The process of immigrating to the United States can be an extremely complicated process. One of the most important steps in obtaining a green card for lawful permanent residency is ensuring an individual does not pose a threat to public health. Immigration physicals are essential to providing this information. Learn more during a consultation with our qualified team at MD Beauty Labs in Palm Beach or West Palm Beach, FL.
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What is an Immigration Medical Exam?
A USCIS immigration medical exam is a key step in the green card application process. It is designed to ensure that individuals entering the United States are free of communicable diseases and are up to date on required vaccinations. The exam must be performed by a civil surgeon approved by U.S. Citizenship and Immigration Services.
Your completed medical exam, along with the sealed envelope of completed Form I-693, will be submitted as part of your immigration application. Our team makes sure every part of the process is handled thoroughly and efficiently.

What’s Included in the Immigration Physical?
Our immigration medical examination includes all necessary components required by USCIS:
- Review of your medical history
- Physical examination
- Blood tests (including syphilis screening)
- Tuberculosis screening
- Urine test for gonorrhea (for ages 18–24)
- Vaccination review and immunization updates (as needed)
- Completion and sealing of Form I-693
We follow USCIS guidelines for required immunizations, which may include MMR, varicella, tetanus, polio, and others based on your age and history. Additional vaccines may be administered during your visit for an added fee.
How Much Does an Immigration Physical Cost?
The total cost for the immigration physical is $447. This includes:
- All required blood work and lab tests
- The physical exam and review of your medical history
- Completion of the USCIS Form I-693 in a sealed envelope
Please note: Immunizations are not included in this base fee and may vary depending on what is required. We will review any additional costs with you before proceeding.

What to Bring to Your Immigration Physical
To ensure your visit goes smoothly, please bring:
- A government-issued photo ID, such as a driver’s license or passport
- Your vaccination records (translated into English, if needed)
- A copy of your health insurance card (if applicable – insurance is not required)
- Any available medical records
Payment for services
Our team will guide you through the completion of your immigration medical exam and help ensure everything is properly prepared for your green card application.

FAQs About Immigration Physicals
How long is the I-693 form valid after the exam?
Form I-693 is valid for up to two years from the date the civil surgeon signs it, as long as it’s submitted to USCIS within 60 days of that signature.
Can I submit a copy of the I-693 form to USCIS?
No. USCIS only accepts the original sealed envelope from your civil surgeon. Submitting a photocopy or opened envelope may result in delays or denial.
Do you submit the form to USCIS for me?
No. You are responsible for submitting the sealed I-693 form to USCIS, either by bringing it to your interview or mailing it with your application if allowed.
What happens if I don’t have vaccination records?
If you don’t have documentation, the civil surgeon may order blood tests (titers) to check for immunity or recommend receiving the necessary vaccines.
Can I bring my own lab results or vaccine records?
Yes, but they must meet USCIS requirements. The civil surgeon will review them to determine if they are acceptable or if additional testing or vaccines are needed.
What vaccinations are required for a green card?
USCIS requires certain vaccinations based on your age, health status, and vaccination history. These may include:
- COVID-19
- Hepatitis A
- Hepatitis B
- Influenza
- Influenza type b (Hib)
- Measles
- Meningococcal
- Mumps
- Pneumococcal
- Pertussis
- Polio
- Rotavirus
- Rubella
- Tetanus and diphtheria toxoids
- Varicella
Your civil surgeon will review your vaccination records to determine which immunizations are needed. If your records are incomplete or unavailable, additional vaccines may be recommended.
The Medical Professionals at MD Beauty Labs have either authored or reviewed and approved this content.