Meet Your Doctor
Dr. Rekha Manghnani, MD
Board-certified physician · USCIS-Designated Civil Surgeon
Dr. Rekha Manghnani, MD
USCIS-Designated Civil Surgeon
Dr. Rekha Manghnani is a board-certified physician based in San Jose, California, specializing in Pediatric care and designated by USCIS as a Civil Surgeon authorized to perform Form I-693 immigration medical examinations.
She is a member of the American Academy of Pediatrics, and she serves families across the Bay Area with patience, clarity, and respect — guiding green card applicants through every step of the medical exam process.
Learn more about Dr. Manghnani →
Dr. Rekha Manghnani, MD
USCIS-Designated Civil Surgeon
- Doctor of Medicine (MD)
- Board-Certified in Pediatrics
- USCIS-Designated Civil Surgeon
- Member, American Academy of Pediatrics
The I-693 Exam
What happens at your appointment
Review of your records
We review your vaccination history, medical records, and any prior I-693 paperwork you bring.
Physical examination
A complete physical examination, vital signs, vision check, and review of medical history.
Required tests
Blood tests for syphilis and gonorrhea, plus TB screening (IGRA blood test or skin test as appropriate).
Vaccinations as needed
Any required USCIS vaccinations not already documented can be administered on-site (at additional cost).
Mental health & substance screening
A brief screening required by USCIS for all I-693 applicants.
Form completed & sealed
Dr. Manghnani signs your Form I-693, places it in the sealed envelope, and hands it to you to submit with your application.
Transparent Pricing
Flat fee — no surprises
$350
per person · Covers the I-693 examination, paperwork, and the sealed envelope. Lab tests and vaccinations are billed separately based on what you need.
- Complete physical exam by the Civil Surgeon
- Review of vaccination and medical history
- Form I-693 completed and signed
- Sealed envelope per USCIS requirements
- Required mental health & substance screening
Family discount: Families of more than 2 receive $50 off each additional family member.
Payment methods: Cash · Card · Zelle · HSA
See full pricing details →
Why I693 Clinic
Built for green card applicants
USCIS-Designated
Dr. Manghnani is officially designated by USCIS as a Civil Surgeon — the only kind of physician authorized to complete Form I-693 in the United States.
Multilingual office
Our staff speaks English, Spanish, Korean, Chinese, Punjabi, Hindi, Marathi, and Gujarati so you can communicate clearly throughout your appointment.
Same-week appointments
We open early, stay late on weekdays, and see patients on Saturdays — convenient for working applicants and their families.
Transparent flat fee
$350 covers the examination — no hidden charges. Labs and vaccines are quoted before they are performed.
Children welcome
Dr. Manghnani is board-certified in Pediatrics, making her especially well suited for families with children of any age applying for adjustment of status.
Sealed envelope guarantee
Your completed Form I-693 is placed in a sealed envelope per USCIS requirements and handed to you to submit with your application.
Your Green Card Journey
One essential step toward permanent residency
The I-693 immigration medical exam is required for nearly every adjustment of status applicant. Our job is to make this step simple, accurate, and stress-free — so you can focus on the rest of your journey.
- Required for adjustment of status to permanent resident
- Completed by a USCIS-designated Civil Surgeon
- Valid for 2 years from the date of signing
- Sealed envelope, ready to submit with your application
Quick Answers
Most-asked questions
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 exam fee is $350 per person, flat. This covers the examination itself, the paperwork, 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.
Visit Us
Locations & Hours
Address
2039 Forest Avenue, Suite 203
San Jose, CA 95128
Office Hours
Monday – Friday: 9:00 AM – 5:00 PM
Saturday: 10:00 AM – 3:00 PM