Frequently Asked Questions
Answers to the most common questions about the USCIS I-693 medical exam at I693 Clinic.
A Civil Surgeon is a physician individually designated by USCIS to perform the Form I-693 medical examination for applicants who are adjusting status inside the United States. A Panel Physician is designated by the U.S. Department of State and performs a similar exam for applicants applying for an immigrant visa outside the U.S. If you are inside the U.S. and applying for a green card via adjustment of status, you need a Civil Surgeon. Dr. Manghnani is a USCIS-designated Civil Surgeon.
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is the medical exam required by USCIS for most applicants applying for adjustment of status to lawful permanent resident. It documents that you have been examined and meet the health-related requirements for admissibility to the United States.
Our fee is $350 per person, flat, for the physical examination by Dr. Manghnani. It covers the exam, the completed Form I-693 and the sealed envelope. Lab tests, TB testing and vaccinations are billed separately based on what you need. Families of more than 2 receive $50 off each additional family member.
Most I-693 appointments take 30 to 60 minutes. If we need to administer vaccinations or run additional tests, the visit may take slightly longer.
We typically have same-week availability, including Saturdays. Call us at 408-297-9949 or book online and we'll get you in as quickly as possible.
Yes. USCIS requires Form I-693 to be submitted in a sealed envelope. Dr. Manghnani will complete and sign your form, place it in the sealed envelope, and hand it to you. Do not open the envelope — USCIS requires it remain sealed until they open it.
Under current USCIS policy (updated June 11, 2025), a Form I-693 signed on or after November 1, 2023 is valid only while the application it was submitted with is pending. If that application is withdrawn or denied, the I-693 is no longer valid. Since December 2, 2024, USCIS requires you to submit Form I-693 together with your Form I-485. Schedule your exam close to your filing date, and check the current Form I-485 instructions or ask your attorney about timing.
Bring a government-issued photo ID, your passport, Form I-693 (downloaded from the USCIS website and partially filled out), any vaccination records you have, a list of current medications, and payment for the exam. If you wear glasses or contact lenses, bring them as well.
USCIS requires age-appropriate vaccinations including measles, mumps, rubella (MMR), tetanus and diphtheria toxoids (Td/Tdap), pertussis, polio, influenza (seasonal), hepatitis A and B, varicella, meningococcal, pneumococcal, rotavirus, Haemophilus influenzae type B (Hib), and others as applicable to your age. The exact list changes from time to time. We will review your records and tell you which vaccinations you still need.
This is very common, especially for applicants who grew up abroad. You have two options: we can draw blood titers to check whether you already have immunity to certain diseases (avoiding repeat vaccinations), or we can simply administer the required vaccines on the spot. We'll explain the cost of each option and help you decide what's right for you.
The tests depend on your age, following the CDC Technical Instructions: an IGRA blood test for tuberculosis from age 2, a syphilis blood test for ages 18–44, and a gonorrhea urine test (NAAT) for ages 18–24. The exam also includes the required mental health and substance use screening.
The CDC requires the IGRA blood test (such as QuantiFERON) for applicants 2 years of age and older — the skin test is not used for the I-693. Children under 2 are tested only in certain cases, such as a known TB exposure; Dr. Manghnani will advise. If the IGRA is positive, a chest X-ray is required.
Most chronic medical conditions and prescription medications do not affect your eligibility. Bring documentation of your conditions and medications. Dr. Manghnani will note them on the form. Certain conditions classified as 'Class A' (such as untreated active TB, untreated infectious syphilis, or specific mental health conditions with associated harmful behavior) can affect admissibility — we'll review your case and explain.
The I-693 immigration medical exam is generally not covered by health insurance because it is a non-medical, administrative requirement rather than treatment. Payment is collected at the time of service.
We accept Cash, Card (credit/debit), Zelle, and HSA (Health Savings Account). Most HSA plans cover the I-693 exam since it is a required medical examination.
Our office speaks English, Spanish, Korean, Chinese, Punjabi, Hindi, Marathi, and Gujarati. You are always welcome to bring a family member or trusted interpreter as well.
We strongly prefer scheduled appointments so we can give each patient our full attention. We typically have same-week availability and often same-day for urgent cases. Please call before walking in.
No. For the same application, we don't charge another exam fee — not for follow-up visits, not for responding to a USCIS Request for Evidence (RFE), and not for redoing your Form I-693. If new lab tests or vaccines are needed, we tell you the cost before doing them.
Yes. Dr. Manghnani is board-certified in Pediatrics, which makes her especially well suited for families with children. Children of any age applying for adjustment of status are welcome.
If USCIS sends a Request for Evidence (RFE) asking for an updated or corrected Form I-693 for your application, call us — we redo it at no additional exam fee and can usually see you within the week. If your application was denied or withdrawn and you file a new one, a new exam is needed.