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If you are applying for a green card from inside the United States, USCIS requires a medical examination by a designated civil surgeon. Dr. Marina Gafanovich is a USCIS-designated civil surgeon and you can verify her designation in the USCIS Civil Surgeon Locator and performs immigration medical exams in her Upper East Side office.
We complete the exam, the required tests and any missing vaccines in one place, and give you Form I-693 in a sealed envelope, ready to file.
Rules change from time to time. We follow the current USCIS instructions and CDC Technical Instructions for Civil Surgeons, and we’ll tell you if anything affects your case.
Medical history and physical exam
A review of your medical history and a physical examination, including eyes, ears, nose and throat, heart, lungs, skin and lymph nodes, and a mental health assessment, as required by USCIS.
Required tests
Vaccination review
The civil surgeon checks your vaccination record against the CDC list for your age. Depending on age and history, it may include:
If you have no records, a blood test (titers) can sometimes prove immunity instead of giving the vaccine again. Any missing vaccines can be given in our office.
If a result needs follow-up (for example, a positive TB test), we explain the next steps and help you arrange them.
Certified by the American Board of Internal Medicine (ABIM), with more than 20 years in practice.
Affiliated with NewYork-Presbyterian / Weill Cornell Medical Center.
Dr. Gafanovich has led this Upper East Side practice since 2008; the practice was founded in 1961.
ECG, spirometry, urinalysis and blood draw in the same office, often during the same visit.
Unhurried visits, and every result is explained.
English, Russian, Spanish
A civil surgeon is a doctor designated by USCIS to perform immigration medical exams inside the United States. Only a civil surgeon can complete and sign Form I-693.
Form I-693 must be filed together with Form I-485. Once filed, it stays valid for that application. Plan your exam close to your filing date.
No. USCIS removed the COVID-19 vaccine requirement in January 2025.
That’s common. We can check immunity with a blood test for some diseases or give the missing vaccines in the office.
Yes. We see applicants of all ages. The tests and vaccines depend on the child’s age.
Usually not, because it is required for an administrative process rather than for treatment. We’ll give you a clear price when you book.
No. It usually means further evaluation, starting with a chest X-ray. Most people with latent TB can continue their application after the required steps.
Medically reviewed by Dr. Marina Gafanovich, MD, board-certified internist · Last reviewed: September 21, 2026
My NYC Doctor — Dr. Marina Gafanovich, MD
1550 York Ave, Suite A
New York, NY 10028
Mon–Fri: 9:00 am – 5:00 pm
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1550 York Ave, Suite A, Upper East Side · Mon–Fri 9 am – 5 pm
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