Civil Surgeon (I-693)

When you apply for a green card (adjustment of status) in the United States, you need to have a medical examination, a.k.a “Immigration Physical”. Dr Petros Efthimiou is authorized by the U.S. Citizenship and Immigration Services (USCIS) to perform the medical exam required for most Green Card applicants and the office can provide a completed I-693 form, usually within 2 business days from the time of the initial appointment.

Dr Efthimiou has extensive experience and several publications in the detection of communicable diseases and, in particular, latent tuberculosis, especially in patients with underlying autoimmune and inflammatory conditions. Screening for latent tuberculosis is required by the USCIS prior to granting permanent residency.

Dr Petros Efthimiou is an authority in the safety of vaccinations in vulnerable populations, such as immunocompromised patients with underlying autoimmune conditions, where certain vaccinations are contraindicated and may cause harm to patients.

Frequently Asked Questions

Q: How fast can I get my completed I-693 form in a sealed envelope?

A: The average turn-around time is 48 hours from the time of the appointment.

Q: What is the cost of having my I-693 examination in your office?

A:        The cost of your medical exam will depend on what type of form and services (medical exam, blood tests, urine tests, vaccinations) have to be completed for USCIS. 

Q:        What is included in the fee for the immigration physical exam?

A:        Immigration physical exam and completion of all paperwork, your lab tests interpretation, review of vaccination records, evaluation of other physical or mental abnormality, disease, or disability, referrals to specialists, if needed, and sealed I-693 and copy.

Q:        Do you accept medical insurance or travel insurance for the immigration physical exam?

A:        Most health and/or travel insurance plans do not cover immigration medical exams. Payment in full is required and we will provide you with an itemized receipt for possible submission and reimbursement.

Q:        What forms of payment do you accept?

A:        Cash, Zelle, Venmo, major credit cards.  There is a 3% convenience fee added to CC payments.

Q:        What do I need to bring to the exam appointment?

A:        Government issued photo ID-passport or driver’s license, Vaccination records, I-693 form (optional), New patient medical forms. Any pertinent medical records if you are being treated for a disease or disability

Q:        How much time does the exam take?

A:        45 minutes to 1 hour depending on the complexity of each person’s case.

Q:        Can my I-693 exam be completed in a single visit?

A:        Yes, unless any of your lab tests come back positive. Then, you will need to come back for a second visit.

Q:        What lab tests are required by USCIS?

A:        Lab tests for tuberculosis, syphilis and gonorrhea depending on the age.  The tests can only be done at the time of the appointment per USCIS guidelines.

Q:        What vaccinations are required by USCIS?

A:        Measles, mumps, rubella, Polio, Tetanus, Varicella, Hepatitis A/B, Haemophilus influenzae type B (children), Flu, Rotavirus (children), Meningococcal, Pneumococcal and COVID-19, depending on the age of the candidate.

Q:        Do I need to bring my vaccination records?  What if I do not have any?

A:        Yes, if they are available. If you do not have any do not worry, you may get all of the required shots or get lab tests to prove immunity.

Q:        Can I undergo the exam if I do not have my vaccination records?

A:        Yes.  We will send the appropriate titers (blood test) instead.

Q:        Will I need to get vaccinations if I am pregnant?

A:        No.

Q:       Do I need to bring my COVID-19 vaccination card?

A:      Proof of COVID-19 vaccination will be needed after October 1st, 2021.