Services
The immigration medical exam
The examination USCIS requires with a green card application, in the Paramus office, New Jersey only. She is a designated civil surgeon, so the form is completed and sealed by her. $425, paid when you book.
What the visit is
A physical examination, a review of your vaccination record, and the laboratory testing the form requires. She completes Form I-693, signs it and seals it.
It is usually two visits rather than one, because the laboratory results have to come back before she can sign.
The sealed envelope
If you are filing on paper, the envelope goes to USCIS unopened. If you are filing online, USCIS asks you to open it yourself and upload the form, and to keep the envelope until they decide.
What to bring
Photo identification, your vaccination records, and the form itself if you already have it. Do not sign it before the visit.
Common questions
What does it cost?
$425 a visit, paid when you book. USCIS does not set this fee; each civil surgeon sets their own.
Which form is it?
Form I-693, Report of Immigration Medical Examination and Vaccination Record. The current edition is dated 01/20/25.
Can I do the exam by video, or in California?
No. The immigration exam is New Jersey only, in the Paramus office. It is never offered by video in California.
Do I open the envelope?
Only if you are filing online, where USCIS asks you to open it and upload the form. On a paper filing it goes in unopened.
How do I check she is approved to do this?
USCIS publishes a locator of designated civil surgeons on uscis.gov. You can search it by address and by the language the doctor speaks.
Book the immigration exam online, or call (973) 340-0160.
Bring your vaccination records if you have them. It changes what the visit involves.
Paid when you bookBilling sheet for your insurer