How long does the I-693 appointment take?

Most I-693 visits at SimplyCare run 45–60 minutes from check-in to sealed envelope. If you need several vaccines or have complex medical history, plan on closer to 75 minutes.

Will the civil surgeon see me undressed?

The physical exam is brief and respectful. You'll be asked to undress to your underwear behind a closed door and put on a gown. The exam covers heart, lungs, skin, abdomen, lymph nodes, and a quick neurological check. A chaperone is available on request.

Do I need a blood draw?

Yes — a single small blood draw covers the IGRA TB test plus syphilis screening (and gonorrhea testing for applicants 15+). It's done in the office and results come back electronically.

Can I drive home afterward?

Yes. Nothing in the I-693 exam requires sedation or restricts your activities. You can drive, work, and travel the same day.

When do I get the sealed envelope?

If all tests are normal and your vaccines are complete, you walk out with the sealed I-693 envelope the same day. If we're waiting on a lab result or a follow-up vaccine, the envelope is held until everything is finalized — usually within 5 business days.

Resources · I-693 Exam

What to expect at your I-693 immigration medical exam

The USCIS Form I-693 medical exam is one of the most predictable steps in the green-card process — but if you've never done it before, the unknowns can feel stressful. This walkthrough shows you exactly what happens during a 60-minute visit at SimplyCare, in the order it happens, so you can show up prepared and walk out with your sealed envelope the same day.

Total time on-site

Plan for 45 to 60 minutes from check-in to sealed envelope. We schedule one I-693 per slot so you're never rushed and never waiting behind a backed-up clinic.

Step by step

1. Check-in and paperwork (5–10 min)
Bring your government-issued photo ID, your blank Form I-693, and every vaccination record you have. Our front desk verifies your identity, copies your records, and confirms the day's fee.
2. Vital signs and history (10 min)
A medical assistant takes your height, weight, blood pressure, and pulse. You'll review medications, surgeries, hospitalizations, mental-health history, and any history of drug or alcohol use — all required questions on the I-693.
3. Physical exam with the civil surgeon (10–15 min)
Dr. Mehta performs the head-to-toe exam required by USCIS: eyes, ears, mouth, neck, lymph nodes, heart, lungs, abdomen, skin, and a quick neurological check. This is the only part where you'll change into a gown.
4. TB blood test and labs (5 min)
A single blood draw covers the IGRA TB test, syphilis screening, and (for applicants 15 and older) gonorrhea testing. No skin test, no return visit.
5. Vaccines, if needed (5–20 min)
We review your record against the current USCIS vaccine schedule and give any missing doses in-office. If you brought a complete record, this step is skipped.
6. Form completion and sealed envelope (10 min)
Dr. Mehta completes and signs Form I-693, places it in the official sealed envelope, and hands it to you with a copy for your records. Do not open the envelope — USCIS requires it intact.

What to bring (checklist)

Government-issued photo ID (passport or driver's license)
The latest blank Form I-693 (printed, not filled in)
Every vaccination record you have — including childhood and from outside the U.S.
Prior TB test results or chest X-ray reports, if any
List of current medications and dosages
Payment method (cash, card, HSA, or FSA)

After the exam

USCIS now accepts a signed I-693 with no expiration date for most adjustment-of-status filings — so once you have the sealed envelope, you can submit it whenever your case calls for it. Keep the envelope in a safe, dry place and do not open it under any circumstance. If your attorney needs to confirm contents, we keep a copy on file and can re-issue a new sealed envelope if needed.

FAQ

Book your I-693 exam

Same-week appointments · Mount Juliet, TN · English & Spanish

Book Appointment (615) 288-4087

What to expect at your I-693 immigration medical exam

Total time on-site

Step by step

1. Check-in and paperwork (5–10 min)

2. Vital signs and history (10 min)

3. Physical exam with the civil surgeon (10–15 min)

4. TB blood test and labs (5 min)

5. Vaccines, if needed (5–20 min)

6. Form completion and sealed envelope (10 min)