Affordable Immigration Physical Exams: What's Included and What to Expect

If you're applying for a green card and you've reached the part where you need to schedule your immigration physical exam, you might be asking yourself, How much does it cost, What's included, and What should I expect when I get there? 

These are common and completely valid questions. Nobody wants to be caught off guard when it comes to health checks and paperwork, especially in something as important as immigration.

This article will help you understand what an affordable immigration medical exam really means, what’s typically included in the price, and what the actual appointment looks like, so you know exactly how to plan.

What Is an Immigration Physical Exam and Why Is It Needed?

The immigration physical exam is a requirement by USCIS (U.S. Citizenship and Immigration Services) for certain applicants who are seeking lawful permanent residence in the United States. 

This exam is not a full-body health check-up like a regular doctor’s visit. Instead, it’s a very specific type of medical evaluation that checks for certain conditions that are important for public health and vaccination compliance.

The exam must be done by a USCIS-designated civil surgeon, and the results are recorded on a special form called Form I-693, which will be submitted to USCIS as part of your green card application.

What’s Included in an Affordable Immigration Physical Exam?

Affordable doesn't mean incomplete. A reasonably priced immigration exam still includes everything required by USCIS. Let’s break it down so you know what’s part of the process when you pay for your exam.

1. Basic Physical Examination

This is the standard part of the process where the doctor checks your overall health. It usually includes:

• Checking your height and weight

• Listening to your heart and lungs

• Reviewing your past medical history

• Asking about current medications

If you have ongoing conditions like high blood pressure or diabetes, that’s okay. These are not considered issues for immigration purposes.

2. Required Laboratory Tests

USCIS requires certain lab tests as part of the immigration physical. These are done to check for communicable diseases that might affect public health. The tests usually include:

• Tuberculosis (TB) screening: This is done through a blood test. If the result is positive, you may be asked to get a chest X-ray.

• Syphilis blood test: This test is straightforward and done with a small blood sample.

• Gonorrhea test: A urine sample is used for this one.

These tests are standard and required for everyone in certain age groups. They are usually included in the exam fee, but it’s a good idea to confirm that when you call to book your appointment.

3. Vaccination Review and Administration

One of the key parts of the immigration physical is making sure your vaccinations are up to date. The doctor will review your vaccine history and compare it with what is required by the Centers for Disease Control and Prevention (CDC) for immigration purposes.

If you already have vaccine records, bring them with you. If you're missing vaccines or can’t prove you've had them, the clinic may offer the shots on-site. Some clinics also offer blood tests to check for immunity, which can be helpful if you're not sure whether you had a vaccine years ago.

Here’s a sample table that shows what vaccines are often required during an immigration exam:

Not everyone needs every vaccine, and some may need vaccines that are not listed in this table. It depends on your age, health, and past vaccination history.

4. Completion of Form I-693

After your exam and tests are done, the civil surgeon will fill out Form I-693 based on your results. This form must be:

• Fully completed

• Signed by the civil surgeon

• Placed in a sealed envelope

The sealed envelope should not be opened by you. It must be submitted to USCIS exactly as provided. Clinics will also give you a copy for your personal records, which is helpful.

What Should You Expect During the Appointment?

Going to your immigration physical is not very different from any other clinic visit. The main difference is that the clinic is following USCIS rules and completing official paperwork.

Here’s what the process usually looks like:

Step-by-Step Process:

1. Arrival and Check-In: You’ll be asked for your ID and any vaccination records. You may be asked to fill out Part 1 of Form I-693 or bring it already filled out (but not signed).

2. Basic Exam: The doctor checks your vital signs, listens to your heart and lungs, and reviews your medical history.

3. Lab Tests: Samples are taken for TB, syphilis, and gonorrhea.

4. Vaccines or Immunity Testing: Based on your records, you may receive vaccines or blood tests to verify immunity.

5. Review and Sealing: Once all test results are ready (this might take a few days), the civil surgeon completes and seals Form I-693 for USCIS.

The whole appointment typically takes less than an hour, but it could be longer if you need additional vaccines or follow-up visits.

What Makes an Exam “Affordable”?

Affordability doesn’t just mean low cost; it also means transparent pricing, no hidden fees, and a clear understanding of what you’re paying for. A reasonably priced immigration exam will include all the necessary services without charging extra for the required basics.

Some clinics charge one flat fee that includes everything: the physical exam, lab tests, and completion of Form I-693. Others may charge separately for each part, so always ask:

• Is the TB test included?

• Are syphilis and gonorrhea tests included?

• Are vaccines included or billed separately?

• Is the sealing and finalization of Form I-693 part of the price?

This helps you avoid surprises and stay within your budget.

Do You Need Insurance?

The actual immigration exam is usually not covered by health insurance, because it’s considered an immigration requirement, not a medical necessity. However, some insurance plans do cover vaccinations, so it’s a good idea to check with your provider before your appointment. This could save you money, especially if you need multiple vaccines.

Tips to Make the Process Easier

Before you go to your appointment, keep a few things in mind:

• Bring all documents in one folder, including your ID, vaccination records, and I-693 form.

• Call ahead to confirm costs and what’s included.

• Ask if the clinic speaks your preferred language if English isn’t your first.

• Wear comfortable clothing as you may get blood drawn or receive a vaccine.

Final Thoughts

An immigration physical exam is a required step in the green card application process, but it doesn’t have to be stressful or expensive. If you’re prepared with the right documents and know what to expect, the appointment is usually simple and straightforward. Affordable clinics can still offer all the required services while keeping the process clear and manageable for you.

Remember, an immigration exam includes a basic health check, required lab tests, vaccination review, and official documentation for USCIS. By choosing a clinic that offers transparent pricing and asking the right questions ahead of time, you can feel confident about your appointment without worrying about extra charges or delays. Just focus on getting everything ready, show up on time, and let the doctor take care of the rest.