Immigration Medical Exam

USCIS Form I-693

USCIS Immigration Physical Exam

Lexington Medical Associates offers the Immigration Physical Exam at our doctor’s office that’s conveniently located in Midtown, NYC. Medical Director, Dr. George P Liakeas, MD is designated as a Civil Surgeon for the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Service (USCIS). A USCIS approved Civil Surgeon is required to perform the Immigration Physical as part of the entry and/or residency application process. This includes application for green card, citizenship or permanent residency in the United States. The medical exam form I-693 that is completed during the Immigration Physical is used to determine admissibility to the U.S. on medical grounds.

USCIS Immigration Physical Exam Requirements

The US immigration medical requirements are determined by the USCIS guidelines. The components of each medical examination vary based on the age of the applicant and whether the applicant can provide written immunization records / proof of vaccination. See below or follow these links for additional information:


Exam Requirements:

An adult examination (15 years or older) typically consists of the following:

  1. ​A Physical Examination
  2. A test for tuberculosis 

                  a. Must return to the office 2 days (48-72 hours)​ after the skin test
​                       is applied for interpretation.
​                  b. A skin test is considered “positive” if there is a reaction of 5mm
                       more. Anyone with a “positive” skin test must have a chest x-ray. 
                       If the applicant has a history of a positive TB skin test or has had
                       a BCG vaccine, our physicians and medical assistants will discuss
                       the requirements needed.
      3.    A blood test for syphilis (RPR)
​      4.    A urine test for gonorrhea
​      5.    Immunizations are dependent on age and medical history
A pediatric examination (children 14 years of age or younger) does not usually require blood testing and typically consists of the following:

  1. A physical examination
  2. A test for tuberculosis (2 years old and older)*
  3. A review and update of the pediatric immunizations

*see adult examination section 2a & 2b

Immunization Requirements:

Adult Immunizations:
Measles, Mumps, Rubella Vaccine
Tetanus/Diptheria Vaccine
 Varicella (Chicken Pox) Vaccine
 Seasonal Influenza (during flu season for certain individuals)

Childhood Immunizations (depends on age): 
Rotavirus Vaccine
Measles, Mumps, Rubella Vaccine
Tetanus, Diptheria, Pertussis Vaccine
Polio Vaccine
Haemophilus Influenzae Type B Vaccine
Hepatitis B Vaccine
Hepatitis A Vaccine
Pneumococcal Vaccine

What to Bring:

  1. Picture identification such as a passport or other Federally approved documentation.
  2. Your medical records for any chronic or serious medical problem. If medical records are not in English please have them translated before presenting for Medical visit. Applicants who do not speak English will be provided with a translation service. Please let us know if this is required when the appointment is booked.
  3. Your immunization records, even childhood records, if available.
  4. Alien Registration number if you have one (starts with an “A”).
  5. Email digital I-693 medical form to if you have one, otherwise we will provide it. Please use the most recent copy of the form. The most recent form is available on the internet by following this link:
  6. We understand the time sensitive nature of these examinations. ​LEXINGTON MEDICAL PROVIDES YOU WITH A SEALED ENVELOPED W/ T

Cost of Exam:

The cost of the US Immigration Exam is $300 per adult or child applicant.
The fee includes the examination and completion of the required documents.
Please note: This fee is not covered by medical insurance.

Chest X-rays, immunizations,  blood tests, and other medical testing are all at an additional charge payable by medical insurance.
Please note: additional tests will be covered based on your insurance benefits. To verify coverage please contact your insurance before your visit. 

We accept VISA, Mastercard, and Debit Cards as well as cash.
For a list of accepted insurances please go to patient center tab.
All expenses in connection with the examination must be paid by you at the time of the examination.

Most Insurance Accepted

Call your plan to verify in-network participation.