How long does the I-693 appointment take?

The appointment is one 60-minute visit from check-in to checkout. If you need several vaccines or have a complex medical history, plan on closer to 75 minutes. Your sealed envelope is picked up later, once labs return in 3–5 business days.

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?

Your lab results come back in 3–5 business days. Once every required result is documented, Dr. Mehta signs Form I-693 and seals the envelope, and we call you to pick it up at the office. Plan on a short second trip — the envelope is not issued on the day of the exam.

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 your 60-minute visit at SimplyCare, in the order it happens, plus when to come back for your sealed envelope.

Total time on-site

Plan for one 60-minute visit for the exam, TB blood draw, and vaccines. We schedule one I-693 per slot so you're never rushed. Lab results take 3–5 business days, and you return briefly to pick up the sealed envelope.

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 second blood draw — results return in 3–5 business days.
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 review and next steps (10 min)
Dr. Mehta reviews your findings with you and completes everything he can before your labs return. Once results are in — usually 3–5 business days — he signs Form I-693 and seals it in the official envelope, and we call you to come pick it up. Do not open the sealed envelope — USCIS requires it intact at submission.

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

Your labs finalize in 3–5 business days. We call you as soon as the signed, sealed I-693 envelope is ready to pick up at the office. 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.

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Book your I-693 exam

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

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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 review and next steps (10 min)