QUALIFIED MEDICAL CLINIC

The doctor is a Civil Surgeon for the United States Citizenship and Immigration Services (USCIS).  This medical clinic is cosmopolitan.

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BRING

FEDERAL IDENTIFICATION

• passport

• USA Employment Authorization Card (if any)

• USCIS online account # (if any)

• Alien # (if any)

• marriage license / name change documents (if any)

TESTING/VACCINATION/OTHER

• Reports of above Requirements (if any) (don't worry if you haven't had any of this testing done yet, we will help you)

• Reports for your other diseases/conditions (if any including hypertension, diabetes, etcetera)

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INFORMATION

USCIS instructs us to follow U.S. Department of Health and Human Services (HHS) regulations and Centers for Disease Control and Prevention (CDC) guidelines.  [Instructions p.4]  You do not have to read the instructions or bring in the I-693 form because we have all the information.  In addition to the below testing and immunizations, the medical history and physical examination includes a mental and physical examination.

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GOOD FAITH FEE ESTIMATE

IMMIGRATION MEDICAL EXAMINATION CONSULTATION: $300

The Immigration Medical Examination Consultation Fee of $300 is for the initial visit.  Follow up visit fees for immigration or completion of the form are at no additional charge.

TESTS

• Tuberculosis (QuantiFERON or T-Spot) $190

• Syphilis $23

• Gonorrhea $64

• Blood Draw $15​

VACCINATIONS

• TDaP Tetanus Diphtheria Pertussis (booster every 10 years, pregnant week 27-36) $62

• MMR Measles Mumps Rubella (born after 1957, if no proof of immunization or immunity) $111

• VAR Varicella (chicken pox) (if no history of vaccination or disease) $198

• flu Influenza (if season: 1 October - 31 March) $30

• COVID COrona VIrus Disease (2023 or 2024 version)

• HepB Hepatitis B (if age <60) $105

• PCV20 Pneumococcal (if =age65, chronic lung disease, smoker, diabetes, and no history of any pneumococcal vaccination): $434

   Immunity Blood Test (if you prefer): HepB $60, MMR $110, Var $56

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BILLING

ACCOUNTING

We charge all applicants upfront.  We always provide receipts, including for employer reimbursement and tax preparation. 

INSURANCE

For PPO (not HMO) health plans, with contracted health insurance, we charge upfront for the exam, bill the insurance for the exam and any immunization (the lab will bill your insurance directly); then whatever the insurance pays us for the exam we will refund back to you.  If you wish to buy health insurance, you may consult an Insurance Agent.

INVESTMENT

To immigrate to the Unites States of America,  medical examination is a ONE time investment.  USCIS will not charge you to submit this form.

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FORMS

We have the latest I-693 form (electronic format, 14 page document, Edition 9Mar2023 expires 31Mar2025).  Upon completion of all tests and vaccinations, we will ask you to return for a follow-up visit to review and sign your form.  You will be given the completed form in a sealed envelope (do not open) for you to submit to USCIS.  You will also be given a copy of the form for your records.  We recommend you mail the form to USCIS with tracking for the rare <1% chance it gets lost you have proof of submission.

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TIMELINE

It is most expeditious to submit I-485 together with I-693.  Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire, and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.