What is a civil surgeon?

A civil surgeon is a doctor designated by USCIS to perform immigration medical exams. Only designated civil surgeons can complete Form I-693, which is required for I-485 (Adjustment of Status) applications.

How much does the immigration medical exam cost?

Costs typically range from $200 to $500+, depending on location and which vaccinations you need. The exam itself is usually $150-250, with additional charges for required vaccinations and blood tests.

When should I get my medical exam?

Get your exam when your priority date is approaching or when you're ready to file I-485. The completed I-693 is valid for 2 years from the civil surgeon's signature.

Can I go to any doctor for the immigration medical exam?

No — only USCIS-designated civil surgeons can perform immigration medical exams and sign Form I-693. Use the USCIS Civil Surgeon Locator to find one near you.

I-485 Medical Exam

Find a Civil Surgeon Near You

Every I-485 application requires a medical exam (Form I-693) from a USCIS-designated civil surgeon. Find one near you, know what to bring, and avoid costly mistakes.

Find Civil Surgeons Near You

Enter your ZIP code to see immigration doctors near you on the map, plus a link to the official USCIS directory.

What to Bring to Your Appointment

Government-issued photo ID (passport or driver's license)

Immunization / vaccination records

Form I-693 (partially filled if possible)

Any prior medical records (TB test results, X-rays)

Payment — cash, check, or card (call ahead to confirm)

Tips to Save Time & Money

Call ahead for pricing

Costs vary widely — $200 to $500+. Ask about the total cost including vaccinations before your appointment.

I-693 is valid for 2 years

The completed I-693 form is valid for 2 years from the date the civil surgeon signs it. Time your exam accordingly.

Must be in-person

CDC requires civil surgeons to conduct the physical examination in person — telemedicine is not allowed for immigration medical exams.

Bring vaccination records

Having your records saves time and money. Without them, the doctor may need to re-administer vaccines or run blood tests.

Sealed envelope

The civil surgeon will give you a sealed envelope with your I-693. Do NOT open it — submit it sealed with your I-485.

TB test is a blood draw

Since March 2024, CDC requires an IGRA blood test (QuantiFERON or T-SPOT.TB) for all applicants 2+ years old. The old skin test (TST) is no longer accepted. Results typically take 1-3 days.

Required Vaccinations

CDC-required vaccinations for immigration. Age-appropriate — not all apply to every applicant.

MumpsMeaslesRubellaPolioTetanus & Diphtheria (Td/Tdap)PertussisHaemophilus influenzae type B (Hib)Hepatitis AHepatitis BRotavirusMeningococcalVaricellaPneumococcalInfluenza (Oct 1 – Mar 31 only)

Bring your existing vaccination records to avoid paying for vaccines you've already received. Without records, the civil surgeon may need to re-administer or run expensive blood titers.

Frequently Asked Questions

Related Resources

I-485 Filing Preparation ChecklistStep-by-step guide to documents, timing, and common mistakes

Check Your Priority DateSee if your filing date is current and estimate your wait time

Find an Immigration AttorneyConnect with experienced immigration lawyers

Disclaimer: This page links to official USCIS resources for informational purposes only. GreenCardClock is not affiliated with USCIS. Civil surgeon availability and pricing may change without notice. Consult an immigration attorney for guidance specific to your case. This is not legal or medical advice.