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

 

 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 have to be completed for USCIS.  Typically the prices start from $400.

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:        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:        Can a phlebotomist come to my house or work for the necessary blood tests?

A:        We have partnered with a commercial lab that can send a phlebotomist to your house or workplace to draw blood and collect the urine sample for an additional fee.  This service is available in the 5 boroughs of NYC, Long Island (including the Hamptons), and South Florida.

Q:        Can the visit be done virtually?

A:        USCIS requires an in-person physical, even during the COVID pandemic.  However, the initial evaluation can be done virtually and arrangements can be made for a phlebotomist to come to your home or workplace.  The physical can be completed  at the time of the i-693 form pick-up from the office.  That can reduce the number of trips to the medical office from the usual 2 to just once.

A:        We have partnered with a commercial lab that can send a phlebotomist to your house or workplace to draw blood and collect the urine sample for an additional fee.  This service is available in the 5 boroughs of NYC, Long Island (including the Hamptons), and South Florida.

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

A:        No. Most health and/or travel insurance plans do not cover immigration medical exams. We will provide you with an itemized receipt for possible reimbursement.

Q:        What forms of payment do you accept?

A:        Major credit or debit cards, Zelle, Venmo, cash.

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 for patients 15 years or older?

A:        Lab tests for tuberculosis, syphilis and gonorrhea

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 (65 yrs or older), Pneumococcal (65 yrs or older)

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.

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

A:        No.

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