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Immigration Medical Exam (Examen Medico de Inmigracion)

Revive Community Health is a leader providing refugee health services and is now designated as a CIVIL SURGEON location by USCIS offering immigration exams (Form I-693) and USCIS medical disability evaluations (Form N-648).
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Immigration Medical Exam (Form I-693)

What does an Immigration Medical Exam include?

When applying for a green card or change in legal status, you must complete an Immigration Medical Exam, also known as an I-693 Report of Medical Examination and Vaccination Record.

What does an Immigration Medical Exam include?

  • Review your medical history.
  • Review your vaccination records.
  • Perform a physical and mental exam.
  • Labs
  • Vaccines for individuals 18 and under who qualify.
  • Completion of the needed I-693 documentation and paperwork.
I-693 Immigration Medical Exam

Prepare for your I-693 Immigration Medical Exam

Bring to your appointment:

  • Proof of vaccination record from a healthcare provider OR proof of vaccination exemption from the U.S. government
  • List of current medications
  • Passport from your country of origin or government ID
  • Form I-693, with only Part 1 completed.

Also, please bring documentation of medical history such as:

  • Diagnosis and any special education or supervision requirements if immigrating with learning disabilities
  • Tuberculosis treatment certificate, signed by a doctor or public health official, if you had a previous positive skin test and received treatment
  • Syphilis treatment certificate, signed by a doctor or public health official, if you tested positive in the past for syphilis and received treatment.
  • If you have a history of behavior resulting in injury to people or animals, provide documentation that will allow the doctor to determine whether the behavior was related to a mental health condition, medical condition, prescribed medication use, alcohol use, or illegal use of medication or drugs
  • If you have been treated or hospitalized for a mental health condition, or substance abuse (drugs or alcohol), provide a written certification including the diagnosis, length of treatment, and the anticipated future of the condition (prognosis)

Disability Exemption Exam (Form N-648)

What is a Medical Certification for Disability Exceptions

What is a Medical Certification for Disability Exceptions (N-648 Form)?

As part of the immigration application to obtain a Green Card or change of legal status, applicants must demonstrate English and civic knowledge. This includes demonstrating they can:
  • Read, write, and speak the English language.
  • Understand the fundamentals of the history, principles, and form of the U.S. government.
For Disability Exemption Exam
Applicants who want to seek an exception to the English and civics requirements due to a physical or developmental disability or mental impairment that has lasted, or is expected to last, 12 months or more must be evaluated by a physician to determine if it is appropriate to issue a medical waiver that:
  • Removes the requirement of passing the test for English and/or U.S. history and civics from a person’s U.S. citizenship application if the person is not able to do so, even with accommodation.
  • Allows a “designated representative” to speak on the applicant’s behalf if the applicant cannot communicate or demonstrate an understanding of the oath now or in the near future due to a medical condition.
How can a person be considered for a Disability Exception

How can a person be considered for a Disability Exception?

  • To be considered for a disability exception, a federally qualified physician must evaluate the person’s physical and mental health and report their findings on Form N-648.

What is included in a Disability Exception Screening?

To determine if an applicant is eligible for a Medical Certification for Disability Exception, the physician may:
  • Review relevant medical records.
  • Perform a physical examination.
  • Ask health history questions – symptoms, medications, etc.
  • Perform a mental health evaluation.
  • Assess the person’s ability to learn, remember, and communicate information.
Make an Appointment

Prepare for your N-648 appointment

To ensure the physician can fully evaluate your disability concerns, gather the following information, and bring it with you to your appointment:

  • All medical records identifying the DIAGNOSIS and history of the illness or disability.
  • List of specific symptoms associated with the disability or illness that make it impossible to learn English and/or U.S. history and civics or understand the oath.
  • Copy of the N-648 form, with only Part 1 completed.

Medical Exam

I-693

Price starting at

$200

Cost varies depending on age-based requirements.

Disability Exceptions

N-648

Price starting at

$300

*Resubmission of paperwork we previously processed is $250

Download PDF: Espanol, English

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Frequently Asked Questions

Frequently asked questions:

Preguntas Frecuentes haga clic aquí

Does insurance cover the Immigration Medical Exam?

No. Our Immigration Medical Exam requires payment at the time of service and is not eligible for insurance submission. However, vaccinations, lab tests, imaging tests (x-ray or MRI), or follow-up medical treatment not included in the Immigration Medical Exam may be covered by your insurance, dependent on your policy.

Can Any Doctor Perform the I-693 Immigration Medical Exam?

Only a medical professional authorized by the U.S. Citizenship and Immigration Services (USCIS) as a civil surgeon can perform the I-693 Immigration Exam. The providers at both Revive Community Health locations are authorized by the USCIS to perform the I-693 Immigration Medical Exam.

Can a person fail the Immigration Medical Examination?

The physician may identify that you did not meet the medical requirements outlined in Form I-693 for a change in legal status if you:
  • Don’t provide the needed documentation for the required vaccinations or obtain a moral or religious waiver from the U.S. government for required vaccinations.
  • Test positive for tuberculosis, syphilis, or gonorrhea and don’t receive treatment and follow-up testing.
  • Have a physical or mental health condition that requires additional evaluation and treatment, and you don’t attend the follow-up medical care.

What vaccines are currently required for a change in immigration status?

The immigration laws of the United States may require receiving vaccinations to prevent the following diseases depending on age:
  • COVID-19
  • Hepatitis A and Hepatitis B
  • Haemophilus Influenza, type B
  • Influenza
  • Measles, Mumps, Rubella, and Varicella
  • Meningococcal
  • Pertussis
  • Pneumococcal pneumonia
  • Polio
  • Rotavirus
  • Rubella
  • Tetanus and Diphtheria Toxoids

If I test positive for an infectious disease, what type of treatment will be required to satisfy the I-693 requirements?

If you test positive for an infectious disease, the physician will discuss your treatment options. We will offer treatment at the time of your Immigration Medical Exam, at an additional cost. You can also choose to seek treatment elsewhere and provide documentation of that treatment to the government when you submit your Form I-693.

What can I expect during the mental health portion of the exam?

The doctor will ask questions to assess your mental status, including questions that identify your comprehension, judgment, affect, intelligence, mood, and behavior. These questions help the provider determine if you have either of the following:
  • Current physical or mental disorder that includes harmful behavior.
  • Past physical or mental disorders with a history of harmful behavior that is likely to recur or lead to additional harmful behavior.

What happens after completing the Immigration Medical Exam?

After the physician has completed the Immigration Medical Exam, they will recommend any missing vaccinations or treatments if you test positive for an infectious disease. The physician will complete your Form I-693 and vaccination records and place them into a sealed envelope. A member of the Revive Community Health staff will contact you and let you know that your paperwork is complete and available for you to pick up. Please note that once the documents are sealed, you can’t open them under any circumstance.
Submit the sealed medical exam paperwork as per USCIS guidelines. The results of your immigration medical exam are generally valid for two years.

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Frequently Asked Questions

Preguntas Frecuentes

¿El seguro cubre el examen médico de inmigración?

No. Nuestro examen médico de inmigración requiere el pago al momento del servicio y no es elegible para la presentación del seguro. Sin embargo, su seguro puede cubrir vacunas, pruebas de laboratorio, pruebas de imágenes (rayos X o resonancia magnética) o tratamientos médicos de seguimiento no incluidos en el examen médico de inmigración, dependiendo de su póliza.

¿Puede cualquier médico realizar el examen médico de inmigración I-693?

Sólo un profesional médico autorizado por el Servicio de Ciudadanía e Inmigración de los Estados Unidos (USCIS) como cirujano civil puede realizar el Examen de Inmigración I-693.
Los proveedores en ambas ubicaciones de Revive Community Health están autorizados por el USCIS para realizar el examen médico de inmigración I-693.

¿Puede una persona reprobar el Examen Médico de Inmigración?

El médico puede identificar que usted no cumplió con los requisitos médicos descritos en Formulario I-693 para un cambio de estatus legal si usted:
  • No proporcione la documentación necesaria para las vacunas requeridas ni obtenga una exención moral o religiosa del gobierno de los EE. UU. para las vacunas requeridas.
  • La prueba de tuberculosis, sífilis o gonorrea da positivo y no recibe tratamiento ni pruebas de seguimiento.
  • Tiene una condición de salud física o mental que requiere evaluación y tratamiento adicional y no asiste a la atención médica de seguimiento.

¿Qué vacunas se requieren actualmente para un cambio de estatus migratorio?

Las leyes de inmigración de Estados Unidos pueden exigir recibir vacunas para prevenir las siguientes enfermedades dependiendo de la edad:
  • COVID-19
  • Hepatitis A y Hepatitis B
  • hemofilia Influenza tipo B
  • Influenza
  • Sarampión, paperas, rubéola y varicela
  • meningococo
  • tos ferina
  • Neumonía neumocócica
  • Polio
  • Rotavirus
  • Rubéola
  • Toxoides tetánico y diftérico

Si doy positivo por una enfermedad infecciosa, ¿qué tipo de tratamiento se requerirá para satisfacer los requisitos del I-693?

Si la prueba de una enfermedad infecciosa da positivo, el médico analizará sus opciones de tratamiento. Le ofreceremos tratamiento al momento de su Examen Médico de Inmigración, con un costo adicional. También puede optar por buscar tratamiento en otro lugar y proporcionar documentación de ese tratamiento al gobierno cuando envíe su Formulario I-693.

¿Qué puedo esperar durante la parte de salud mental del examen?

El médico le hará preguntas para evaluar su estado mental, incluidas preguntas que identifiquen su comprensión, juicio, afecto, inteligencia, estado de ánimo y comportamiento. Estas preguntas ayudan al proveedor a determinar si usted tiene alguno de los siguientes:
  • Trastorno físico o mental actual que incluye conducta dañina.
  • Trastornos físicos o mentales pasados con antecedentes de conducta dañina que probablemente se repitan o conduzcan a conductas dañinas adicionales.

¿Qué sucede después de completar el Examen Médico de Inmigración?

Una vez que el médico haya completado el examen médico de inmigración, recomendará cualquier vacuna o tratamiento que falte si su prueba de una enfermedad infecciosa es positiva. El médico completará su Formulario I-693 y sus registros de vacunación y los colocará en un sobre sellado. Un miembro del personal de Revive Community Health se comunicará con usted y le informará que su documentación está completa y disponible para que la recoja. Tenga en cuenta que una vez que los documentos estén sellados, no podrá abrirlos bajo ninguna circunstancia.
Envíe la documentación del examen médico sellada según las pautas de USCIS. Los resultados de su examen médico de inmigración generalmente son válidos por dos años.