Immigration Medical Exams
Done Right, Done Fast
USCIS-designated civil surgeon immigration medical exams (Form I-693) in San Jose, Santa Clara & Sunnyvale. Full service comprehensive medical examinations, on-site vaccinations, on-site labs, and a dedicated support team.
New Add on-site immigration blood draw + labs for $275 — see what’s included
- Complete physical exam
- Same-day vaccinations
- New: on-site blood draw & lab package
- Completed I-693 form
- Sealed envelope for USCIS
Have questions or want more information about our services? Call San Jose (408) 687-4806, Santa Clara (408) 791-1210 or Sunnyvale (408) 212-7420.
Available Immigration Appointments
How your immigration physical works
We make the I-693 process as simple and stress-free as possible.
Disclosure: Requirements and processing times may vary based on each patient's case, age, medical history, and social history. Typical processing time is up to two weeks, provided the patient completes all required items in a timely manner.
What is an immigration medical exam?
The immigration medical examination is the health screening USCIS requires from most people applying for a green card or adjustment of status. Its purpose is simple: to confirm an applicant is not inadmissible on health-related grounds. Results are recorded on Form I-693, which only a USCIS-designated physician — a civil surgeon — can complete and sign.
A regular doctor's visit does not satisfy this requirement, even if the same tests are done. The physicians at Instant Urgent Care are USCIS-designated civil surgeons, so your I-693 is filing-ready. It's not a pass-or-fail test of your overall health — it screens a defined, limited set of items: communicable diseases of public-health significance, required vaccinations, and certain mental-health or substance-use conditions. Most applicants finish without any issue at all.
Who needs a Form I-693?
If you're adjusting status or applying for a green card from inside the United States, you almost certainly need an immigration medical exam from a civil surgeon. Here are the most common situations.
Adjustment of Status
Anyone filing Form I-485 to become a permanent resident from within the U.S. must submit a sealed I-693 — usually together with the I-485 packet.
Family-Sponsored Applicants
Spouses, children, parents, and other relatives being sponsored for a green card need the exam. Families often complete their exams together in one visit.
Employment-Based Applicants
Workers adjusting status through an employer-sponsored (EB) green card category complete the same civil surgeon exam as family-based applicants.
Refugees & Asylees
Refugees adjusting status typically complete the vaccination requirements, while asylees applying one year after their grant generally need the full I-693.
Diversity Visa & Special Categories
Diversity Visa (green-card lottery) adjustment applicants, VAWA self-petitioners, and certain special-immigrant categories also require the exam.
Children & Dependents
Children need the exam too. Those under 15 usually skip the syphilis, HIV and gonorrhea blood tests but still complete the physical and required vaccines.
Applying from outside the U.S.? If you're applying through a U.S. embassy or consulate (consular processing), your immigration medical exam must be completed by a panel physician abroad—not a civil surgeon in the United States. If you're unsure which process applies to you, your immigration attorney or our front desk can help you confirm before you book your appointment.?
A civil surgeon you can actually get in to see
Immigration timelines are stressful enough. We make the medical exam the easy part — fast scheduling, everything in one place, and a team that speaks your language.
USCIS-Designated Civil Surgeons
Your I-693 is completed and signed by physicians who hold active USCIS civil surgeon designation, on the current 01/20/2025 form edition — so it's accepted the first time, with no re-dos.
Everything in One Visit
Physical exam, required vaccines, TB testing, and the blood work USCIS requires are all done on-site. No running between a clinic, a lab, and a pharmacy with a stack of paperwork.
Fast Appointments
We hold dedicated immigration-physical slots, so you usually won't wait weeks for an opening. When your filing window is tight, that turnaround can make all the difference.
Multilingual Care
Our staff serves Silicon Valley's immigrant communities in Spanish, Mandarin, Hindi, Punjabi, Tagalog, Vietnamese, Korean and more — no interpreter required for most visits.
Transparent Pricing
You'll know what your exam costs before you sit down. We offer clear self-pay pricing and will tell you up front which vaccines or labs you actually need, so there are no surprises.
Across the Bay Area
Three convenient civil surgeon clinics in San Jose, Santa Clara and Sunnyvale serve patients from more than 50 cities spanning the South Bay, Peninsula, East Bay and North Bay.
Everything included in your I-693 exam
We handle most required components of the USCIS immigration medical examination in a single, organized visit.
- Head-to-toe physical exam by licensed civil surgeon
- Mental health and substance use screening
- Review of medical history and prior vaccination records
- Documentation of any disqualifying medical conditions
- MMR (Measles, Mumps, Rubella)
- Varicella (Chickenpox)
- Influenza (seasonal)
- Tdap (Tetanus, Diphtheria, Pertussis)
- Meningococcal (age-dependent)
- Hepatitis A & B, HPV (as required)
- TB risk assessment
- IGRA blood test
- Chest X-ray if TB screening is positive
- Syphilis serology
- HIV testing
- Gonorrhea test
- Completed Form I-693 signed by civil surgeon
- Sealed envelope meeting USCIS requirements
- Vaccination supplement (Form I-693 supplement)
- Copies for your personal records
- Guidance on submitting to USCIS with your application
Disclosure: Physical Examination, required vaccines, and lab tests vary by patient. The civil surgeon will determine during the consultation all necessary requirements for each applicant. All qualification criteria are subject to change based on USCIS, CDC, and civil surgeon guidelines.
What to bring to your appointment
Having these documents ready will ensure a smooth, efficient visit and avoid any delays in processing.
Important: digital forms / document uploads (via links provided at time of booking) must be completed prior to your visit in clinic. Patients needing assistance must consult with their interpreter or attorney. Whether vaccine records are available or not, all patients must complete the digital demographics form PRIOR to the appointment. Failure to do so may cause delay or rescheduling of your appointment. all applicants, including minors, must have their own appointment scheduled. for families or groups please schedule an individual appointment slot per applicant - select available appointment slots closest in time intervals - families are permitted to conduct examinations together. All minors are required to be accompanied by the consenting parent or guardian certifying the form I-693 application.
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Valid photo ID that will be used for document submission (Form I-693).
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All major credit cards, debit, HSA/FSA, and cash accepted.
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Any vaccine records that may not have been uploaded already.
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For special cases or conditions that require supplemental documents.
What an immigration physical costs
Here is how the costs break down, so there are no surprises on exam day.
Typical cost components
Consultation, medical evaluation, documentation and the final sealed packet for USCIS.
All required immigration labs plus your blood draw done on-site. Self-pay only, not billed to insurance.
Only the vaccines you are missing. Not included in either fee. Often partially covered by insurance.
PPD skin test or IGRA blood test, depending on your history.
Only if TB screening is positive. Most applicants never need this.
Both of the above, in one visit at one predictable upfront price.
- How to keep your cost down
- Bring your vaccine records. The single biggest variable is how many vaccines you still need. Proof of prior immunizations, or titer blood tests confirming immunity, may spare you shots you do not require.
- Consider the lab package. Immigration-related laboratory testing may be excluded or denied by your plan, or applied straight to your deductible, potentially leaving you with unexpected bills exceeding $1,000.
- Ask about vaccines and insurance. The exam fee itself is not covered, but many plans do cover some vaccines. We will give you a clear self-pay quote either way.
For an exact quote based on your situation, call (408) 687-4806 or email support@instantuc.com before your visit.
On-site immigration blood draw & lab package — $275
Until now, most I-693 applicants left our clinic with a lab order and had to book a separate appointment at an outside laboratory. You can now have that blood draw done here, during the same visit as your immigration medical exam, for one flat self-pay price.
I-693 Medical Exam
Flat self-pay fee
Consultation, medical evaluation, documentation and your final sealed packet for submission to USCIS.
Immigration Lab Package
Promotional self-pay rate · not billed to insurance
All laboratory testing required by USCIS for your Form I-693, plus the blood draw performed on-site at our clinic. Same-day specimen collection, handled and tracked by our team.
Exam + Lab Package
One visit · one predictable price
Everything above, completed in a single appointment at 3466 El Camino Real. No outside lab visit, no extra trips, no separate laboratory invoice arriving weeks later.
What the $275 lab package includes
- All required immigration blood testing mandated by USCIS for your Form I-693
- Blood draw performed on-site at our Clinics
- Same-day specimen collection
- Direct laboratory pickup and handling
- Faster, more streamlined lab processing with expedited results
- No need to schedule a separate outside laboratory appointment
- One predictable, upfront self-pay price — no separate laboratory bill afterwards
For applicants aged 15 and over the required panel typically includes syphilis, HIV and gonorrhea testing. Your civil surgeon determines the exact tests based on your age, medical history and current USCIS requirements.
Why patients are choosing it
- One visit instead of two. Exam, TB screening, vaccines and blood draw all happen in the same appointment.
- Daily laboratory pickup. Specimens are collected from our clinic every day, so your samples are not sitting over a weekend waiting to be couriered.
- We follow up on results, not you. Results come back to our civil surgeon directly, so nothing stalls while you wait on hold with a laboratory.
- Significant savings for self-pay patients. The package is offered at a promotional $275 against a standard rate of $1,200.
- No unexpected laboratory bills. Immigration-related laboratory testing may be excluded or denied by your plan, or applied directly to your deductible — which can leave patients with bills exceeding $1,000. The $275 package removes that uncertainty.
- Predictable upfront pricing. Payment is settled at the time of service, so there is no separate laboratory invoice weeks later.
- Important — this package is self-pay only
- The $275 immigration lab package is self-pay only and will not be billed to insurance. This applies regardless of your plan or coverage.
- If you want your immigration labs billed to your insurance, this package is not available to you. In that case the civil surgeon will provide a laboratory order and you will obtain your testing directly from the third-party laboratory, on their schedule and at their pricing.
- Immunizations are not included in the $275 lab package. Required vaccinations remain available here and may be billed to your insurance depending on your benefits, coverage and in-network status, or provided as a self-pay service — rates available on request.
- Full payment is due and collected at the time of service. We accept all major credit cards, debit, HSA/FSA and cash.
- This is a special promotional package, available exclusively to Instant Urgent Care patients completing a USCIS I-693 medical evaluation at our facility.
- What is not included in the $275
- Immunizations and vaccine administration — billed separately, see above
- Chest X-ray, which is only needed if TB screening comes back positive
- Confirmatory, repeat or follow-up testing beyond the required immigration panel
- Any testing ordered outside of USCIS immigration requirements
- The $395 civil surgeon exam fee itself
Please note: the $275 Immigration Lab Package is an optional self-pay service and is not billed to insurance. Lab requirements are subject to applicable USCIS requirements and provider evaluation. The exact tests are determined by the civil surgeon based on your age, medical history, social history and the USCIS and CDC requirements in force at the time of your exam. Not every applicant needs every test — applicants under 15 are generally exempt from syphilis, HIV and gonorrhea blood testing but still complete the physical examination and age-appropriate vaccines.
Requirements and processing times vary by case. Typical processing time is up to two weeks, provided all required items are completed in a timely manner. All qualification criteria are subject to change based on USCIS, CDC and civil surgeon guidelines. Pricing is subject to change.
This page is general information, not medical or legal advice. For questions about your specific immigration case, speak with your immigration attorney.
Google reviews from real patients
USCIS-certified, serving the Greater Bay Area
Clinics offer the lab package
Ready to book? Ask for the $275 immigration lab package when you schedule and we will set aside time for your blood draw.
Questions? Call (408) 791-1210 or email support@instantuc.com
When to get your exam — and how long it lasts
USCIS rules around Form I-693 changed recently. Getting the timing right helps you avoid paying for a second exam later.
How long is Form I-693 valid?
Under current USCIS policy, a Form I-693 signed by a civil surgeon on or after November 1, 2023 is valid only while the application it was filed with (usually your Form I-485) remains pending. If that underlying application is later withdrawn or denied, the I-693 is no longer valid, and you would need a new exam for any future filing.
Exams signed before November 1, 2023 follow the older rule and remain valid for two years from the civil surgeon's signature date. Because these rules can change, always confirm the latest requirements with USCIS or your immigration attorney.
The right edition matters
USCIS only accepts the current 01/20/2025 edition of Form I-693. Using an outdated edition is one of the most common reasons a medical exam gets rejected. Our civil surgeons always complete the current accepted edition for you.
Since December 2024, USCIS has generally required applicants to submit Form I-693 together with Form I-485 rather than sending it in separately later. Your attorney can confirm exactly how your packet should be assembled.
Timing your appointment
Because validity is now tied to your pending application, it usually makes sense to schedule your exam close to when you plan to file, not months in advance. Aim to leave enough time for the TB skin-test follow-up read (48–72 hours) and any vaccines that need a series.
If your filing deadline is tight, call us — our dedicated immigration-physical slots are built for exactly this kind of timeline.
Don't open the envelope
Your completed I-693 is placed in a sealed envelope. USCIS will reject a medical exam if the envelope has been opened or tampered with, so leave it sealed and submit it exactly as you received it.
We'll also give you copies of the relevant pages for your own records, so you have your vaccination history without breaking the seal on the official form.
We speak your
language
Serving Silicon Valley's diverse immigrant communities in your native language — no interpreter needed.
Don't see your language? Call us — we work with interpreter services for additional languages.
Questions about the I-693 immigration physical
Immigration physicals across the Bay Area
USCIS-certified civil surgeon I-693 exams serving 53 cities across the South Bay, Peninsula, East Bay, Tri-Valley, Contra Costa, and North Bay. Choose your city for local details, directions, and booking.