Immigration Medical Exams

Immigration Exams by a Civil Surgeon

Individuals applying for citizenship, permanent residency, immigration status change or a Green Card are required to complete an immigration physical. These medical exams must be completed by a licensed civil surgeon.

We offer immigration exams and Civil Surgeon I-693 form completion. Dr. Erick Kauffman has been designated a civil surgeon by United States Citizenship and Immigration Services (USCIS) and will be conducting these medical examinations at our Ridge Road office. Certain blood tests and vaccinations are required by USCIS, this includes flu shots in flu season. Please reference for specific information. Because of the complexity of medical requirements please allow two to three weeks for processing after your appointment. Once you meet all USCIS requirements your paperwork will be completed by the civil surgeon: one copy in a sealed envelope, one copy for your records. Do not open the sealed copy, opened forms will not be accepted by USCIS. Your completed paperwork may be picked up in person or mailed to a valid mailing address. 

What should you bring to your appointment?

  • A government issued photo ID 
  • Proof of prior vaccinations 
  • $250 to be paid at time of service (cash, check or credit card*)

What services do we provided?

  • Immigration physical exam
  • Blood testing 
  • Tuberculosis Skin Test (TST) for ages 2 and up 
  • Required vaccines

*We do not accept health insurance, sliding scale or prompt pay for the I-693 paperwork.  All charges are to be paid at time of service.
*If you have a health concern that requires follow up prior to completion of the required paperwork, you may be referred to an outside provider. This is not included in the cost and may be billed to your insurance by that provider, or out-of-pocket, depending on your coverage. All referrals related to the immigration exam must be completed prior to completion of the I-693 paperwork. This includes a chest x-ray for all positive PPD readings after the TST placement.
*If you opt for additional blood work that is not included in the cost, for example, the Quantiferon TB Gold test, or titers to test your immunity for the required vaccines—you are financially responsible for those additional charges. 

Refugee Medical Exams

Refugees are required to apply for adjustment of status one year after their date of arrival in the United States. Refugees do not need to repeat the medical exam they had overseas, unless a Class A condition was found during health screening upon arrival. 

What should you bring to your appointment?

  • A government issued photo ID
  • Insurance information
  • Record of any vaccines given outside Neighborhood Family Practice
  • $30 per person, maximum $90 per family (cash, check or credit card*) 

What services are provided?

  • Medical history review (including refugee screening done at other locations, when applicable, after obtaining the proper release of information) 
  • Vaccines as required by USCIS, billed to your medical insurance 
  • If you do not have insurance, we will coordinate with Patient Benefit Services to find coverage  

If you have questions or would like to schedule an appointment call 216-281-0872, ext 214 or 294