Immigration Exams

	Basic Physical Examination
	Required Blood work
	Tuberculosis skin testing
	Vaccination status verification
	Copies of your laboratory results
	Certified and Sealed I-693 Form

	A complete patient information sheet.Click here to obtain a patient information sheet.
	Valid, government issued picture ID such as a driver’s license or passport (preferred).
	Immigration Physical Form I-693, Pre-completed with your information.
	Proof of prior vaccinations.
	A translator (if not fluent in English)

Click here to access a detail copy of Form I-693 (Report of Medical Examination and Vaccination Record). The US Government requires specific vaccinations according to your age. Click here to access the current Centers for Disease Control  Vaccine Immunization table.

Instructions for filling out the I-693 Form can be read by clicking here.

Additional services that may be required (such as required vaccinations and follow-up chest x-ray for TB testing) are not included in the price of the exam.

The Exam

1. Basic immigration physical exam and mental status evaluation (exam sometimes may be performed on the second visit)
2. Blood Test: Applicants age 15 and older are required to have a serologic blood test for Syphilis (RPR). Applicants under age 15 may require syphilis testing at the discretion of the civil surgeon.
3. Tuberculosis skin test: Applicants age 2 and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to the office within 48 – 72 hours after administration. If the test reading is greater that 5 mm of induration, a chest X-ray will be required. The cost of the X-ray is not included in the price of the immigration exam but can be scheduled through our office for an additional fee.
4. Proof of vaccinations or blood Titer to prove immunity. Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves that a person has immunity or antibodies for a particular disease. The Immigration Doctor will review your vaccination history with you to determine whether you have all the required vaccinations. The cost of additional vaccinations is not included in the price of the basic exam but they are offered through our office for an additional fee. Please bring all vaccination records to your scheduled appointment for the immigration physical.

After The Exam

After the immigration physical examination is completed, Dr. Fitton will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the INS. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of your blood tests results will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.