Medical history & physical
Complete history review and head-to-toe physical examination per USCIS protocol.
USCIS-designated civil surgeon — verify on USCIS.gov
Nashville Immigration Medical Exam (USCIS Form I-693)
Your USCIS Form I-693 immigration medical exam completed by a board-certified physician and USCIS-designated civil surgeon in Mount Juliet, TN — 20 minutes from downtown Nashville. Same-week appointments. We also complete Form N-648 for qualifying naturalization applicants.
- One 60-minute visit · sealed I-693 in 3–5 days
- English & Spanish — Hablamos Español
- TB (IGRA), vaccines & STI screening on-site
- Transparent flat-rate pricing — call for quote
4.9from 200+ Google reviews · trusted by Middle Tennessee families
USCIS Civil Surgeon
Officially designated — verify on USCIS.gov.
Same-week appointments
No multi-month waits — typically booked within days.
Bilingual — Hablamos Español
Spanish-speaking staff for every step.
Sealed I-693 in 3-5 days
Ready to submit with your USCIS application.
Overview
Sealed, ready-to-file I-693 in one visit.
The Immigration Medical Examination (Form I-693) is required by U.S. Citizenship and Immigration Services for most applicants seeking lawful permanent resident status. The exam must be performed by a USCIS-designated Civil Surgeon.
As a board-certified internal medicine physician and designated Civil Surgeon, Dr. Ashok Mehta provides thorough, efficient I-693 examinations with results sealed and ready for your USCIS submission.
Who needs this exam
Required for most green card applicants.
- Adjustment of status applicants seeking lawful permanent residence (green card)
- Refugees one year after entry to the United States
- Asylees adjusting status to permanent resident
- Anyone directed by USCIS to complete a medical examination
What's included
Everything USCIS requires, handled here.
Tuberculosis screening
IGRA blood test for TB — accepted nationwide and required for applicants 2 years and older.
STI screening (15+)
Syphilis and gonorrhea testing for applicants age 15 and older, as required by USCIS.
Mental health & substance screening
Drug, alcohol, and mental health evaluation as part of the standard USCIS exam.
Vaccination review & administration
Review of your immunization records and on-site administration of any required vaccines.
Sealed Form I-693
Your completed and signed Form I-693, sealed in the USCIS-required envelope and ready to submit.
Pricing
Transparent, cash-pay pricing.
Payment is due at the time of service. We accept cash, all major credit cards, HSA, and FSA. The TB blood test is billed separately and is not included in the exam price.
- Complete I-693 ExamContact for pricing
- TB blood test (IGRA)Additional — not included
- Required vaccinesPriced individually
Vaccination requirements
USCIS-required vaccines by age.
Bring all prior vaccination records — documented vaccines do not need to be repeated. Missing vaccines can be administered during your visit.
| Vaccine | Required for |
|---|---|
| MMR (Measles, Mumps, Rubella) | All ages |
| Tdap / Td | All ages |
| Polio | All ages |
| Varicella | All ages |
| Influenza | Seasonal (Oct–Mar) |
| COVID-19 | Currently not required (per CDC update) |
| Hepatitis A | Through age 18 |
| Hepatitis B | All ages |
| Rotavirus | Infants only |
| Hib | Through age 4 |
| Pneumococcal | Through age 18 and 65+ |
| Meningococcal | Ages 11–18 |
Requirements are reviewed against the current CDC and USCIS Civil Surgeon Technical Instructions at the time of your visit.
What to bring
Come prepared so we can finish in one visit.
- Government-issued photo ID (passport preferred)
- Form I-693 (you can complete Part 1 in advance or at the office)
- Complete vaccination records from any country
- List of current medications
- Records of any chronic medical conditions
- Eyeglasses or contacts if you wear them
- Records of prior TB testing or treatment, if applicable
Cost
How much does an immigration medical exam cost in Nashville?
In the Nashville and Mount Juliet area, a complete USCIS Form I-693 immigration medical exam typically costs between $250 and $400, depending on the clinic. That base price usually covers the physical, mental health and substance screening, the sealed I-693, and the standard signature.
Two items are almost always billed separately: the TB blood test (IGRA) and any vaccines you still need. The total out-of-pocket cost depends on how complete your vaccination records are and whether any prior TB testing needs to be repeated.
At SimplyCare we offer transparent flat-rate pricing — call (615) 288-4087 for a complete quote based on the records you already have. Health insurance does not cover the I-693 exam (USCIS classifies it as a non-medical service), so we accept cash, all major credit cards, HSA, and FSA.
Service area
USCIS civil surgeon serving the Nashville metro.
Our Mount Juliet office is 20 minutes from downtown Nashville and is the preferred I-693 location for families across Middle Tennessee. Patients travel to us from across the region:
- Mount Juliet, TN
- Nashville, TN
- Hermitage, TN
- Lebanon, TN
- Donelson, TN
- Antioch, TN
- Hendersonville, TN
- Smyrna, TN
- Old Hickory, TN
- Madison, TN
- Gallatin, TN
- La Vergne, TN
Looking for a primary care provider after your immigration exam? Meet our Mount Juliet family doctor →
Form N-648
Medical Certification for Disability Exceptions.
The N-648 waives the English and/or civics requirements for naturalization applicants with a qualifying physical, developmental, or mental impairment expected to last 12 months or longer.
What's included
- Review of medical, psychiatric, and developmental records
- Clinical evaluation and DSM/ICD-based diagnosis
- Plain-language explanation of how the condition prevents learning English/civics
- Completed and signed Form N-648 ready for USCIS submission
The N-648 must be signed within 6 months of submission to USCIS. Please call ahead so we can review prior records before your visit.
FAQ
Common questions about the I-693.
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Learn moreReady to complete your immigration medical exam?
Book online or call to schedule. Same-week appointments typically available.
*SimplyCare is an independently owned and operated care center that may promote, sell, or provide services and products outside of its Privia partnership. Privia Medical Group is not responsible for these products or services. Privia's Authorization & Consent to Treat, Financial Policy, and HIPAA Notice of Privacy Practices are not applicable to these services or products.