Immigration medical exam (Form I-693)

A designated civil surgeon, at both offices

USCIS only accepts Form I-693 when it is completed and signed by a civil surgeon it has designated. Our physician is a USCIS-designated civil surgeon, and you can schedule your exam at either our Lancaster or Camp Hill office. You can confirm any civil surgeon's designation with the USCIS civil surgeon locator (opens in a new tab).

What the exam includes

The exam follows the Technical Instructions for civil surgeons published by the CDC. It shows USCIS that you are not inadmissible on public health grounds. It generally includes:

• A review of your medical history and a physical examination
• A review of your vaccination records, and any vaccines you still need
• Required lab tests, such as a blood test for tuberculosis

Some lab results take a few days, so plan on more than one visit. We will tell you what your exam requires when you schedule.

Your sealed envelope

When your exam is complete, we give you the signed Form I-693 in a sealed envelope. Do not open it. USCIS returns forms that are unsealed or altered. You, not our office, are responsible for sending it to USCIS.

Timing

USCIS rules on when Form I-693 must be filed and how long the results stay valid have changed several times. Before you schedule, check the current rules on the USCIS Form I-693 page (opens in a new tab), or ask your immigration attorney, so your exam is not done too early.