Immigration Medical Exam Doctor in Charlotte, NC
If you seek citizenship in the United States, our experienced immigration exam specialists at Eastway Medical Clinic and Urgent Care are ready to assist you. We are conveniently located at 1220 Eastway Drive Charlotte, NC 28205., and are open Monday through Saturday. We accept Walk-ins. For more information, please contact us or request an appointment online.
I-693 form | Green Card Medical Exams | Immigration Physical
Exam | Vaccination Record
USCIS Civil Surgeon
USCIS authorized our providers to conduct immigration medical exams. Dr. Sylvia I. Okoye and Dr. Joseph C. Okoye are USCIS Designated Civil Surgeons. Civil Surgeons are providers appointed by USCIS to perform medical exams required for Green Card application. We offer competitive pricing on Immigration medical exams, conduct all the necessary laboratory tests, and provide all vaccinations needed to complete the I-693 forms (immigration medical exam form) per USCIS requirements.
COVID-19 Vaccine Update:
USCIS has recently changed its rules. If you’re applying for a green card (adjusting your status to a lawful permanent resident), you no longer need to provide proof of a COVID-19 vaccine on your immigration medical exam form (Form I-693).
What Is a USCIS Medical Exam?
The USCIS medical exam ensures that potential immigrants (green card applicants) are healthy, free of communicable diseases, and current with all mandated vaccines.
What to Bring to the Exam?
Important Information
- Processing Time: Forms are completed within 3-5 business days. Expedited processing is available upon request during your visit.
What to Bring to Your Visit:
1. Photo ID: U.S. Driver’s License, Passport, or State-Issued ID with a photo.
2. Medical Records: Including vaccination records (in English).
3. Pre-filled I-693 Form: Print and complete the first two pages (single-sided). Do not sign or date Page 2 before your visit (https://www.uscis.gov/sites/default/files/document/forms/i-693.pdf)
If you are unable to complete the form beforehand, don’t worry! Our office staff will gladly assist you in completing it during your visit
4. Tuberculosis Documentation: If previously tested positive for TB, bring official documentation with your name and date of birth.
Download USCIS Policy Manual on Immigration Physical Exam
Immigration Physical Exam Procedure
Immigration medical exams are unlike regular physical exams or checkups, where you visit the doctor about health issues. Instead, it is a screening exam to determine whether it is safe from medical standpoint to allow you into the United States. While you do not need to be in perfect health to pass this exam, you must not have any severe illness, communicable diseases, mental disorders, or drug problems that would make you inadmissible to the U.S. and ineligible for a visa or green card.
What to Expect During Your Exam?
Immigration Medical Exam Process
1. Interview (Medical History):
• Review of medical history for communicable diseases, drug use, mental health disorders with harmful behaviors, and other conditions.
2. Physical Examination:
• Generally, it does not include examination of private areas unless findings suggest an STD.
3. Vaccination Review:
• Vaccination records are reviewed, and recommendations are made. Blood tests can confirm immunity for some diseases if records are unavailable.
By USCIS policy, laboratory tests must be ordered by authorized civil surgeons, not primary care physicians.
4. Laboratory Tests:
• TB Blood Test (Quantiferon TB Gold Test): For applicants aged 2 and older. Results take 3-5 business days.
• If positive, a chest X-ray is required to rule out active TB.
• Active TB findings are referred to the health department.
• Syphilis Blood Test: If positive, confirmatory testing and treatment are required.
• Gonorrhea Urine Test: If positive, treatment is required.
Testing positive for communicable diseases does not disqualify applicants but requires treatment before document processing continues.
How much does Immigration Physical Exam Cost?
IMMIGRATION MEDICAL EXAM (I-693)
Fee Schedule for Immigration Medical Exam
Price:
• $349 for Adults (18 years and older): Includes all paperwork in a sealed envelope, physical exam, TB blood test, syphilis blood test, gonorrhea urine test, vaccination record review, and counseling. (Chest X-ray if necessary).
• $249 for Children (under 18 years): Same coverage as for adults.
• Price Excludes Vaccination Fees.
Discount:
• 15% total discount for families with more than three members presenting for the immigration exam.
Insurance Information:
Immigration exams are not covered by insurance. However, you can use your insurance to obtain required vaccinations at a local pharmacy or primary care provider.
Mailing Option for Out-of-State Clients:
If you require mailing for the sealed I-693 form, please bring a pre-paid return envelope (FedEx/UPS) with a signature required upon delivery.
Appointments:
Schedule online at https://www.eastwaymedicalclinic.com/appointments, call 704-360-8893 for assistance.
For detailed information, refer to the USCIS Immigration Physical Exam and Vaccination Record Forms (I-693).
Have you previously completed the immigration physical exam but the form I-693 expired?
Please, bring your old I-693 documents if you have had an immigration exam in the past. We can use some information from your previous exam.
Do you have a complete vaccination/immunization record?
Don’t worry if you don’t have your immunization records. We can determine if you are immune to the diseases important to USCIS by checking the antibody level in your blood in the laboratory. Again, this will be at no additional charge.
Are you in a hurry?
Generally, blood and urine tests are the most time-consuming task in the entire process. Some laboratory tests take at least 48 hours to complete. However, if you are pressed for time, let us know, and we can discuss expediting your exam and having your package ready on time.
Call Us: (704)-3608893
Do you have active health insurance?
The USCIS Immigration Medical Exam is not usually covered by health insurance plans. However, some health plans may cover vaccinations that you may need and we can work with you in this regard.
Exam Requirements:
Adult examination (18 years or older) typically consists of the following:
- A Physical Examination
- A test for tuberculosis (QuantiFERON-blood test)
- A blood test for syphilis (RPR) (18-44yrs old)
- A urine test for gonorrhea (18-24yrs old)
- Immunizations are dependent on age and medical history.
Children examination (children 18 years and younger) typically consists of the following:
- A physical examination
- A test for tuberculosis (2 years old and older)- (QuantiFERON-blood test)
- A review and update of the pediatric immunizations
Immunization Requirements:
Covid-19 Vaccine Requirement by USCIS
Vaccination Requirements
For detailed information refer to: https://www.cdc.gov/immigrant-refugee-health/media/pdfs/Vaccine-Requirements-According-to-Applicant-Age-civil-surgeons-p.pdf?utm_source
Vaccinations must meet the CDC’s age-appropriate guidelines for adjustment of status. Exceptions may be made for moral or religious reasons; consult your attorney for waivers.
Required Vaccines (Adults 18-64):
• Tdap (Tetanus, Diphtheria, Pertussis): Valid for 10 years.
• MMR (Measles, Mumps, Rubella).
• Varicella (Chickenpox): Vaccination waived if there’s a history of the disease.
• Hepatitis B: Required for applicants up to age 59.
• Polio Vaccine: 05/01/2024.
• Influenza & COVID-19 Vaccines: Required annually and updated formulas mandatory.
• Additional Vaccines (Ages 65+):
• Pneumonia vaccine.
Adult Immunizations <65yrs old:
• Measles, Mumps, Rubella Vaccine Tetanus/Diptheria Vaccine Varicella (Chicken Pox) Vaccine Seasonal Influenza (during flu season for certain individuals) Covid-19 Vaccine Adult Immunizations >65 yrs old
• All vaccines for <65yrs old Plus Pneumococcal Vaccine.
Childhood Immunizations (depends on age):
• Rotavirus Vaccine
• Measles, Mumps, Rubella Vaccine
• Tetanus, Diptheria, Pertussis Vaccine
• Polio Vaccine
• Hemophilus Influenza Type B Vaccine
• Hepatitis B Vaccine
• Hepatitis A Vaccine
• Pneumococcal Vaccine
• Meningococcal Vaccine Covid-19 Vaccine (12yr old and above)
Note: If you lack vaccination records, antibody blood tests can determine immunity, potentially negating the need for additional vaccinations.
For further assistance or to schedule your appointment, visit our website (https://www.eastwaymedicalclinic.com/appointments) or contact us (704-360 8893).
Immigration Physical Question & Answer
How much does the immigration physical cost?
• $349 for Adults (18 years and older)
• $249 for Children (under 18 years)
• Price Excludes Vaccination Fees
This fee covers the required exam and interview, and preparation of the I-693 form. It also covers the required age-appropriate laboratory testing:
• Tuberculosis (TB) testing for all applicants above age 2
• Syphilis testing for applicants aged 18 – 44
• Gonorrhea testing for all applicants aged 18 – 24
• A positive TB Test result will require a Chest X-ray.
• Payment is due at the time of your initial consultation.
Are vaccinations mandatory?
Yes. Age-appropriate vaccinations are mandatory. Bring your vaccine documents with you for review. If you received some vaccinations in the past but do not have the vaccine documents or feel that you acquired immunity to specific diseases from previous infections, don’t worry. We will check your blood antibody level to determine your immune status. You won’t have to receive the vaccine if your lab test indicates a high antibody titer level consistent with immunity to the disease. Provide your civil surgeon with any documentation of allergic reactions to a vaccine or vaccine components. Pregnant women may not receive certain live vaccines. Let your civil surgeon know if you are pregnant or plan to get pregnant soon.
What will happen if I refuse to complete the required vaccines?
You may apply for a waiver if your objection is based on religious beliefs or moral convictions and submit it to USCIS; otherwise, your immigration form will be incomplete, and your application for adjustment of status may be denied.
Follow this link for Vaccine Waiver Forms.https://www.uscis.gov/sites/default/files/document/forms/i-601.pdf
Is a waiver available for applicants who cannot afford the required vaccinations?
No, there is no waiver for being unable to afford the mandatory vaccines.
Will my insurance cover the cost of the immigration physical exam and vaccinations?
No. Medical insurance does not cover immigration services, including vaccines. They are self-pay. You may pay with cash, credit, or debit card.
Do I have to get my lab tests in your office?
The current policy regarding laboratory testing is that it should be ordered by the civil surgeon at the time of the exam. However, if an applicant returns to you for a repeat exam and you previously ordered laboratory titters that confirmed immunity (positive) during a previous examination, those laboratory titers would still be considered valid.
At this time, the only other previous laboratory testing that would be accepted for the exam is a previous positive IGRA result, which is an acceptable IGRA exception and must be documented on the I-693 form.
Do I have to get the required vaccinations in your office?
No. Required vaccinations can be obtained anywhere, including your PCP’s office, local pharmacies, and the Health Department. However, if you get the vaccinations outside, remember to send a copy of the vaccination documents to our office (the vaccination document must contain the necessary information, including the name of the vaccine, lot number, expiration date, etc.).
Could additional laboratory testing be required apart from those mentioned above?
A chest X-ray for a positive screening test for tuberculosis (Quantiferon) performed in our office will be done free of charge. However, if you choose to do the Xray at another facility, you will have to discuss the charge with the facility in question.
Documents in Foreign Language:
Any document containing foreign language submitted to USCIS Shall be accompanied by a full English Language translation which the translator has certified as complete and accurate. The translator must certify that he/she is fluent in both the native language and English.
Follow this link to obtain information on how to translate documents in foreign language to English if you are fluent in the native language and English.
https://2009-2017.state.gov/m/dghr/flo/154965.htm
Can the Civil Surgeons at Eastway Medical Clinic and urgent care perform medical exams for immigrants from other states?
Yes. Dr. Sylvia Okoye and Dr. Joseph Okoye are immigration exam specialists approved to perform immigration exams for clients from any part of the US. They are both civil surgeons serving clients from their location in Charlotte, North Carolina.
What do I bring for my immigration exam?
• Valid, government-issued picture ID: Passport, driver’s license, green card, state-issued ID card, or military ID.
• Medical records
• Immunization records
• I-693. If you wish to pre-fill the I-693 form, use the link below to download the form; don’t sign/date page 2.
• https://www.uscis.gov/sites/default/files/document/forms/i-693.pdf
Translator
• Spanish Speaking Applicants: Do not need to bring interpreters. We have Spanish speaking staff to assist if needed.
• Other Languages: Applicants not fluent in English Language need to bring a translator. The translator must be an adult and must be willing/able to sign candidate I-693 Form. The translator could be a professional, family member or a friend fluent in English and the original language.
How long does it take for my immigration package to be ready:
3-5 business days. It does depend also on how soon we get your lab results from the laboratory and documents that will be requested of you back.
Please budget at least one hour (1hr) for your initial visit. Friday and Saturday exams may take longer for the labs to process and result. Typically, we will notify you of the results as soon as we get them; feel free to contact us (call or email) if you have any concerns. If you have a health condition requiring medical follow-up or treatment, we willfill out your immigration form ( I693 ) after the follow-up/treatment is completed. You will be responsible for the cost of any additional medical examinations or treatments required to fulfill the federal health requirements of the US Immigration Service. Once we have all we need for your immigration paperwork (physical exam, lab results, vaccination documents), we will complete your immigration form and give you a certified copy (I-693) in a sealed envelope. Turn in the sealed envelope to your attorney or the Department of Homeland Security if you are not using an attorney for your application. DO NOT OPEN THE SEALED ENVELOPE. You will also get a copy of your blood test results and some other exam documents to keep.
Send Text
How May I Help You?