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Immigration Medical Exam Information (27 YEARS OF EXPERIENCE)



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Let us help you in your Immigration Journey

  1. Anyone who wants to become a US Citizen, must perform an immigration medical exam.
  2. Our Doctors are Approved by the USCIS as Civil Surgeons and have completed tens of thousands of medical exams
  3. We perform & complete the I-693 Immigration Medical Exam (A-Z)
  4. We review your vaccine records & provide any vaccines you may need
  5. We complete the blood and urine work within 3-10 Days!
  6. We are extremely flexible in our scheduling and allow for same or next day appointments
  7. We can handle your entire family or just one person

Click Here to Call Us (818)997-3232


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  • Adults & Children $350 (Completed in 7-9 Days):

  • EXPEDITED & RUSH SERVICE (ADD $125) $475 (Completed in 3-5 Days):

Click Here to Call Us (818)997-3232


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  • Included in the Immigration Physical Exam:

    • Medical Exam by the USCIS Approved Doctor

    • Blood work & urine samples required for USCIS– including:

      • Syphilis (RPR) – required for everyone 15 years and older

      • Gonorrhea (urine) – required for everyone 15 years and older

      • Quantiferon Tuberculosis test – required for everyone 2 years and older

      • COVID-19 test – required to bring Covid Vaccine records

    • Vaccination Verification and Administration if you don’t have all your vaccines (Vaccines are Extra and always Available!)

    • Copy of Lab results are provided

    • We fill out and provide you with a Sealed i-693 Form

Click Here to Call Us (818)997-3232

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  • What We Need From You:

    • Vaccine Records, including but not limited to:  Covid Vaccines, DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease (More on Vaccines Below)

    • Bring your Identification Card –(Passport, License, Work Permit or Alien Number, or other Government-issued photo identification). If you are 14 years old or younger, bring identification that shows your name, date and place of birth and parent’s full name.

    • Payment- in the form of Zelle, Check, Cash or Debit Card

Call us at (818)997-3232 to make an appointment

Click Here To Schedule Online Appointment



USCIS requires vaccinations to be completed based on the CDC’s recommendations.. This is based on each person’s age and the Doctor will review your vaccine records and inform you of any vaccinations that you may need. We carry all necessary Vaccines at our office.

If you were vaccinated but do not have the records, we haver the option of checking your blood to see if you have had the vaccines. There is an additional fee for this blood test and the price depends on which blood test you would need.

Children: All childhood vaccination are required to be up to date.

Adults: Depending on the age of the patient, for more details refer to the list below.

0-18 Years Old 19-59 Years Old 60-64 Years Old 65 Years and Up
Flu Sho (Oct 1 thru Mar 31) Flu Shot (Oct 1 thru Mar 31) Flu Shot (Oct thru Mar 31) Flu Shot (Oct 1 thru Mar 31)
All Immunizations As Required
By The Health Dept
TDaP (Obtained within past
10 yrs)
TDaP (Obtained within past
10 yrs)
TDaP (Obtained within past
10 yrs)
MMR (+ Blood titer or 2 shots) Varicella (history of illness, or
+ Blood Titer or 2 shots)
Pneumococcal (Every 5 Yrs)
Varicella (history of illness, or
+ Blood Titer or 2 shots)
MMR (+ Blood titer or 2 shots) Varicella (history of illness, or
+ Blood Titer or 2 shots)



  • Required Vaccinations

Hepatitis B – 0 through 59 years of age
DTaP – 8 weeks through 7 years of age
Polio IPV – 8 weeks through 17 years of age
Hib – 8 weeks through 6 years of age
Pneumococcal – 65+
Hepatitis – 12 through 18 years old
MMR – 12 months through 49 years of age
Varicella – 12 months of age and up
Tdap – 18 years of age and up

Influenza vaccine – 6 months of age and up

COVID-19 Vaccine – 6 months of age and up







Our office offers the following: (Full Frequently Asked Questions are at the bottom of this page)

  • Same Day Appointments can be available for Immigration Medical Exams (please call)
  • Low Price Guarantee with a $10 Off Coupon (click here)
  • Report is Ready Within 3-10 Days
  • Our office and staff speak Spanish, English, Farsi and Hebrew
  • Our office is approved and an official provider of the INS 693 immigration physical medical examination for aliens seeking adjustment of status or to complete examination requirements for permanent residency (GREEN CARD).

Call us at (818)997-3232 to make an appointment or get a quote!

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 What to expect:

The United States immigration law requires immigrant visa applicants to obtain certain vaccinations prior to the issuance of an immigrant visa.  Most individuals will need 2 visits.  During the first visit, we will perform the the medical examination, the Tuberculosis test and a blood test for HIV/Syphilis.  You will also receive immunization shots and vaccines if necessary.  During your second visit, the doctor will review your HIV/Syphilis and Tuberculosis test in order to determine if any other exams (chest X-Rays) is necessary.


What does an immigration doctor do for your medical exam?
Immigration medical exams are performed in order to verify that you are in good health and admissible to become a United States citizen. These USCIS immigration exams are called I 693 (i693) and they verify your medical condition in order to determine if you need any medical care after you immigrate to the US or adjust your status to become a permanent resident.
What does USCIS Doctor do?
On March 1, 2003, s the U.S. Immigration and Naturalization Service (INS) transitioned into the Department of Homeland Security (DHS) as the U.S. Citizenship and Immigration Services (USCIS). A USCIS doctor is responsible for performing an immigration medical exam and filling out the form i 693 (A USCIS i693 form).
What is a civil surgeon?
According to the USCIS, a civil surgeon is a doctor, selected by USCIS to conduct medical examinations of aliens in the United States who are applying for adjustment of status to permanent residence or who are required by USCIS to have a medical examination.
Does our office have immigration doctors? How to find Immigration Clinics that perform immigration exams?
Yes.  Dr. Ram is an accredited USCIS civil surgeon and performs immigration physical exams, or immigration medical exams for the USCIS.  He fills out the I 693 form for you.  Therefore, once you make an appointment, you will find our immigration clinic very cost effective compared to other immigration clinics that are in the Los Angeles area.  Dr. Ram is very competent in performing the immigration physical because he has been doing it for many years.
What is a green card medical exam?
The Immigration Medical Exam is necessary for people that are looking to adjust their status in the United States or apply for an immigrant visa if they are going  abroad.  It is not possible to get an immigrant visa or even to adjust status unless you have a green card medical exam or a immigration medical exam.  The immigration medical exam must be performed by a USCIS approved Civil Surgeon, and our office has an immigration doctor on staff on a daily basis. 
Is Dr. Ram an Immigration Doctor (Los Angeles)? How Do I use the civil surgeon locator?
Yes, our office is qualified to do immigration medical exams and is located in los Angeles.  You may need to contact USCIS to use the civil surgeon locator for a city other than Los Angeles.
How to Find Immigration Clinics (or USCIS Doctors) that perform immigration exams?
The purpose of going to an immigration doctor is to evaluate whether you have diseases that may require further treatment. Although it doesn’t happen very frequently, it may be possible that you will be asked to do more medical tests at a different health office.  The only people that can do the medical exam for immigration are civil surgeons designated by the USCIS. Our office is designated immigration exam office.
Do adjustment of status applicants need an immigration medical examination?
Most individuals who are seeking adjustment in status need to have an immigration doctor or a USCIS Civil Surgeon perform the immigration medical examination.  This is done by filling out the i693 (or i-693 / I 693) medical Examination of Aliens Seeking Adjustment of Status.  There are a few exceptions of Refugees, Fiance’s (K-1, 2, 3, 4) and Spouses or (V-1, 2, 3, 4) applicants that do not need the medical exams.
What medical tests may be required during the Physical examination?

  • Tuberculosis skin test (TB)=
  • Gonorrhea
  • Syphilis for applicants 15 years or older
  • HIV (blood test)
  • Mental defect
  • Lymphogranuloma venerum
  • Granuloma inguinal
  • Narcotic drug addiction
  • Psychopathic personality
  • Chancroid
  • And additional tests

Where to get the exams done?
Please call our office at (818)997-3232 to schedule an appointment.  Dr. Asher Ram is an approved USCIS Certified Civil Surgeon in Los Angeles, Ca and specifically in Van Nuys Ca. 
What happens after I do the medical exam?
The office will fill out the I 693 form for you, and the results will be sealed in an envelope that you give to USCIS.  You should not open the sealed envelope unless instructed by USCIS.