top of page

Exámenes médicos de inmigración

Overview​​

​​The immigration medical exam consists of four components: 

  1. ​Screening test(s) - you will go to the laboratory for blood test(s). Urine testing may also be needed for younger adult applicants. This part may be completed before your appointment.

  2. Vaccination/immunizations - you will need to complete all vaccination requirements deemed necessary by USCIS. Please send us your vaccination records using this secure link. This part may be completed before your appointment.​​

  3. Medical history - this is completed on the day of your immigration exam appointment.

  4. Physical examination - this is completed on the day of your immigration exam appointment.​​​​​​​​​​​​​​​​​​​​​​​​

​

What do I need to bring?​

  • ​Please fill out the I-693 form parts 1 through 4 

  • Government-issued photo identification, such as a valid passport or driver’s license.

    • ​Those who are 14 years old or younger: bring identification that shows your name, date and place of birth, and parent’s full name. Possible forms of identification include your birth certificate (with an English translation) or an affidavit.

  • Vaccination/immunization records (please see the section on "which vaccines are required?")

    • You may send vaccination records securely for our civil surgeon to review before your immigration exam appointment.

  • Any past medical documents (labs, imaging, last note from primary care provider and specialists, list of chronic medical conditions, prior surgeries, hospitalizations.

  • All current medications.

  • If you are not fluent in English, you will need to bring an interpreter to your appointment. 

 

​​​​​​​​​​​​​​​​​​​​​​​​

​How much does it cost?​

  • Health insurance plans do not cover these immigration exams because they are considered administrative exams.

  • Per person, the cost of the immigration exam is $250. This includes:

    • Orders for screening lab tests that are required by USCIS. Please note: the screening tests must be ordered by a US Civil Surgeon. Results of testing that was ordered by an outside physician are not accepted for immigration purposes.

    • Immigration medical exam

    • Evaluation of immunizations​

    • Completion of the I-693 form by our physician

    • This does not include the cost of the lab tests or immunizations​​​​​​​​​​​​​​​​​​​​​​​​​​

​What to expect?​

  • ​​​​​​​​​You will need to go to Quest or TriCore to complete the required screening lab test(s).

    • This step may be completed before the immigration exam appointment for those who would like to expedite the process. However, based on the exam, there may be need for additional testing.

    • If this is not completed before the immigration exam, we will order the lab tests on the day of your exam. After your exam, you will go to have your blood drawn, and urine collected (if needed).

  • During your immigration exam appointment, we will gather information about your identity, vaccinations, and medical history.

  • We will also check your weight, height, vital signs, and perform a general physical exam.

  • If you are missing required vaccines, we will let you know which ones you need

    • We do not have vaccinations in our office. You can get vaccines at a nearby pharmacy or a local health department.​

    • After completing the required vaccinations, you may send us the record or receipts securely

  • If you have a chronic medical condition (such as hypertension or diabetes), you may need to get a supporting letter from your primary care doctor or specialist, and they may need to sign part of the I-693 (page 11). This can add extra time depending on how fast you can request this documentation from your doctor. It will help expedite the process if you bring all available records from your PCP with you to your appointment.

  • Lab results are usually available within 5-7 days. When we receive the results, we will review them and contact you if there are any concerns.

    • ​​If your screening tests are abnormal, you may need additional office visits for treatment and follow-up. ​There may be additional costs involved if you need additional treatment or testing. 

  • Once all of your labs results have been received (if normal), and you have received your required vaccinations, you will receive notification when your envelopes are ready for pick up at the office. 

    • You will receive a sealed envelope, and a copy of the completed I-693 form for your records.​​​​​​​​​​​​​​​​​​​​​​​

​How long does it take to get the completed I-693 form?​

  • ​If you complete all of your vaccinations on time, AND all of your lab results are normal, then the process typically takes one week.

  • If you have any abnormal test results or a chronic medical condition, or if you are missing vaccines, the process may take longer.

​​​​

Which lab tests are required?​

  • USCIS requires testing for the following:

    • Tuberculosis (blood test) for anyone 2 years and older

    • Syphilis (blood test) for adults ages 18-44

    • Gonorrhea (urine test) for adults ages 18-24

    • Additional labs may be required based on your history and physical exam and results of initial tests

​​​​

Which vaccines are required?​​​​​​​​​​​​​​​​​​​​​​​

Requisitos de vacunación.jpg

Vaccination | Technical Instructions for Civil Surgeons | Immigrant and Refugee Health | CDC​

  • For most healthy adults under age 65, the following are required:

    • ​One dose of the Tetanus, Diptheria, and Pertussis (Tdap) vaccine within the last 10 years if you have received primary vaccination series for tetanus, dipthteria, and pertussis.

      • Those who have not completed the primary series will need the dose that is due at the time of the medical exam

        • 3 dose series: 1 dose Tdap, followed by 1 dose Td or Tdap at least 4 weeks later, and a third dose of Td or Tdap 6–12 months later.

    • ​3 doses of the Polio (OPV/IPV) vaccine

      • Adults who have not completed the primary vaccine series will need the dose that is due at the time of the medical exam

        • 3 dose series with at least 4 weeks between Dose 1 and 2 and 6 months between Dose 2 and 3).

      • The last dose of the polio series must be given at age 4 or older.​

  • 2 to 3 doses of the Hepatitis B vaccine. 

    • If you are unvaccinated against Hepatitis B, you will need the dose that is due at the time of the medical exam

      • ​2 dose series Heplisav-B

        • At least 4 weeks between Dose 1 and 2 

      • 3 dose series Engerix-B, PreHevbrio, or RecombivaxHB

        • At least 4 weeks between Dose 1 and 2, 8 weeks between Dose 2 and 3, and 16 weeks between Dose 1 and 3

      • 3 dose series HepA-HepB (Twinrix)

        • At least 4 weeks between Dose 1 and 2, 5 months between Dose 2 and 3, and 6 months between Dose 1 and 3

      • Heplisav-B and PreHevbrio are not recommended in pregnancy due to lack of safety data in pregnant persons

    • If you think you may have received Hep B vaccinations but don’t have your vaccine record, you can request an extra blood test to check for immunity against Hepatitis B (additional cost)

  • 1 dose of the Measles, Mumps, and Rubella (MMR) vaccine. 

    • If you are unvaccinated, you will need to get at least one dose in order to meet the requirement. 

      • If there is a chance you could be pregnant, take a pregnancy test before receiving the MMR vaccine because this is a live vaccine.

    • If you think you received these vaccines but don’t have your vaccine record, you can request an extra blood test to check for immunity against these (additional cost)

  • 2 doses of the varicella (chickenpox) vaccine OR a history of having chickenpox/varicella in the past. 

    • If you are uncertain whether you had chickenpox or got the vaccine, an extra blood test can be done to check for immunity (additional cost)

      • If there is a chance you could be pregnant, take a pregnancy test before receiving the varicella vaccine because this is a live vaccine.

    • If you never had chickenpox and are unvaccinated, you will need the dose that is due at the time of the medical exam

      • If you are over 50, you may be required to have the shingles vaccine, which is a particular version of the varicella vaccine for older adults.​​

  • One dose of the current seasonal influenza vaccine if it is flu season (Sept 1 - March 31).

​

  • For adults 65 and older, or adults with chronic health conditions, additional vaccines may be required, including a pneumonia vaccine (PCV20).

​

  • For children/teens, the list is much longer and may include vaccines depending on age: DTaP, Polio, Hib, PCV, Rotavirus, Hepatitis A, and Meningococcus.

¿Qué ocurre si no tengo ningún registro de vacunación?

  • Se pueden solicitar análisis de sangre adicionales para comprobar la inmunidad contra ciertas enfermedades, como la hepatitis B, el sarampión, las paperas, la rubéola y la varicela. Títulos de hepatitis B, varicela y triple vírica (sarampión, paperas y rubéola).

  • Para todas las demás vacunas, si no tiene la documentación, deberá recibir al menos una dosis de cada una. Para ciertas vacunas, si no tiene comprobante de haber completado el esquema de vacunación infantil, necesitará la dosis correspondiente a la fecha del examen de inmigración. Por favor, consulte con el Dr. Riniker.

¿Qué ocurre si mis registros no están en inglés?

  • Para obtener documentos en cualquier idioma que no sea inglés, deberá contratar a un profesional para que le proporcione una copia traducida y certificada y presentarla en su primera cita. Puede buscar estos servicios en línea.

¿Dónde puedo conseguir las vacunas que necesito?

  • Actualmente no disponemos de vacunas en nuestra oficina. Puede obtenerlas en cualquier farmacia o en el departamento de salud pública .

  • Si tiene seguro médico, la mayoría de las vacunas están cubiertas. De lo contrario, aquí encontrará información sobre vacunas gratuitas o con descuento. Los precios oscilan entre 50 y 200 dólares por vacuna.

  • Asegúrese de pedir un recibo que incluya el nombre de la(s) vacuna(s), la fecha de administración, etc.

¿Qué ocurre si me opongo a la vacunación?

  • Necesitas obtener una exención general de vacunación a través del USCIS. Aún puedes completar el examen médico y obtener el formulario I-693 completo, pero debo marcar la casilla: “El solicitante solicitará una exención individual basada en convicciones religiosas o morales”.

    • La aprobación o denegación de su exención por parte de USCIS depende exclusivamente de USCIS. Si su exención es denegada, es posible que deba pagar para completar el proceso nuevamente.

Coste de los laboratorios:

  • Los costos que se muestran a continuación son aproximados y pueden variar según la fecha del examen y el laboratorio al que se acuda, ya que los precios los establece el laboratorio.

  • Varía según la edad, los factores de riesgo y el estado de vacunación. Como mínimo, se requerirá lo siguiente:

    • Adultos de 18 a 24 años: tuberculosis, gonorrea y sífilis: $160

    • Adultos mayores de 25 años: Tuberculosis y sífilis: $110

    • Niños de 2 a 17 años: TB: $80

  • Si tiene seguro médico, es posible que cubra las pruebas de laboratorio de detección. Puede consultar con su plan de seguro para verificar si están cubiertas. Estos son los códigos que necesitará:

    • Detección de tuberculosis: Quantiferon: Código CPT: 86480. Código de diagnóstico Z11.1

    • Gonorrea NAA: Códigos CPT 87491 y 87591. Código de diagnóstico Z11.3

    • Sífilis: códigos CPT 86593 y 86780. Código de diagnóstico Z11.3

  • Si no tiene un registro de vacunación, puede optar por realizarse una prueba de titulación de anticuerpos. El costo varía entre $25 y $300 según las vacunas que le falten.

    • Si tiene seguro médico, es posible que cubra las pruebas de laboratorio de detección. Puede consultar con su plan de seguro para verificar si están cubiertas. Estos son los códigos que necesitará:

      • Título de anticuerpos contra la hepatitis B: Códigos CPT 86704, 86706 y 87340. Código de diagnóstico: Z11.59

      • Título de MMR: códigos CPT 86735, 86762 y 86765. Código de diagnóstico z01.84

      • Título de varicela: código CPT 86787. Código de diagnóstico Z01.84

Cumpleaños
Día
Mes
Año
bottom of page