Medical history & physical
Complete history review and head-to-toe physical examination per USCIS protocol.
USCIS-designated civil surgeon — verify on USCIS.gov
Immigration Medical Exam (USCIS Form I-693)
Complete your Form I-693 medical examination with a board-certified internal medicine physician. Same-week appointments typically available in Mount Juliet, TN. We also complete Form N-648 for qualifying naturalization applicants.
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 (18+)
Syphilis and gonorrhea testing for applicants age 18 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. Bundle pricing is available for families being examined together.
- Complete I-693 ExamContact for pricing
- TB blood test (IGRA)Included
- Required vaccinesPriced individually
- Family / bundle pricingAvailable
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 | Through age 18 |
| Varicella | All ages |
| Influenza | Seasonal (Oct–Mar) |
| COVID-19 | Currently not required (per CDC update) |
| Hepatitis A | Through age 18 |
| Hepatitis B | Through age 18 |
| 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
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.