SUN HEALTH MEDICAL CLINIC

IMMIGRATION MEDICAL EXAMINATION  (I-693 FORM)

QUALIFIED CLINIC

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


FEES

EXAMINATION WITH I-693 FORM:  $250


TESTS: Tuberculosis (QuantiFERON or T-Spot) $190, Syphilis $23, Gonorrhea $64, Blood Draw $15

VACCINATIONS: TDaP $60, MMR $109, VAR (if no history of vaccination or disease) $181, flu (if season: 1 October - 31 March), COVID (pharmacy $0), HepB (if <age60, new CDC recommendation) $107, PCV15 or PCV20 $327 (if asthma or age >=age65 and no history of any pneumococcal vaccination, new CDC recommendation)


ACCOUTING

We charge upfront.  We always provide receipts, including for employer reimbursement and tax preparation.  For contracted PPO health insurance plans only, we charge upfront for the exam, the lab will bill the insurance for the testing, and we bill the insurance for the exam and any immunization then what the insurance pays us for the exam we will refund back to you.  If you wish to buy health insurance consult an Insurance Agent.  To immigrate to the United States of America, this is a one time health investment.  


BRING

FEDERAL IDENTIFICATION

passport, USA Employment Authorization Card with alien # (if any), USCIS online # (if any), marriage license / name change documents

TESTING/VACCINATION

whatever has not been done, we can take care of it here (except COVID and flu may be done at pharmacy)

For outside tuberculosis report, please bring documentation specifying whether the test is QuantiFERON or T-Spot because these blood tests are the only two which are approved by USCIS.


FORMS

We have the latest I-693 form (electronic format, 14 page document expires 31 Jul 2025).  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.


TIMELINE

The Form I-693 must be dated no earlier than 60 days before you filed your underlying application. A properly and timely completed Form I-693 remains valid for two years from the date of the civil surgeon’s signature.

Check Case Processing Times

IF YOUR TUBERCULOSIS TEST IS ABNORMAL

Tuberculosis is an infection that primarily infects the lungs, but can spread anywhere. It is not uncommon in the rest of the world; 2 billion people in the world have Tuberculosis infection so America screens all immigrants and requires treatment if necessary. If your tuberculosis blood test is abnormal, you will need to get a chest X-ray and start treatment (Rx).  In >99% of the cases we see, the chest X-ray is normal.

CHEST X-RAY NORMAL

= LATENT (INACTIVE) TUBERCULOSIS

up to 15% chance of activation


-> take 1 Rx x 4 months


with initiation of proper treatment does not disqualify or delay your application

CHEST X-RAY ABNROMAL

= ACTIVE TUBERCULOSIS



-> take 4 Rx x 2+ years


with initiation of proper treatment may apply for waiver on application