Medical Exams

The requirements of the U.S Citizenship and Immigration Services (USCIS) are numerous and can be demanding. Our knowledgeable staff and highly experienced certified civil surgeon are here to help guide you through this process. We ensure that all USCIS requirements will be met completely and accurately.

What we do…

We will assist the applicant with the successful completion of the medical requirements of the application for the Department Of Homeland Security and U.S. Citizen and Immigration Services. Our USCIS Designated Civil Surgeons are experienced with the medical requirements of these examinations. Individuals applying for citizenship, seeking Permanent Residency, immigration status change or a Green Card are required to obtain an immigration physical prior to approval of their application. It is mandatory that immigration physicals are completed by a Designated Civil Surgeon so the exam is valid. At AFC American Family Care Cherry Creek, we do all the necessary testing on site and have all required vaccines in our office.

Please call 303-692-8000 to make an appointment for your Immigration Physical, this ensures that the certified Civil Surgeon Doctor is available. Please allow approximately an hour to complete the physical exam.


Can any Doctor in the U.S. perform an Immigration Physical as required by the Bureau of Citizenship and Immigration Services?

No, only a licensed US Civil Surgeon who has been authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physicals and Immigration Exams for the Department of Homeland Security may perform the Immigration Physical.

What basic services and procedures are included within the Immigration Physical?

The basic Immigration Physical includes the following:

  • Basic Physical Examination
  • Required Blood work
  • Tuberculosis skin testing
  • Vaccination status verification
  • Copies of your laboratory results
  • Certified and Sealed I-693 Form

Please note that there may be additional services required (such as required vaccinations and follow-up chest x-ray for TB testing) that are available from or can be arranged by our clinic if needed.

What do I need to bring with me to the Immigration Physical?

Please ensure that you bring the following items to your Immigration Physical:

  • Valid, government issued picture ID such as a driver?s license or passport (preferred).
  • Immigration Physical Form I-693, Pre-completed with your information. (Click here to obtain a copy of the I-693 form)
  • Proof of prior vaccinations.
  • Alien Registration number if you have one (starts with an ?A?)
  • You will also be required to fill out a complete patient information sheet.

What if my immunization records are from a foreign country and in a foreign language?

If you have any immunization records please bring them in. It is best to have them translated to English, but we will try to interpret them as needed.  We will try and apply all applicable immunization records, even foreign records to your INS immunizations requirements.

What is comprised within the actual Immigration Physical examination?

The full INS immigration exam is very simple and requires 4 simple steps and two office visits as follows:

  1. Basic immigration physical exam and mental status evaluation (exam sometimes may be performed on the second visit)
  2. Blood Test: Applicants age 15 and older are required to have a serologic blood test for HIV (AIDS) and Syphilis (RPR). Applicants under age 15 may require HIV or syphilis testing at the discretion of the civil surgeon, or if there is reason to suspect the possibility of infection. The Doctor will provide pre-test counseling to all applicants who take the HIV test. If you are found to have HIV infection, post-test counseling will be provided also.
  3. Tuberculosis skin test: Applicants age 2 and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to the office within 48 ? 72 hours after administration. If the test reading is greater than 5 mm of induration, a chest X-ray will be required. The cost of the X-ray is not included in the price of the immigration exam but can be scheduled through our office for an additional fee.
  4. Proof of vaccinations or blood Titer to prove immunity. Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves that a person has immunity or antibodies for a particular disease. The Immigration Doctor will review your vaccination history with you to determine whether you have all the required vaccinations. The cost of additional vaccinations is not included in the price of the basic exam but they are offered through our office for an additional fee. Please bring all vaccination records to your scheduled appointment for the immigration physical.

What occurs after the Immigration Physical?

After the immigration physical examination is completed, the Doctor will certify Form I-693 with the test results of the immigration exam and vaccination history.  The physician will then place the results within a sealed envelope to be presented to the INS department.  DO NOT OPEN THE SEALED ENVELOPE.  Turn in the envelope along with your immigration application. A copy of your blood tests results will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.

Click here to visit the Official US Citizen & Immigration Services website for more information.

What happens to the Immigration Physical test results?

Your results will be presented to you.  You, or your representative, will need to share the results with an immigration officer. Your results may be shared with certain U.S. health departments.  Please note, that medical examinations are generally valid for 12 months before being required to get an up-to-date physical.

If I have a health plan, will it cover these services?

Most health insurance plans do not cover immigration physicals. You’ll need to pay us directly.  We will provide you with formal insurance forms so you can attempt to bill them yourself. Some of our clients do get reimbursed, but we can’t guarantee it.

Here are some helpful links to applicable U.S. Government Citizenship and Immigration web sites, application instructions, applicable forms etc.

Link to: Official U.S. Government Citizen and Immigration Services site:

Link to: I- 693 Instructions:

Link and PDF download for: I-693 Form




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