\u00a0<\/strong><\/p>\n<p><strong>\u00a0If results are within range and normal,\u00a0 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.<\/strong><\/p>\n<p><\/p>\n<h3>QF TB, Syphilis, &amp; 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.<\/h3>\n<h3>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.\u00a0 Non-Ractive or Negative results mean that you do not have immunity and need to take the vaccine. If any questions or concerns, contact us and we will be able to help you.<\/h3>\n\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-21\">What If your QuantiFerron Lab TB Blood Test comes back positive?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-21\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-21\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p><strong>What If your QuantiFerron Lab TB Blood Test comes back positive?<\/strong><\/p>\n<p>TB is a contagious disease. It is part of the requirement by USCIS &amp; CDC to make sure you do not have an active TB infection. Do not worry.\u00a0<\/p>\n<p>About 10 % of the Asian, African &amp; South American population comes with TB positive. Per USCIS, CDC &amp; 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.\u00a0<\/p>\n<p>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 &amp; the local county public health department is informed and they will monitor you &amp; treat you. If TB lab test is positive and X-ray report shows no evidence of TB, tratment not mandatory but recommended. Consult your primary care own provider (PCP) for advise.<\/p>\n<p>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 $80 for 2 views of the chest) and send an X-ray report within a day or two.\u00a0<\/p>\n<p>You can read more on our website about <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/lab\/\" target=\"_blank\" rel=\"noopener\">TB disease and Lab test<\/a><\/strong> and in this TB instructions for civil surgeons on <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/01\/TB-civil-tech-instructions-uscis-clinic-milpitas-san-jose-dr-neema-malhotra.pdf\" target=\"_blank\" rel=\"noopener\">on this TB link<\/a>.\u00a0<\/strong><\/p>\n<p><strong>Do not worry.<\/strong> Dr. Neema Malhotra, the civil surgeon is highly experienced in guiding you to get your I-693 done successfully.\u00a0<\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-22\">Planning for my 2nd Visit to pick up i-693 Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-22\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-22\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<h2>2nd Visit Instructions to pick up I-693<\/h2>\n<p>To ensure a smooth experience and a successful &amp; timely completion of your I-693 medical exam, you must <strong>read<\/strong> the following instructions<strong>:<\/strong> Read info, FAQs &amp; instructions at <a href=\"https:\/\/uscisclinic.com\/uscis\/uscismore\"><strong>uscisClinic.com.\u00a0<\/strong><\/a>\u00a0 <\/p>\n<p><strong>Download 2nd Visit Instructions <\/strong>to pick up your I-693 in Forms section in our website. Do not worry, we will give you a copy of these instructions and go over them with you during your first visit with us.\u00a0<\/p>\nAfter your initial review of each applicant vaccinations, You will be given <strong>three (3)<\/strong> ORDERS for<br \/>\n\u00a0<strong>1)<\/strong> <strong>Labs \u00a02) Vaccination and \u00a03) X-ray<\/strong>. Show the given ORDER to each facility as needed. <br \/>\nGet your <strong>Order slip back, you will need it later<\/strong>. If you are proactive, you can get i-693 processed in a week.\n<ul>\n<li><strong>LAB ORDERS<\/strong><strong> Instructions<\/strong> for Applicant:<br \/>\nGo to the <strong>Lab<\/strong> and give your samples. <br \/>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <strong>NO Fasting<\/strong> is required. <strong>Lab Results take 4 to 5 working days.<\/strong><br \/>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If you pre-paid <strong>Lab orders<\/strong>, take the orders to either <strong>Quest, <\/strong><strong>LabCorp, Foundation<\/strong> or <strong>IHD labs<\/strong>. <br \/>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 We have given you the Quest, LabCorp, Founation &amp; IHD Lab location map, hours &amp; how to make an appointment &amp; view your results. You can go to any one of these labs with prepaid orders.\n<ul>\n<li><strong>Quest<\/strong>: Make <strong>appointments<\/strong> online: <a href=\"https:\/\/appointment.questdiagnostics.com\"><strong>https:\/\/appointment.questdiagnostics.com<\/strong><\/a> . Select test type&gt; &#8220;<strong>All Other Tests&#8221;.<\/strong> Sign up with <strong>Ques<\/strong>t&#8217;s patient portal at <strong>QuestDiagnostics.com<\/strong> to <strong>view<\/strong> <strong>results.<\/strong><\/li>\n<li>\n<h3><strong>LabCorp: Make appointments &amp; View results online at https:\/\/labcorp.com\/patients\/<\/strong><\/h3>\n<\/li>\n<li><strong>IHD accepts walk-ins<\/strong>. No appointment is needed.<strong> Ask IHD to<\/strong> consent to <strong>email<\/strong> you the lab results.<\/li>\n<li><strong>Foundation<\/strong> lab will email you labs if you elect to do so.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<strong><br \/>\n<\/strong><strong>INTERPRETING LAB RESULTS <\/strong>\n<ul>\n<li>For the QF TB, RPR Syphilis, and Gonorrhea Test, the results should be <strong>Negative or Non-Reactive.<\/strong><\/li>\n<li><strong>If the QF TB Test is positive, an X-ray is required <\/strong>to rule out Active TB (See X-Ray Orders). If TB blood test is positive, you will need a follow up visit at extra cost for TB counselling and morbidity report is filed with public health departments.\u00a0<\/li>\n<li><strong>Immunity Tests for MMR, Varicella, and HEP B: <\/strong>If<strong> IMMUNE, POSITIVE, <\/strong>or<strong> REACTIVE <\/strong>or the results values indicate that you <strong>have immunity<\/strong>, <strong>no Vaccinations<\/strong> are needed. If values are <strong>below<\/strong> <strong>an immunity level<\/strong>, that means you have <strong>not<\/strong> acquired immunity. You will need the <strong>vaccination<\/strong> for that disease. <br \/>\n<strong>In Quest Reports<\/strong>: Normal results within range limits are in <strong>GREEN<\/strong> color and is good and No action is needed. <strong>RED<\/strong> color indicates abnormal results. <strong>TB Positive or Red color<\/strong> means you will need an X-ray. <br \/>\n<strong>IHD Reports:<\/strong> Disregard any colors. Look for Results values. If TB Results are positive or out of range, you need an X-ray. If Immunity Test results show low or no immunity value, you need a shot.<\/li>\n<\/ul>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong>If you prefer to use your <strong>own Lab<\/strong> provider (<strong>Kaiser, Stanford, PAMF, etc.<\/strong>); you will need to get our orders approved by your insurance or provider. Schedule an appointment with your Lab and <strong>bring us the printed Lab results<\/strong> on their letterhead. <strong>DO NOT<\/strong> show or print and give us us results on your<strong> phones<\/strong>. Your performing lab must send the results directly to civil surgeon or our clinic to maintain chain of custody. You will be responsible for all your Lab costs, timeliness &amp; the accuracy of your results.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Lab Results take 4-5 working days. <\/strong>If you still have<strong> Questions <\/strong>about your<strong> Lab results, or need a copy of lab results, email us at<\/strong> <a href=\"mailto:doctor@uscisClinic.com\"><strong>doctor@uscisClinic.com<\/strong><\/a><strong>. <\/strong>We will reply to you within the next working day.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>VACCINATION ORDER Instructions for Applicant:<\/strong>\n<ul>\n<li>Your Vaccination Orders will indicate what shots are needed. If it is in your orders for MMR, Varicella, and Hep-B, only if Lab results show <strong>no immunity<\/strong>.<\/li>\n<li>You can get vaccinations from any pharmacy (Walgreens, Costco, Walmart, Safeway, or CVS) or your primary care provider. Provide your insurance information &amp; our orders to the vaccination provider, who will bill your insurance. For more vaccination info visit <strong><a href=\"https:\/\/usciscisclinic.com\/uscis\/vaccinations\">https:\/\/usciscisclinic.com\/uscis\/vaccinations<\/a>.<\/strong><br \/>\nIf you do not have immunity to the disease, you will need to take the vaccine. In addition, take other vaccination included in your orders such as Influenza (Flu),Tdap, Pneumonia, etc.\u00a0<\/li>\n<li>If you do not have insurance, no worry, we will guide you to get one at the cheapest or no cost.<\/li>\n<\/ul>\n<\/li>\n<li>After your lab results have come ( 4-5 working days) and you have <strong>completed<\/strong> your <strong>vaccinations<\/strong>, then <a href=\"https:\/\/uscis\/uscisclinic.com\/appointment\/\"><strong>Book an appointment<\/strong><\/a> on our website for 2nd Visit to pick up the i-693 form sealed envelope.<em><br \/>\n<\/em><\/li>\n<\/ul>\n<p><strong>3) \u00a0X-RAY ORDERS (ONLY IF YOUR TB TEST IS POSITIVE)<\/strong><\/p>\n<ul>\n<li>If your <strong>TB blood test result is Positive<\/strong>, you need to undergo a <strong>Chest X-ray with two views<\/strong> to <strong>rule out<\/strong> active <br \/>\nHaving active TB is not common (only 1 in 500). X-ray costs range are $80 to $100. Check pricing &amp; opening hours on X-ray facility&#8217;s websites or search engines.<\/li>\n<\/ul>\n<p><strong>\u00a0 \u00a0 <\/strong>Ask the <strong>X-ray<\/strong> facility to <strong>Fax <\/strong>results\/report directly to our clinic&#8217;s <strong>Fax number: (408) 650-7417<\/strong> within 48 hours.<\/p>\n<ul>\n<li>You can take our Order slip to one of the following recommended X-ray (Radiology) or <strong>any <\/strong>other facility you like.\n<ul>\n<li><strong>Valley Radiology<\/strong>\/<strong>RadNet<\/strong> Imaging: in Santa Clara, Alameda, Contra Costa, San Francisco, Solano etc. counties. <br \/>\nThey have twenty locations. Website: <a href=\"https:\/\/www.radnet.com\/northern-california\/\"><strong>https:\/\/www.radnet.com\/northern-california\/<\/strong><\/a> or ValleyRadiology.com<strong>. <\/strong><\/li>\n<li><strong>SimonMed Imaging<\/strong>: Website: <strong>com<\/strong>. 9 locations. Appointments: Tel :415-248-1291 or 816-614-8555<\/li>\n<li><strong>Just-Xray:<\/strong> 244 N. Jackson Ave Suite #110. Website: <strong>com<\/strong>. <strong>Walk-ins are welcome. <\/strong>No appointment is needed. Tel: 408-272-2727.<\/li>\n<li>If you are going to Kaiser, PAMF or any other facility for X-rays, <strong>you must also bring an X-ray report<\/strong> <strong>signed<\/strong> and dated by <strong>a radiologist<\/strong> on their letterhead or get it <strong>Faxed<\/strong> to <strong>(408) 650-7417.<\/strong> To comply with USCIS, the report must state the <strong>date<\/strong> the X-ray was <strong>taken<\/strong>, the <strong>date<\/strong> it was read, and clearly state &#8220;<strong>NO Evidence of active TB<\/strong>&#8220;. This radiological report will be attached to your I-693 form for USCIS and <strong>submitted<\/strong> to the local health department. X-ray films are NOT needed for submission.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0<\/strong><strong>I-693 FORM instructions<\/strong><\/p>\n<ul>\n<li>If you have not already given us your filled I-693 form, <strong>download the latest I-693 form from our website<\/strong> and <strong>fill <\/strong>in the first four sections with your demographics. Bring us i-693 with <strong>all 14<\/strong> <strong>printed<\/strong> pages with <strong>barcodes<\/strong>. <strong>Do not sign<\/strong> or <strong>date<\/strong> You<strong> must sign it before the Civil Surgeon.<\/strong><\/li>\n<li>Follow the i<strong>nstructions<\/strong> on our website. Right-click on the downloaded form and select <strong>Adobe Reader<\/strong> as the application to open it. <strong>Do not<\/strong> use your browser. Adobe Reader will auto-fill your name on the top of each of the fourteen pages. You can see detailed instructions &amp; view a correctly filled <strong>sample<\/strong> I-693 form on uscisClinic.com in the Forms section.<\/li>\n<li>If you have difficulties printing the form, you can email us a filled i-693 PDF form. We can help you fill &amp; print it for you at a nominal cost of $20.<\/li>\n<\/ul>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <strong>2nd VISIT PLANNING &amp; BOOKING to pick up your I-693 sealed envelope: <\/strong><\/p>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0 Click here to View &gt; <a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2024\/09\/i-693-Medical_Exam-2nd-Visit_Instructions-Neema-Malhotra-MD-1.pdf\" target=\"_blank\" rel=\"noopener\">2nd Visit Instructions<\/a>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>The <strong>2nd <\/strong>Visit is to sign &amp; pick up the completed I-693 form in a sealed envelope. After your Lab results are out and you have completed your vaccinations per our orders, <a href=\"https:\/\/uscisClinic.com\/uscis\/appointment\/\"><strong>Book an Appointment<\/strong><\/a> for your <strong>2nd visit<\/strong> on our website at the <strong>same<\/strong> location as your <strong>1st<\/strong> We are in Milpitas on Mon, Wed &amp; Fri &amp; in San Jose on Tue &amp; Thu.\n<ul>\n<li>Please allow one hour for each applicant. During the <strong>2<sup>nd<\/sup><\/strong> visit, our staff will process your I-693 form.<\/li>\n<li><strong>Bring printed Vaccination Records, Labs, &amp; Reports of items listed in your order<\/strong>. Do <strong>not<\/strong> show it on your <strong>phone<\/strong> as this can result in errors on the form. Do NOT bring your whole medical history, just items in order.<\/li>\n<li>Please also bring a valid Photo ID such as a current Driver&#8217;s License or a Passport.<\/li>\n<\/ul>\n<\/li>\n<li>We will review the<strong> completed<\/strong> I-693 filled form with you, provide you with an electronic copy, and seal the I-693 form in an envelope that you can send to your attorney or to USCIS directly via FedEx, UPS, or USPS etc.<\/li>\n<li>Civil Surgeon and their staff will fill in your I-693 form by entering the medical info, labs, vaccinations, &amp; findings. After the applicant has done physicial exam and signed before civil surgeon, sign &amp; scan it. You will be given your <strong>sealed I-693 Envelope <\/strong>for USCIS submission &amp; an <strong>electronic copy <\/strong>for your records. Your I-693 forms must be picked up within <strong>30 days <\/strong>of your 1st visit, otherwise, you may have to do some lab tests again &amp; an additional $100 fee will apply for new orders &amp; evaluation.<\/li>\n<li>Each applicant <strong>must appear<\/strong> <strong>once<\/strong> before the Civil Surgeon and <strong>sign <\/strong>the original I-693 form in her presence.<\/li>\n<li>If you have a <strong>Request for Evidence<\/strong> (RFE) from the USCIS; bring it with you as RFE that is usually included outside of the sealed envelope. Always send your I-693 completed forms with at Tracking number via FedEx, UPS, or USPS envelope. <\/li>\n<li><strong>\u00a0I-693 form is valid till forms expiry date <\/strong>&amp; may be submitted anytime. 60 days submission requirement has been now waived.\u00a0<\/li>\n<li><strong>After your 2nd visit<\/strong>, please take a moment to give your <a href=\"https:\/\/www.uscisclinic.com\/uscis\/reviews\/\"><strong>Feedback &amp; Review.<\/strong><\/a> You will also have<strong> review link included in your Your feedback is very valuable.<\/strong> <strong>We will thank you for it.<\/strong><\/li>\n<\/ul>\n<strong><br \/>\nDO NOT WORRY.<\/strong> We are here to help you &amp; guide you. We are on your team. If you have any challenges, share them with us. We are there to assist you. Just <strong>Relax<\/strong> in our waiting room with <strong>Free<\/strong> Wi-Fi, Coffee, Tea, &amp; Lattes. We have immigration-related help books for reading in our waiting room. \n<p><strong>Email us any questions or concerns at<\/strong>: <a href=\"mailto:doctor@uscisClinic.com\"><strong>doctor@uscisClinic.com<\/strong><\/a><\/p>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-23\">Time Line for I-693 Submission to USCIS<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-23\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-23\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/09\/clock-1.jpg\" alt=\"\" width=\"144\" height=\"144\" \/><\/p>\n<h2><strong>Time is of Essence.<\/strong><\/h2>\n<h3>\u00a0Your i-693 form signed &amp; sealed in an envelope by the Civil Surgeon is usually valid for 2 years, until or unless asked by the USCIS otherwise.<\/h3>\n<h3>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.<\/h3>\n<h3>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 &amp; new form-filling fee of $130 will apply.<\/h3>\n<h3><em>If the delay is more than 30 days, you may have to repeat sexual diseases lab tests.<\/em><\/h3>\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-24\">How Long I-693 Form Completed by Civil Surgeon is valid for submission?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-24\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-24\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p><strong>USCIS Policy Highlights effective 4\/10\/2024<\/strong><\/p>\n<p>Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon does not expire and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.<\/p>\n<p><em><strong>Newly I-693 Form sealed &amp; certified by a Civil Surgeon can be used indefinitely &amp; does not expire till form expiry date. You can expect a new form submission after 2 years.<\/strong><\/em><\/p>\n<p>\u00a0 \u00a0 <strong>Below is the latest policy updated on April 10, 2024<\/strong><\/p>\n\u2022 Clarifies that a properly completed <strong>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&#8217;s <\/strong><strong>signature or the form expiry date on top of the form.<\/strong><br \/>\n<br \/>\n\u2022 Reiterates that <strong>USCIS officers have the discretion to request further evidence or a new or <\/strong><strong>updated Form I-693, even if the original Form I-693 submitted is otherwise valid,<\/strong> if they have reason to believe the Form I-693 submitted does not accurately reflect the applicant&#8217;s medical condition or a new form has been released.\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-25\">What Can I do to Expedite my Green Card Application?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-25\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-25\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p><strong>What can you do right now to expedite your Green Card?\u00a0\u00a0<\/strong><\/p>\n<div id=\"attachment_1590\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-1590\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2022\/08\/greencard-300x186.jpg\" alt=\"Green card Immigration Medical Exams &amp; Physicals Milpitas, San Jose, Silicon Valley , SF Bay Area CA uscisclinic.com\" width=\"300\" height=\"186\" \/><p id=\"caption-attachment-1590\" class=\"wp-caption-text\">Green card Immigration Medical Exams &amp; Physicals Milpitas, San Jose, Silicon Valley , SF Bay Area CA uscisclinic.com<\/p><\/div>\nHire <strong>experienced<\/strong> experts to help you, both the medical <strong>(civil surgeon)<\/strong> &amp; legal. Share your challenges with them. They are there to help you.\n<strong>Select an experienced Civil Surgeon<\/strong> such as Dr. Neema Malhotra who has done over 25,000 immigration medicals.\u00a0 We at USCIS Clinic offer you a reliable, expedient &amp; affordable service.\n<ul dir=\"auto\">\n<li><strong>Be patient.<\/strong>\u00a0I know this is easier said than done. You miss your family and you&#8217;re frustrated with the delays. We understand. However, getting angry won&#8217;t help your application go faster.<\/li>\n<li><strong>Get your application in.<\/strong> Yes, the lines are long, but the sooner you get your application completed the sooner you are at least in line.<\/li>\n<li><strong>Submit the best application<\/strong> with the strongest evidence possible.\u00a0Do everything you can to make sure your application won&#8217;t be rejected. Recheck your application.<\/li>\n<li><strong>Type or Print<\/strong> your application in black ink. Follow the instructions. <\/li>\n<li><strong>Read FAQs &amp; processes on this website and follow the instructions<\/strong> provided to you by our USCIS Clinic staff &amp; Dr. Neema Malhotra. We are glad that you are reading this.<\/li>\n<\/ul>\n<p><strong>Get It:<\/strong> We have people asking us all the time, &#8220;What if I&#8217;m missing this or that?&#8221; If you&#8217;re missing something, <strong>GET IT<\/strong>. If you are missing a test or a vaccine to be compliant, <strong>get it.<\/strong><\/p>\n<p><strong>Fix It:<\/strong> If you have something in your background that you think might keep you from being approved,<strong> FIX IT. <\/strong>Listen to your advisors.\u00a0<\/p>\nSending in an <strong>incomplete<\/strong> application or forms and hoping that immigration doesn&#8217;t notice will not only delay the processing but may also cost you more money &amp; lost opportunities.\u00a0\n<strong>EXPEDITED SERVICE:<\/strong> Further, we offer <strong>expedited service<\/strong> at a nominal cost of <strong>$150<\/strong> and can complete the process within a few working days. We can get your labs expedited &amp; get you priority appointments.\nShow your <strong>gratitude<\/strong> to those who help you. An appreciation, a smile, and or <strong>taking a minute or two to thank &amp; write a review<\/strong>.\nSomeone said a drop of honey (appreciation) can attract more bees than a pound of vinegar.\u00a0\n\t\t\t\t\t<a role=\"heading\" aria-level=\"2\" tabindex=\"-1\"  id=\"fl-accordion--label-26\">What Services do you provide?<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<button type=\"button\" id=\"fl-accordion--icon-26\" aria-expanded=\"false\" aria-controls=\"fl-accordion--panel-26\"><i>Expand<\/i><\/button>\n\t\t\t\t\t<h2><strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/services\/\">Our Services<\/a>.<\/strong><\/h2>\n<p>Dr. Malhotra is a board-certified Pediatrician. She practices Pediatrics and Family Medicine &amp; provides primary care, annual physicals, preventive care, and integrative, wellness, Functional &amp; holistic medicine for the best patient outcomes.\u00a0 Dr. Neema Malhotra has over 40 years of experience as a physician.<\/p>\n<p>We are in the network and accept all major insurances. We accept HMOs through Santa Clara County IPA (SCICPA).\u00a0<\/p>\n<p>Regular sick and insurance visits are only provided at our San Jose Clinic location on Tuesdays &amp; Thursdays.<\/p>\n<p>Please learn more about our at this link <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/services\/\">Services<\/a>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n\t\t\t<a href=\"https:\/\/uscisclinic.janeapp.com\/\"  target=\"_blank\" rel=\"noopener\"    rel=\"noopener\">\n\t\t\t\t\t\t\tMake an Appointment today\n\t\t\t\t\t<\/a>\n<h3><strong>Ask Our USCIS Clinic AI Chatbot for Assistance<\/strong><\/h3>\n<!-- .labb-heading -->\n\t<div id=\"mxchat-chatbot-wrapper-default\" class=\"mxchat-chatbot-wrapper\" data-bot-id=\"default\">  <div class=\"chatbot-top-bar\" id=\"exit-chat-button-default\">      <div class=\"chatbot-title-container\">          <div class=\"chatbot-title-group\">              <img decoding=\"async\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2026\/01\/AI-Icon-USCIS-Clinic-48.jpg\" alt=\"\" class=\"chatbot-title-icon\">              <p class=\"chatbot-title\">USCIS Clinic<\/p>          <\/div><span class=\"chat-mode-indicator\" id=\"chat-mode-indicator-default\" data-ai-text=\"AI Chatbot for Your Green card\">AI Chatbot for Your Green card<\/span>      <\/div>      <div class=\"mxchat-header-menu-wrap\" data-bot-id=\"default\">          <button class=\"mxchat-header-btn mxchat-menu-trigger\" type=\"button\" aria-haspopup=\"menu\" aria-expanded=\"false\" aria-label=\"More options\">              <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"currentColor\" aria-hidden=\"true\">                  <circle cx=\"12\" cy=\"5\" r=\"2\"\/><circle cx=\"12\" cy=\"12\" r=\"2\"\/><circle cx=\"12\" cy=\"19\" r=\"2\"\/>              <\/svg>          <\/button>          <div class=\"mxchat-header-menu\" role=\"menu\" aria-hidden=\"true\" hidden><\/div>      <\/div>      <button class=\"exit-chat\" type=\"button\" aria-label=\"Close\">          <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" id=\"ic-close\" aria-hidden=\"true\">              <line x1=\"6\" y1=\"6\" x2=\"18\" y2=\"18\"><\/line>              <line x1=\"18\" y1=\"6\" x2=\"6\" y2=\"18\"><\/line>          <\/svg>          <span>Close<\/span>      <\/button>  <\/div>  <div id=\"mxchat-chatbot-default\" class=\"mxchat-chatbot\">      <div id=\"mxchat-init-loader-default\" class=\"mxchat-init-loader\" style=\"display:none;\">          <div class=\"mxchat-init-loader-dots\">              <span class=\"dot\"><\/span><span class=\"dot\"><\/span><span class=\"dot\"><\/span>          <\/div>      <\/div>      <div id=\"chat-container-default\" class=\"chat-container\" style=\"\">          <div id=\"chat-box-default\" class=\"chat-box\">              <div class=\"bot-message\">                  <div dir=\"auto\">Hello! 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24 24\" width=\"1em\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">                      <path d=\"M19.785 0v7.272H22.5V17.62h-2.935V24l-7.037-6.194v6.145h-1.091v-6.152L4.392 24v-6.465H1.5V7.188h2.884V0l7.053 6.494V.19h1.09v6.49L19.786 0zm-7.257 9.044v7.319l5.946 5.234V14.44l-5.946-5.397zm-1.099-.08l-5.946 5.398v7.235l5.946-5.234V8.965zm8.136 7.58h1.844V8.349H13.46l6.105 5.54v2.655zm-8.982-8.28H2.59v8.195h1.8v-2.576l6.192-5.62zM5.475 2.476v4.71h5.115l-5.115-4.71zm13.219 0l-5.115 4.71h5.115v-4.71z\"><\/path>                  <\/svg>              <\/button>              <input type=\"file\" id=\"image-upload-default\" class=\"image-upload\" accept=\"image\/*\" style=\"display: none;\" multiple>              <button id=\"image-upload-btn-default\" class=\"toolbar-btn image-upload-btn\" title=\"Upload Image for Analysis\" style=\"display: none;\">                  <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" style=\"fill: none !important;\">                      <path d=\"M14.5 4h-5L7 7H4a2 2 0 0 0-2 2v9a2 2 0 0 0 2 2h16a2 2 0 0 0 2-2V9a2 2 0 0 0-2-2h-3l-2.5-3z\" style=\"fill: none !important;\"\/>                      <circle cx=\"12\" cy=\"13\" r=\"3\" style=\"fill: none !important;\"\/>                  <\/svg>              <\/button>          <\/div>          <div class=\"chatbot-footer\">          <\/div>      <\/div>  <\/div><\/div>\n\t<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/07\/uscis-clinic-logo-transparent-150x150.png\" alt=\"\" width=\"150\" height=\"150\" \/><\/p>\n<h2><strong>7 MINUTES OF READING<br \/>\nI-693 IMMIGRATION EXAM PROCESS SUMMARY<\/strong><\/h2>\n<p><strong>ALERTS:<\/strong> <\/p>\n<p>Effective 1\/22\/2025 USCIS has<strong> waived all COVID-19<\/strong> Vaccination Requirement for Adjustment of Status Applicants (I-693).<\/p>\n<p><strong>Effective April 4, 2024<\/strong>, any Form I-693 that was properly completed and signed by a civil surgeon can be used indefinitely within the form expiry date as as evidence to show that the applicant is not inadmissible on health-related grounds.<\/p>\n<p><strong>You are advised to Download &amp; use the latest fillable <a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\">i-693 Form<\/a> from our website. <\/strong><strong>Our clinic address is also pre-populated in these i-693 forms edition 01\/20\/25 expiring 09\/30\/27. This new I-693 form was released on 9\/11\/25.<\/strong><\/p>\n<p><strong>The <\/strong><strong>i-693 form should be filled &amp; printed using <a href=\"https:\/\/get.adobe.com\/reader\/?promoid=TTGWL47M\" target=\"_blank\" rel=\"noopener\">Adobe Reader.<\/a> Do not use Chrome, Edge, or Safari Browsers to fill pdf. Adobe Reader will auto-fill your name and A number on top of each page and ensure the proper formatting &amp; printing of forms and barcodes on each page. Print all 14 pages, single sided in black ink and bring it with you preferably on your first visit but is required by 2nd visit to pick up your completed I-693 form.\u00a0<\/strong><\/p>\n<p><strong>Download here &gt; the<a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\"> Latest USCIS i-693<\/a> form.<\/strong><\/p>\n<p><strong>Read<a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\"> I-693 Form Filling Instructions and View a Sample I-693 Filled Form<\/a>.\u00a0<\/strong><\/p>\n<p><strong>You can <a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\">View Instructions for your first visit to our clinic for the Immigration Exam.\u00a0<\/a><\/strong><\/p>\n<p><strong>Click Here to &gt;<\/strong><strong><a href=\"https:\/\/get.adobe.com\/reader\/?promoid=TTGWL47M\">Download Free Adobe Reader<\/a> and use it to fill out your i-693 form.<\/strong><\/p>\n<br \/>\nIf any questions, call us at <strong>(408) 684-8600<\/strong> or visit our two convenient locations at 98 S Abel St Milpitas and at 2730 Union Ave, #B San Jose.\n<p><strong>1.<\/strong>\u00a0 <strong>It takes 2 visits: <\/strong>To complete the i-693 Medical Exam, Lab Tests, Vaccinations, etc., you&#8217;ll need to make 2 visits and allow for 5 working days. Lab testing typically takes 4 to 5 working days. However, if time is a factor, we may be able to expedite the process and get everything done in one visit. To find out more about expediting the process, please call our USCIS Clinic at (408) 684-8600. <\/p>\n<p>A clear and concise summary of the key steps are listed to help guide you through the process.\u00a0<\/p>\n<p><strong>2.<\/strong> <strong>During your First visit;<\/strong> an I-693 immigration-focused medical exam will be done. Our provider will take your medical history, assess any required vaccination gaps, and give you lab &amp; vaccination orders. You can take these orders to any place or a place referred by us to get vaccinations or labs done.<\/p>\n<p> If you do not have vaccination records, do not worry. Most of the applicants from other than European countries do not have records. You can get an immunity test showing immunity from natural diseases or vaccinations.\u00a0<\/p>\n For your first visit, please bring the following: vaccination records, a photo ID such as a valid Driver&#8217;s License or a Passport &amp; the I-693 form filled with your applicant information on the first 2 pages and filled on top of each page with your name &amp; A-number.<br \/>\n\n<p><strong>3.<\/strong> <strong>Download and fill out Your I-693 Form with your demographics:<\/strong> You are strongly advised to read about the I-693 medical exam &amp; read <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscismore\/?swcfpc=1\" target=\"_blank\" rel=\"noopener\">FAQs and More Info<\/a> <\/strong>on our website for detailed instructions. You can download the I-693 forms here.<\/p>\n<p>PLEASE\u00a0 <a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscis-i-693-new\/\" rel=\"noopener\"><strong>Download here the latest i-693 for our Milpitas and San Jose Locations and instructions<\/strong><\/a>.\u00a0<\/p>\n<p><strong>Brief Form Filling Instructions<\/strong>: You must fill the first and second pages of I-693 with your demographics and the top of each page with your name and A-number(if you have it). You can either fill it with <strong>BLACK<\/strong> ballpoint with Capital (upper case) Letters or you can type into it using your computer.\u00a0 Use<a href=\"https:\/\/get.adobe.com\/reader\/\" target=\"_blank\" rel=\"noopener\"><strong> Adobe PDF Reader<\/strong><\/a> to fill and print the I-693 form for the Applicant Info section and print<strong> single <\/strong>page\u00a0I-693 without any printer scaling on regular weight (20 lb) paper. Our form is designed to be fillable and can pre-populate each page top line repetitive info of your Name and A-number provided you <strong>use <a href=\"https:\/\/get.adobe.com\/reader\/\">Adobe PDF Reader<\/a><\/strong> and do not use browsers (Chrome or Edge or Safari) as the browser extensions do not support auto filling I-693 form and printing barcodes. <\/p>\n<p>A typed-in form is preferred over the hand-filled page and OCR scans better by UCIS for expedient processing. Make sure the <strong>barcode<\/strong> is printed on all pages. If you fill i-693 by hand, fill it with BLACK ink ballpoint pen and use CAPITAL letters. <strong>Do NOT sign or date<\/strong> your form. It has to be done before USCIS Civil Surgeon. Please bring a printed form with you, otherwise, we can help you fill and or print it for you at a nominal cost of $20. See <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/10\/i-693-instructions-ver-3-9-23-from-uscis-clinic.pdf?swcfpc=1\" target=\"_blank\" rel=\"noopener\">I-693 Form Filling Instructions<\/a> and a <a href=\"https:\/\/www.uscisclinic.com\/uscis\/files\/2023\/04\/i-693-New-version-03-09-23-Sample-Filled-Form-USCIS-Clinic.pdf?swcfpc=1\" target=\"_blank\" rel=\"noopener\">Sample I-693 Filled Form<\/a>. <\/strong><\/p>\n<strong>4. Labs &amp; Vaccinations:<br \/>\n<\/strong>You can learn more about required labs &amp; vaccinations. During your first visit, you can speak to the experts and we will guide you. No worries.\u00a0\n<h3><strong>Click here&gt;<\/strong>\u00a0<strong>to<\/strong>\u00a0<a href=\"https:\/\/www.uscisclinic.com\/uscis\/vaccinations\/?swcfpc=1\"><strong>Learn More about Vaccinations<\/strong><\/a><\/h3>\n<h3><strong>Click Here &gt;\u00a0<a href=\"https:\/\/uscisclinic.com\/uscis\/lab\/\">Learn More about Labs Tests<\/a>\u00a0<\/strong><\/h3>\n<p><strong>5.<\/strong> <strong>Appointments:<\/strong> For your convenience, you can also book your appointments online on our website uscisClinic.com 24&#215;7 or call us at (<strong>408) 684-8600<\/strong> during our USCIS Clinic&#8217;s open hours.<\/p>\n<p>At the lab&#8217;s patient portals, you can make <strong>Appointment and View results<\/strong> online. For <strong>Quest<\/strong> at <strong>MyQuest.QuestDiagnostics.com<\/strong>, <strong>LabCorp<\/strong> at<strong> <a href=\"https:\/\/labcorp.com\/patients\">labcorp.com\/patients<\/a><\/strong> and <strong>IHD <\/strong>at <a href=\"https:\/\/www.ihdlab.com\/tests-for-individuals\" target=\"_blank\" rel=\"noopener\"><strong>Ihdlab.com\/tests-for-individuals<\/strong>.<\/a> Or call us or emails us if you need assistance.\u00a0<\/p>\n<p><strong>6. Sealed Completed I-693 Form:<\/strong> After your Labs come back, at the 2nd appointment, you will get your sealed I-693 form envelope reviewed &amp; signed by Civil Surgeon. You will also get an electronic copy of the completed I-693 for your records. Do not leave without it.<\/p>\n<p>You must pick up your I-693 within 30 days of the medical exam and submit it to USCIS or your attorney. Make sure to mail it via FedEx, UPS, or USPS with a tracking number.<\/p>\n<p><strong>7.<\/strong> <strong>Cost of<\/strong><strong> Medical Exam:\u00a0<\/strong><\/p>\n<p>We charge <strong>$410 <\/strong>for an immigration medical exam &amp; filling out the I-693 form. The $410 price includes your initial 1st visit to review your medical history, get Orders for Labs, Vaccinations, X-ray &amp; a final 2nd visit for applicant to appear before civil surgeon fr mdical exam and pick up the completed I-693 form.<\/p>\n<p>Vaccinations are usually covered by insurance, while labs are not. We have negotiated special volume rates with different labs such as Quest, LabCorp, or IHD at upto 60% discount of the regular cost &amp; save you . Labs charge are in the range of $40 to $200 depending on your age &amp; medical history.<\/p>\n<p>We coordinate benefits with your insurance. We have negotiated special rates with different labs to <strong>minimize<\/strong> costs &amp; pass on savings to you. Our clinic is happy to help you with any questions, concerns, or worries you may have, and our experience and expertise will ensure a successful, expedient &amp; low total cost of the medical exam for processing with the USCIS processing of your Green Card. You can also get a second original copy of the i-693 sealed envelope at a low cost. <\/p>\n<p>\u00a0Vaccinations are<strong> FREE<\/strong> if you have insurance &amp; you can take vaccinations at any pharmacy near you such as CVS, Walgreens, Walmart, or Costco. Lab tests are done by an outside lab. We have negotiated special volume rates with different labs including Quest, LabCorp, or IHD at a fraction of regular cost and they charge. The tests range from $50 to $200 depending on your age &amp; medical history. We will guide you to the lowest-cost labs, and vaccinations &amp; coordinate benefits saving you money. Our experience &amp; expertise will ensure expedient processing and success with the USCIS processing of your Green Card while keeping your cost low. <\/p>\n<p>Labs and pharmacies are a few minutes from our clinic&#8217;s locations.\u00a0<\/p>\n<p><strong>8.<\/strong> <a href=\"https:\/\/www.uscisclinic.com\/uscis\/faq\/?swcfpc=1\"><strong>Read the FAQs<\/strong><\/a> and info. If you still have questions, concerns, or worries; please feel free to call us or ask our friendly front office staff as well as our providers before or during your visit or exams. We are here to help you &amp; your family of all ages from newborns to 100. We welcome you all. Walk-ins are welcome but applicants with confirmed appointments will be preferred. <\/p>\n<p><strong>9.<\/strong> <strong>Relax:<\/strong><\/p>\n<p>Many green card applicants get nervous about this step of the process, and that&#8217;s normal. But there&#8217;s no need to worry! At USCIS Clinic, we can help you avoid common pitfalls in the immigration process with unlimited support from our experienced team of Dr. Neema Malhotra. We are there to welcome you and assist you. Feel free to ask any questions. Leave the worry to us.<\/p>\n<p><em><strong>Free<\/strong><\/em> Wi-Fi, Espresso Coffee, and teas are provided in our waiting rooms. Relax and catch up on your emails and entertainment. Parking is plenty and is always free.<\/p>\n<p>We are there to welcome you and assist you. Feel free to ask any questions. Leave the worry to us. <strong>Free<\/strong> Wi-Fi, Espresso Coffee, Lattes, Tea, are provided in our waiting rooms. Relax and catch up on your emails, messages, news, or entertainment.\u00a0<\/p>\n<p><strong>11. Concierge Expedited Service:\u00a0<\/strong><\/p>\n<p>We take pride in delivering exceptional service to all applicants. If you&#8217;re seeking a swift and efficient process, we&#8217;re pleased to offer priority same-day appointments, direct access to USCIS Civil Surgeon at any time, and a dedicated medical assistant to follow up with you. This <strong>expedited service<\/strong> is available for a nominal fee of $150, ensuring that you receive the best possible experience &amp; assure expedient processing. If your green card application is employer-sponsored, these charges may be covered by your employer.\u00a0<\/p>\n<p><strong>12.<\/strong> <strong>We welcome Feedback:<\/strong> After you receive your completed forms, please take a moment to give us <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/feedback\/\">feedback<\/a>,<\/strong> on how we can serve you better. If we met or exceeded your expectations, please take a moment to give us a <strong><a href=\"https:\/\/www.uscisclinic.com\/uscis\/realreviews\/\">review.<\/a><\/strong> It will make our day joyful. As always, we appreciate &amp; are thankful for your trust in selecting us to be your provider of services.\u00a0<\/p>\n<h3><strong>Call us at (408) 684-8600 for more info. Same-day appointments are usually available. Call us if you do not see any open appointment slots online. <\/strong><strong>We are always there to help.<\/strong><\/h3>\n<p><strong>Read <a href=\"https:\/\/www.uscisclinic.com\/uscis\/uscismore\/\">Medical Exam More Info<\/a> &amp; Frequently Askes Questions FAQs.<\/strong><\/p>\n\t\t\t<a href=\"https:\/\/uscisclinic.janeapp.com\/\"  target=\"_blank\" rel=\"noopener\"    rel=\"noopener\">\n\t\t\t\t\t\t\tMake an Appointment today\n\t\t\t\t\t<\/a>\n<h3><strong>Just Send us a Question or a non urgent Message<\/strong><br \/>\nor<br \/>\nContact us (408) 684-8600<\/h3>\n<!-- .labb-heading -->\n","protected":false},"excerpt":{"rendered":"<p>I-693 Frequently Asked Questions USCIS Immigration Medical Exams USCIS Clinic, Neema Malhotra M.D. Pediatrics &amp; Family Medicine 98 S Abel Street, Milpitas CA 95035 2730 Union Ave, Ste B, San Jose CA 95124 (408) 684-8600 hablamos espa\u00f1ol Click here &gt; \u00a0 \/\u00a0 \/ All\u00a0Languages Make Appointment Frequently Asked Questions (FAQs) USCIS I-693 Immigration Medical Exams&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_mbp_gutenberg_autopost":false,"footnotes":""},"class_list":["post-5769","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/pages\/5769","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/comments?post=5769"}],"version-history":[{"count":2,"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/pages\/5769\/revisions"}],"predecessor-version":[{"id":6398,"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/pages\/5769\/revisions\/6398"}],"wp:attachment":[{"href":"https:\/\/www.uscisclinic.com\/uscis\/wp-json\/wp\/v2\/media?parent=5769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}