Medical Group

EST. 2001

United States Immigration  I-693
Medical Examination for Adjustment of Status
Surgeon Physical Examination


We are able to provide completion of the physical examination requirement for the US government.
The first day involves a review of requirements, the physical examination with tests and vaccines.  You may be able to sign the papers at this time, so any family member could collect the papers once completed. 

As of October 1, 2018, a tuberculosis blood test is required, and this can take 6-9 days.   This is done at the lab, in an adjacent building.   The lab closes at 4pm, but we can give the request forms earlier if desired.   This is the limiting step in obtaining the I-693 papers.

Please bring a government issued picture identification at the initial appointment.

Adult Required components

Physical Examination

  • Tuberculosis blood test  (all applicants above 2 years of age; New as of October 1, 2018)
  • Syphilis test (all applicants 15 years and older)
  • Gonnarhea urine test (all applicants 15 years and older--- new as of August 1, 2016)
  • Tetanus Vaccine in the past ten years
    • We recommend with the Pertussis vaccine for adults with exposure to children under 18 months
  • Measles Mumps and Rubella  (for all except born before 1956)
  • Influenza Vaccine (all applicants October 1 to April 1)
  • Varicella Vaccine or history of Varicella - chickenpox ;  An antibody blood test can be done for confirmation.

* Senior Citizens over 65 years require a pneumonia vaccine

For Children under 18 years:
School records usually satisfy requirement

  • Hepatitis B  -- three vaccines
  • Polio
  • H Influenza
  • Meningitis (age 11 to 18)

* Please note many pediatricians give this to children at 12 years of age. 


  • INFLUENZA: $25
  • MMR: $90
  • MMR - BLOOD: $150
  • VARICELLA: $160
  • PNEUMOVAX-23: $120
  • SYPHILIS: $50

Insurances is not accepted for immigration physicals
Patients may obtain vaccines from their primary care physician, or pharmacy if they desire.
We accept VISA and Mastercard
There is a $20 discount per applicant for cash payment