Finding a Medical Doctor

If you file Form I-485, Application to Register Permanent Residence or Adjust Status, you typically must undergo an immigration medical examination and receive vaccinations against vaccine-preventable diseases. If you are required to undergo an immigration medical examination, see the myUSCIS Find a Civil Surgeon page for help finding a designated physician (known as a "civil surgeon"). You can also call the USCIS Contact Center at 800-375-5283. (For people who are deaf, hard of hearing, or have a speech disability: TTY 800-767-1833.)

This immigration medical examination takes place in the United States, where all designated civil surgeons are located. Noncitizens applying for an immigrant visa with the Department of State (DOS)(known as “consular processing”) must visit panel physicians located overseas who perform the immigration medical examination for those who are consular processing.

Immigration Medical Examination Fees

We do not regulate the fees that civil surgeons charge to perform an immigration medical examination. You may want to call several local civil surgeons to compare fees and to inquire if the civil surgeon accepts insurance for the immigration medical examination.

You should be aware that:

• Rates vary by civil surgeon;
• Many civil surgeons do not accept insurance; and
• Insurance may not cover many portions of an immigration medical examination.

For more information on how to obtain an estimate before your appointment, visit the Centers for Medicare & Medicaid Services’ Understanding costs in advance webpage.

Completing Medical Forms

Print out and bring the most recent edition of Form I-693, Report of Medical Examination and Vaccination Record, to your immigration medical examination appointment. Complete Part 1 of Form I-693 but do not sign the form until the civil surgeon tells you to. The civil surgeon will use Form I-693 to document the results of your immigration medical examination. You should also bring your medical records, including vaccination records.

The civil surgeon will complete, sign, and seal Form I-693 and any supporting documents in an envelope. You must submit the sealed envelope to USCIS as explained in the Form I-693 instructions.

IMPORTANT: Do not break the seal or open this envelope. We will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

Civil Surgeons' Responsibilities and Requirements

For more information on the responsibilities, requirements and instructions on how civil surgeons perform immigration exams, see our Designated Civil Surgeons page