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Immigration Exams

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When you apply for a green card (adjustment of status) in the United States, you usually need to have a medical examination. The exam must be done by a doctor who is authorized by U.S. Citizenship and Immigration Services (USCIS). USCIS designates certain doctors (also known as civil surgeons) to perform the medical exam required for most Green Card applicants. 

Spirit of Texas Family Medicine LLC is pleased to offer thorough Immigration Exams. Dr. Elise Sadoun, MD is a Civil Surgeon who has been designated by the United States Citizenship and Immigration Services to perform the medical exam required for legal immigration.

What to Bring to the Exam
Bring the following to your medical exam:

  • Most recent version of Form I-693, Report of Medical Examination and Vaccination Record. Fill out Part 1 of Form I-693 but do not sign until the civil surgeon instructs you to do so. The civil surgeon will use Form I-693 to document the results of your medical exam.  https://www.uscis.gov/i-693
  • Alien Registration number if you have one (starts with an "A")
  • Government-issued photo identification, such as a valid passport or driver’s license. If you are 14 years old or younger, bring identification that shows your name, date and place of birth and parent’s full name. Possible forms of identification include your birth certificate (with an English translation) or an affidavit.
  • Vaccination or immunization record (such as DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease)
  • Medical insurance card (most insurance plans don't cover the Immigration Medical Exam.  Check with your Insurance company about that).  Our office expects payment in advance for this exam.
  • Payment (Acceptable forms of payment: Cash, Credit Card, Debit Card).

During the Exam
The following items are included in Immigration Exams:

  1. Basic Physical Examination
  2. Screening required by Immigration Services including: The doctor will screen for communicable diseases such as tuberculosis (TB) that is included in the doctor's fee. Then the doctor will send you to the medical lab for STD Gonorrhea, and Syphilis testing. These STD tests at the medical lab are not included in the doctor's fee and you will have to pay yourself at the lab. You will have to return to the doctor’s office within three to six business days to have the results read.  
  3. Vaccination Status Verification of required immunizations. The doctor will also check your records to see if you need any vaccinations. Administration of any vaccinations needed are not included in the doctor's exam fee and charged extra at our clinic or we could refer you to a local public vaccination clinic.
  4. Copy of Laboratory Results
  5. Certified and sealed I-693 Form: After the exam, the doctor (designated civil surgeon)  will complete Form I-693 and any supporting documents and seal the form in an envelope for you to submit to USCIS. Make sure you get a copy of the completed Form I-693 for your personal records before the doctor seals the envelope.  IMPORTANT: Do not break the seal or open this envelope.  USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

Check you vaccination record.  The following vaccinations are required for immigration purposes.  The doctor will check your vaccination record when you come to your appointment:

        Hepatitis A
        Hepatitis B
        Influenza type b (Hib)
        Tetanus and diphtheria toxoids

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