The Medical Examination for US Immigration
1.What does the physical examination entail?
The medical examination is conducted by the designated panel doctor, with the assistance of his trained and experienced staff. The doctor will record your complete medical history and perform a physical examination. All applicants 15 years of age and older are required to have serologic (blood) tests for syphilis and urine tests for Gonorrhea.
(Applicants under age 15 may be tested for syphilis if there is reason to suspect the possibility of infection.) All applicants from the age of 2 yrs upwards are required to have a TB (tuberculosis) skin test (PPD) which requires a very small pin prick. After the skin test you will need to return to the office within 48 to 72 hours to have the results read. If the test reaction is 5mm or greater, a chest X-ray will be necessary. Alternatively, you can have a Quantiferon Test which does not require a return visit to the office. The cost of the Quantiferon is not included in the fee but may be billed to your medical insurance.
Note: When you make your appointment please make sure that you are able to come back in within 48 to 72 hours if you decide to do the skin test option (PPD).
The US government requires specific vaccinations according to your age. These vaccinations include mumps, measles, rubella, polio, tetanus, diphtheria toxoids, pertussis, influenza type B, hepatitis B, and any other vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP).
Current ACIP recommendations also include the varicella, haemophilius influenzae type B, and pneumococcal vaccines. The doctor will review your vaccination history with you to determine whether you have all the required vaccinations. Make sure you bring your vaccination records with you to your appointment if available. (Please see separate sheet for all vaccination requirements when age appropriate.)
2.How much is the Medical Examination going to cost?
The full medical examination costs $250 for ages 15 and up, which includes the necessary blood tests, urine tests and all administrative fees. For ages 0-14 the full medical examination costs $200. If you require vaccinations these will be charged separately and the fee schedule for those administered at our facility is attached. Payment must be made at the time of the medical examination by cash or credit card (no checks accepted). The Quantiferon TB test (if you opt for this) it may be billed to your medical insurance.
During the months of October through March an-influenza vaccine is required and is charged separately. If you have already taken the flu vaccine elsewhere please bring proof of vaccination.
3.What do I need to bring to the medical examination?
You are required to bring:
1. Passport or other photographic identity, such as driving license or Identity Card.
2. Vaccination Records if possible to be reviewed by the doctor.
4.How long will the examination take?
Please allow at least one hour for all the administrative and medical tasks to be completed during your appointment.
5.How long will it take for the medical results to be released?
In most cases, the medical report will be ready within 7-10 working days after your appointment date. You will be asked to collect your completed Form I-693 with the results in a sealed envelope to present to your lawyer or the INS. Do not open the sealed envelope.
6.Do I need to come in fasting for the blood test?
No, there is no need to fast before your appointment.
7.What happens if I do not have any immunization records?
If you do not have your vaccination records, the doctor will advise you on the vaccines that are necessary to complete the process, depending on your age and as described separately.
8.Do you accept my medical insurance to cover the medical examination fees?
Unfortunately the medical examination conducted for an immigrant visa application is not covered by medical insurances. We will submit some tests such as Quantiferon and MMR titers to your insurance when possible. Please check with your insurance if they cover you for certain blood work as per the attached sheet.
9.Can I use the results of a recent medical examination at the time of my immigrant visa examination?
Unfortunately only a medical examination conducted by a Panel Physician and for the purpose of your immigrant visa is acceptable.
10.Are you open on Saturdays?
Yes, we are opened the third Saturday of every month by appointments available from 9am to 1pm for your convenience.
Thank you for choosing URCare we look forward to helping you with this important step in the immigration process.