Immigration Medical Services
INcircle Health offers immigration medical examinations required by U.S. Citizenship and Immigration Services (USCIS). Exams are conducted by a USCIS-designated civil surgeon and board-certified family physician, in a respectful, private, and welcoming clinical setting.
Our Services
-
We provide U.S. Citizenship and Immigration Services (USCIS)–required immigration medical examinations for Form I-693, which is part of the adjustment of status process for individuals applying for lawful permanent residency (a green card). A designated civil surgeon conducts a complete medical history review, physical examination, required laboratory testing, and vaccination assessment in accordance with current USCIS guidelines.
This visit is limited in scope and focused solely on meeting USCIS requirements. The completed I-693 form is prepared accurately and sealed for submission to USCIS. Immigration medical exams are offered as a self-pay service with transparent pricing and are separate from primary care membership services.
-
We offer comprehensive medical evaluations for the U.S. Citizenship and Immigration Services (USCIS) Form N-648, which allow applicants for U.S. citizenship to request an exception to the English and/or civics testing requirement due to a qualifying medical condition. These evaluations are conducted in accordance with USCIS requirements and include a detailed medical history review, cognitive or functional assessment when appropriate, and completion of the N-648 form if criteria are met.
This service is provided independently from primary care membership and is offered for a transparent, self-pay fee. We take time to ensure the evaluation is thorough, accurate, and clearly documented to support your application with USCIS.
-
The total fee includes:
$50 non-refundable scheduling deposit
Review of immigration paperwork and medical history
USCIS-required physical examination
Vaccination record review and determination of required vaccines based on USCIS guidelines
Ordering and coordination of all required laboratory testing associated with the I-693 exam
Completion of USCIS Form I-693 by a designated civil surgeon
Sealing of the completed I-693 form for USCIS submission
Clear instructions on next steps and document handling
Vaccinations:
Vaccines are not administered on site. If additional vaccines are required, patients are referred to trusted local options that offer free or low-cost vaccines. Patients may choose the most convenient location and are responsible for vaccine-related costs.Not included:
Vaccines or vaccine administration
Care unrelated to the immigration exam
Follow-up medical treatment
Imaging studies (such as chest X-rays), which are referred out if required and paid separately
-
The total fee includes:
$50 non-refundable scheduling deposit
Comprehensive review of medical, psychiatric, and functional history
Evaluation of the condition(s) impacting the ability to meet English and/or civics testing requirements
Cognitive or functional assessment when clinically appropriate
Review of supporting medical records (when available)
Determination of whether USCIS criteria for the N-648 are met
Accurate completion of USCIS Form N-648 if eligibility criteria are satisfied
Time spent ensuring documentation is clear, thorough, and compliant
Important notes:
Completion of the N-648 is based on medical eligibility and is not guaranteed
This evaluation is separate from primary care and does not establish an ongoing doctor-patient relationship
-
USCIS requires certified interpretation services for immigration medical examinations when the applicant is not fluent in English. When interpretation is required, a qualified interpreter must be present for the exam.
Certified interpretation services can be provided by the clinic for an additional $100 fee
Patients are able to provide their own certified interpreter provided there is no conflict of interest
The interpreter must be able to provide appropriate credentials
The interpreter must sign the required sections of the USCIS form when applicable
Family members or friends may not serve as interpreters at our clinic
If you prefer to bring your own interpreter, please notify us in advance to ensure they meet documentation and credentialing requirements.
Pricing
Our Process
I-693 exams can be scheduled online. The $50 dollar deposit will be due at time of scheduling.
Please use the link to schedule. Our appointments are limited. We primarily conduct these examinations on Saturdays however some weekday times are available. Call us if you need to book more than 1 person.
Additional dates may be added.
N-648 exams can be scheduled by calling the office. These are extended appointments and we will work with you to schedule. The $50 dollar deposit will be due at time of scheduling.
Los exámenes I-693 pueden programarse en línea. Se requiere un depósito de $50 al momento de programar la cita.
Utilice el enlace para programar su cita. La disponibilidad es limitada. Realizamos estos exámenes principalmente los sábados, aunque también hay algunos horarios disponibles entre semana. Llámenos si necesita programar citas para más de una persona.
Es posible que se agreguen fechas adicionales.
Los exámenes N-648 pueden programarse llamando a la oficina. Estas son citas de mayor duración y trabajaremos con usted para encontrar un horario adecuado. Se requiere un depósito de $50 al momento de programar la cita.
1
-
I-693 Immigration Medical Examination – Important Information
The I-693 Immigration Medical Examination is a limited-scope visit required by U.S. Citizenship and Immigration Services (USCIS) as part of the adjustment of status process. This visit is not a comprehensive primary care appointment and does not establish an ongoing doctor-patient relationship.
The total fee for the I-693 exam is $375, which includes the medical evaluation, completion of USCIS Form I-693, and required in-office laboratory testing. Insurance is not billed for this service. A $50 non-refundable deposit is required at the time of booking to reserve your appointment. The remaining $325 balance is due at check-in on the day of your visit. Accepted payment methods include cash, check, ACH, or credit/debit card (processing fees may apply).
Vaccines are not administered on site. Vaccination records will be reviewed to determine compliance with USCIS requirements. If additional vaccines are required, patients will be referred to local resources such as retail pharmacies, the health department, or community immunization clinics. Vaccine costs are paid separately but in some cases can be obtained at no cost.
Additional services may be required based on USCIS guidelines or exam findings and are not included in the $375 fee. These may include, but are not limited to:
Chest X-rays or other imaging
Outside referral for evaluation or treatment of communicable disease (eg. TB)
Vaccinations
Certified interpretation services
Outside laboratory studies
Any additional requirements will be discussed with you in advance and paid separately.
If you are not fluent in English, USCIS requires certified interpretation services. Interpretation can be provided by the clinic for an additional $100 fee. Interpreters must provide appropriate credentials and may be required to sign USCIS documentation. If you bring your own interpreter, they must meet USCIS requirements and be approved in advance.
Please bring all available vaccination and medical records to your appointment. If records are incomplete or unavailable, additional testing or vaccines may be required. Completion of the I-693 exam does not guarantee USCIS approval. Our role is limited to performing the required medical evaluation and completing documentation in accordance with USCIS standards.
By proceeding with payment, you acknowledge and agree to these terms.
_________
Examen Médico de Inmigración I-693 – Información Importante
El Examen Médico de Inmigración I-693 es una visita de alcance limitado requerida por el Servicio de Ciudadanía e Inmigración de los Estados Unidos (USCIS) como parte del proceso de ajuste de estatus. Esta visita no es una cita integral de atención primaria y no establece una relación continua de médico-paciente.
El costo total del examen I-693 es de $375 e incluye la evaluación médica, la finalización del Formulario I-693 de USCIS y las pruebas de laboratorio requeridas en la oficina. No se factura al seguro médico por este servicio. Se requiere un depósito no reembolsable de $50 al momento de programar la cita para reservar su espacio. El saldo restante de $325 se debe pagar al registrarse el día de su visita. Los métodos de pago aceptados incluyen efectivo, cheque, ACH o tarjeta de crédito/débito. Pueden aplicar cargos de procesamiento.
Las vacunas no se administran en nuestra oficina. Se revisarán sus registros de vacunación para determinar si cumplen con los requisitos de USCIS. Si se requieren vacunas adicionales, se le referirá a recursos locales, como farmacias, el departamento de salud o clínicas comunitarias de vacunación. Los costos de las vacunas se pagan por separado, aunque en algunos casos pueden obtenerse sin costo.
Es posible que se requieran servicios adicionales según las guías de USCIS o los hallazgos del examen, y estos no están incluidos en el costo de $375. Estos pueden incluir, entre otros:
Radiografías de tórax u otros estudios de imagen
Referencia externa para evaluación o tratamiento de enfermedades transmisibles, como tuberculosis
Vacunas
Servicios de interpretación certificada
Estudios de laboratorio externos
Cualquier requisito adicional se hablará con usted con anticipación y se pagará por separado.
Si usted no habla inglés con fluidez, USCIS requiere servicios de interpretación certificada. La clínica puede proporcionar interpretación por un costo adicional de $100. Los intérpretes deben presentar credenciales apropiadas y podrían tener que firmar documentación de USCIS. Si trae su propio intérprete, debe cumplir con los requisitos de USCIS y ser aprobado con anticipación.
Por favor traiga todos los registros médicos y de vacunación disponibles a su cita. Si los registros están incompletos o no están disponibles, podrían requerirse pruebas o vacunas adicionales. Completar el examen I-693 no garantiza la aprobación por parte de USCIS. Nuestro papel se limita a realizar la evaluación médica requerida y completar la documentación de acuerdo con los estándares de USCIS.
Al proceder con el pago, usted reconoce y acepta estos términos.
Complete intake form and gather any available records.
Complete el formulario de admisión y reúna todos los registros disponibles.
2
An intake form is emailed to patients following completion of scheduling. This is intended to make your in-person visit more efficient. Complete your intake paperwork more than 48 hours prior to the time of your appointment.
* I-693 Patients: If you have any vaccination records, please submit these with your intake form. Read below for more information regarding immunizations.
*N-648 Patients: If you have any relevant past medical records, please bring them to your visit.
Después de completar la programación de su cita, se enviará un formulario de admisión por correo electrónico. Este formulario está diseñado para hacer que su visita en persona sea más eficiente. Complete su documentación de admisión más de 48 horas antes de la hora de su cita.
*Pacientes de I-693: Si tiene registros de vacunas, por favor envíelos junto con su formulario de admisión. Lea la información a continuación para más detalles sobre las vacunas.
*Pacientes de N-648: Si tiene registros médicos anteriores relevantes, por favor tráigalos a su visita.
Complete in-person evaluation with Dr. Venis.
Remaining payment due at check-in.
Evaluación completa en persona con el Dr. Venis.
El saldo restante se debe pagar al registrarse.
3
We will complete the required evaluation in person.
You must present legal identification at your visit.
Remaining payment (and interpretation services fee, if applicable) is due at time of check-in (cash, check, card, ACH accepted).
Completaremos la evaluación requerida en persona.
Debe presentar una identificación legal en su visita.
El saldo restante, y el cargo por servicios de interpretación si corresponde, se deben pagar al registrarse. Se acepta efectivo, cheque, tarjeta o ACH.
Follow-up as applicable and receive completed paperwork.
Seguimiento según corresponda y reciba la documentación completada.
4
Depending on individual case, patients will be responsible for obtaining vaccines or further testing. Complete evaluation depends on result of initial visit, immunization review, and lab work. Appropriate follow-up will be arranged to complete process and provide patient with completed paperwork. If outside records are required, the paperwork can be completed when this is obtained.
Según cada caso individual, los pacientes serán responsables de obtener vacunas o pruebas adicionales, si son necesarias. La evaluación completa depende de los resultados de la visita inicial, la revisión de vacunas y los análisis de laboratorio.
Se coordinará el seguimiento apropiado para completar el proceso y entregar la documentación final al paciente. Si se requieren registros externos, la documentación podrá completarse una vez que se hayan recibido.
Overview
U.S. immigration law requires applicants for adjustment of status to meet specific age-appropriate vaccination requirements as determined by the CDC and U.S. Citizenship and Immigration Services.
To complete Form I-693 at INcircle Health, applicants must meet one of the following for each required vaccine:
Provide acceptable documentation of prior vaccination,
Provide laboratory evidence of immunity (positive titers) when appropriate.
Vaccines are not administered at INcircle Health but can be received at any of the recommended outside locations, including those that offer free or low-cost vaccines. Other clinics offering immigration exams may charge for vaccines, so we aim to save you money.
Varicella (Chickenpox)
If you do not have documentation of prior varicella vaccination but believe you had chickenpox in the past, immunity needs to be confirmed.
If immunity cannot be confirmed by history alone, varicella antibody testing may be required. Patients may also opt to get the immunization.
Immunization Requirements for Form I—693
Choosing Immunity Testing Instead of Vaccination
For patients who wish to avoid receiving vaccines, laboratory testing for immunity may be an option for the following vaccines:
Measles
Mumps
Rubella
Hepatitis A
Hepatitis B
Varicella
Immunity testing may be subject to additional fees however we strive to include as many labs as we can within the exam fee. Outside lab fees are paid separately.
Please provide all available vaccination and medical records at least 48 hours prior to your appointment to help avoid unnecessary vaccines or testing and ensure timely completion of your I-693.
“Which vaccines do I need?”
While we understand that patients are anxious to get their vaccination requirements completed, we ask that you wait for your appointment to review this with the doctor. We cannot guarantee review and recommendations prior to the appointment.
Have questions?
Call us at (317) 676-6498 or email hello@incirclehealth.com.