The Immigration Examination includes the following:
Required Blood testing (if needed)
Tuberculosis screening (if needed)
Tetanus-Diptheria (Td) vaccine (if needed)
Vaccination status verification
Copies of your laboratory results
Completed, certified and sealed I-693 Form
- Your copy of I-693 Form
What to bring with you to the immigration exam or immigration physical:
Valid, government issued picture ID such as a driver’s license or passport.
Immigration Physical Form I-693, with the top of page 1 completed with your information. DO NOT SIGN until instructed to do so.
- If available, proof of prior vaccinations and TB (tuberculosis) test, or PPD
The full INS immigration exam is very simple and requires only 4 basic steps and one to two office visits, depending on what you have had done before, and on your age:
1. Basic immigration physical exam and mental status evaluation.
2. Blood Test: Applicants age 15 and older are required to have a serologic blood test for Syphilis (RPRor VDRL).
3. Tuberculosis (TB) screening: Applicants age 2 and older are required to have a TB screening performed. This can be done by a tuberculin skin test (TST) or a blood test. If you have had a TB test in the past year, or a positive TB test any time in the past, bring the records to your exam. If you have had a chest x-ray in the past year, please bring that as well. Verbal history of a positive TST will not relieve you of the requirement for a TB screening within the past one year – written documentation must be provided.
Skin test- This test requires a return visit to the office within 48 – 72 hours after administration. If the test reading is positive, a chest X-ray will be required. We will refer you for an x-ray at an outside facility if needed. The typical cost of the x-ray is $50-$75. People who have had a previous BCG vaccine (the vaccine for TB often given in many other countries) may have a positive skin test even though they are not infected with TB bacteria. However, history of BCG vaccine will not relieve you of the USCIS requirement to have the TB screening test or having a chest x-ray if the TST is positive.
Blood test- The blood test is the preferred test for:
- People who have received BCG (the vaccine for TB often given in many other countries).
- People who prefer not to return for a second appointment to look for a reaction to the TST.
4. Proof of vaccinations or blood titer to prove immunity: Most adults require proof of vaccination for Tetanus (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves that a person has immunity or antibodies for a particular disease. The doctor will review your vaccination history and laboratory results with you to determine whether you have all the required vaccinations. Please bring all vaccination records to your scheduled appointment for the immigration physical.
5- Flu vaccine – required if you are completing your paperwork between October 1 and March 31.
You may get a head start by printing and filling out Form I-693 (Report of Medical Examination and Vaccination Record), and bringing it in with you to your appointment. Fill out the first section but DO NOT SIGN until instructed to do so.
You may choose to have some of the required tests/immunizations done by your own doctor or provider. Please provide your physician with this list in order to ensure completeness. Please note that the examination and I-693 paperwork can only be performed by a licensed civil surgeon. If you will have tests/immunizations done outside of Roots, it is your responsibility to provide us with proof of these examinations.
Instructions for filling out the I-693 Form can be read by clicking here.
After The Exam
After the immigration physical examination is completed, the doctor will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the INS or your attorney. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of your immigration form will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date. Click here to visit the Official US Citizen & Immigration Services website for more information.