USCIS Immigration Physical —
Form I-693 in Novato
USCIS-designated civil surgeon immigration medical exams (Form I-693) in Novato. All required labs, TB tests & vaccines on site. Sealed envelope provided. Flat fee: $325 — no insurance needed.
MEMBER STORIES
Available Immigration Physicals Appointments
We make the I-693 process as simple and stress-free as possible.
disclosure: requirements and processing times may vary by patient case, age, health and social history. typical processing time is up to two weeks dependent on patient’s timely completion of all required items.
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.
Applying from outside the U.S.? If you're going through a U.S. embassy or consulate (consular processing), a panel physician abroad — not a civil surgeon — handles your exam. When in doubt, your immigration attorney or our front desk can confirm which process applies before you book.
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.
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
Pricing for an I-693 exam depends on which tests and vaccines you personally need. Here's how the costs typically break down so there are no surprises on exam day.
💲 Typical cost components
How to keep your cost down
Bring your vaccine records. The single biggest variable is how many vaccines you still need. If you can show proof of prior immunizations — or we run titer blood tests confirming immunity — you may avoid paying for shots you don't actually require.
Ask about insurance. The exam fee itself is often not covered, but many plans do cover some vaccines and lab tests. We'll give you a clear self-pay quote either way.
For an exact quote based on your situation, call us at (408) 687-4806 before your visit.
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.
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.
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.
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.
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.
An appointment is strongly recommended for immigration physicals. Call us at (408) 687-4806 to schedule. Most appointments are available same week. Walk-ins for immigration physicals may be accommodated based on availability, but calling ahead ensures you’re seen by our civil surgeon.
Form I-693 (Report of Medical Examination and Vaccination Record) is the USCIS-required medical form for green card applicants and others adjusting immigration status in the United States. It must be completed by a USCIS-designated civil surgeon — which our provider is. You submit the sealed form directly to USCIS; do not open the envelope.
The exam includes: full physical examination (eyes, ears, nose, throat, heart, lungs, skin, extremities), mental health screening, blood tests for syphilis and gonorrhea, TB skin test or QuantiFERON blood test, review of vaccination records, and required immunizations if any are missing. All completed in one visit.
Plan for approximately 1.5 to 2 hours at your appointment. If you need missing vaccinations or additional blood work, allow extra time. Bring your vaccination records to avoid unnecessary repeat testing.
No — we do not accept medical insurance for immigration physicals. The flat fee is $325 payable at time of service. This covers everything: the exam, required labs, and TB testing.
Form I-693 is currently valid for 1 year from the date of the civil surgeon’s signature. USCIS must receive the sealed envelope before the form expires. Do not open the sealed envelope — it will be voided if unsealed. We recommend confirming current validity requirements with your immigration attorney
Bring whatever records you have. If you are missing vaccinations that USCIS requires, we can administer them on site during your visit. Your civil surgeon will document everything on the I-693 form.
Yes — we will provide you with a copy of your Form I-693 for your own records. The original is sealed in an envelope for USCIS submission. Please do not open the sealed envelope.
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.