Find a USCIS Civil Surgeon Near You - Book Your Green Card Immigration Medical Exam

Locate a USCIS-approved civil surgeon near you to complete your immigration medical examination (Form I-693) for your green card application. Compare prices, verify USCIS authorization, and book same-day or weekend appointments free.

What Is a USCIS Civil Surgeon and How Do You Find One for Your Green Card?

If you are filing Form I-485 to adjust your status and apply for a green card, USCIS requires you to complete an immigration medical examination with a USCIS-designated civil surgeon. In some cases, applicants only need the vaccination portion of the exam, depending on their immigration category and prior medical history. easyIME helps you find a USCIS civil surgeon near you, compare exam fees, and book your appointment, free.

The immigration medical examination must be completed by a physician officially authorized by USCIS, known as a civil surgeon. Only USCIS-designated civil surgeons are permitted to conduct the exam and sign Form I-693, Report of Medical Examination and Vaccination Record, for most green card applicants. A regular GP or walk-in clinic cannot complete this form. Choosing a doctor who is not on the USCIS civil surgeon registry will result in rejection of your I-693 and delay your green card application.

USCIS also recognizes military physicians as designated civil surgeons when they perform immigration medical exams at U.S. military treatment facilities. This applies to U.S. veterans, active-duty service members, and eligible dependents.

For refugees adjusting status, vaccination requirements may be completed through a state or local health department, USCIS grants these departments a blanket civil surgeon designation for vaccination assessments. All other green card applicants must use a USCIS-designated civil surgeon from thefederal registry. Use the easyIME search above to find a verified USCIS civil surgeon near you and book your immigration medical exam today.

What to Bring to Your Immigration Medical Examination?

Form I‑693, Report of Immigration Medical Examination and Vaccination Record

Government‑issued photo ID , such as a valid passport or driver’s license

Applicants under 14 years old should bring identification showing name, date and place of birth, and parent’s full name (such as a birth certificate with English translation or a supporting affidavit)

Vaccination or immunization records, including any available documentation for required vaccines

Health insurance card, if applicable

Ask the civil surgeon’s office in advance whether your insurance is accepted, as many plans do not cover all parts of the immigration medical exam

Payment for the exam

Fees vary by clinic, so it’s recommended to confirm accepted payment methods and total costs before your appointment

What Happens During the USCIS Immigration Medical Examination?

The USCIS immigration medical exam begins with the civil surgeon reviewing your complete medical history, including any prior diagnoses, mental health history, and current medications. This is followed by a physical examination. The civil surgeon is assessing whether you meet the health-related admissibility standards set by USCIS and the CDC.

As required by the CDC's Technical Instructions for Civil Surgeons, which USCIS follows the civil surgeon will test for certain communicable diseases. Applicants over 2 years old are tested for tuberculosis (TB) using a blood test or skin test. Applicants over 15 are tested for syphilis and gonorrhea. If a prior TB or Quantiferon test was positive, a chest X-ray is typically required. The civil surgeon will also review and update any missing vaccinations required by USCIS.

Important: Once the exam is complete, the civil surgeon fills out Form I-693 and seals it in an envelope for USCIS submission. Before the envelope is sealed, request a copy for your personal records.

Do not open the sealed envelope, USCIS will reject Form I-693 if the envelope has been opened, damaged, or altered in any way. Most civil surgeons return the completed sealed form within 3 to 7 business days after the appointment. Some offer same-day or next-day completion.

FAQs - Immigration Medical Examination & Civil Surgeon

Who needs to complete an immigration medical examination?

Most applicants filing Form I‑485 to adjust status and apply for a Green Card must complete an immigration medical examination, unless USCIS instructs otherwise.

Can some applicants complete only the vaccination portion of the exam?

Yes. In certain cases, USCIS may require only the vaccination assessment, depending on the applicant’s immigration category and prior medical history.

Who is authorized to perform the immigration medical examination?

The exam must be completed by a USCIS‑designated civil surgeon. Only doctors officially authorized by USCIS can conduct the exam and complete Form I‑693.

Are military physicians allowed to perform immigration medical exams?

Yes. Military physicians designated by USCIS may perform immigration medical exams at U.S. military treatment facilities for U.S. veterans, active‑duty members, and eligible dependents.

Can refugees complete vaccination requirements at a health department?

Yes. Refugees adjusting status may complete vaccination requirements at state or local health departments, which USCIS recognizes under a blanket civil surgeon designation.

What documents should I bring to my immigration medical exam?

You should bring Form I‑693, a government‑issued photo ID, vaccination records, and any USCIS instructions. Applicants under 14 should bring identity documents showing birth and parent details.

Should I bring insurance and payment to the appointment?

Yes. Bring your health insurance card if you have one but confirm acceptance in advance. Many insurance plans do not cover the full exam, so be prepared for out‑of‑pocket payment.

What happens during the immigration medical examination?

The exam includes a medical history review and a physical examination. The civil surgeon may also order required tests based on CDC guidelines.

What medical tests are required during the exam?

Testing certain communicable diseases, such as tuberculosis, syphilis, and gonorrhea, may be required depending on age and CDC Technical Instructions followed by USCIS.

What happens after the immigration medical exam is completed?

After completion, the civil surgeon fills out Form I‑693 and places it in a sealed envelope for USCIS submission. The envelope must remain unopened, and applicants should keep a copy of their records.

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