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Immigration Medical Exam (Form I-693) in NYC

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.

  • Board-certified internist
  • Affiliated with NewYork-Presbyterian / Weill Cornell
  • On the Upper East Side since 2008
  • Blood work & ECG in the office
Dr. Marina Gafanovich reviewing immigration medical exam paperwork with a staff member in her Upper East Side office

At a glance

  • Who needs it: applicants for adjustment of status (Form I-485) and certain other immigration benefits
  • Visits: usually 2 visits — the exam and blood draw, then a short visit to pick up the sealed form
  • Results: Form I-693 ready in about 1 week once all results are in
  • Price: call 212-249-6218 for current pricing
  • Insurance: immigration exams are usually not covered by insurance

Important rules to know

  • Form I-693 must be filed together with your Form I-485. USCIS no longer accepts it later in the process for new applications.
  • The civil surgeon gives you the completed form in a sealed envelope. Do not open it: USCIS rejects opened or altered envelopes.
  • Only a USCIS-designated civil surgeon can sign Form I-693.
  • The COVID-19 vaccine is no longer required for immigration medical exams.

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.

What's included

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

  • Tuberculosis: IGRA blood test (QuantiFERON) for everyone age 2 and older. A chest X-ray is arranged only if the result is positive or there are symptoms.
  • Syphilis: blood test for applicants 18 to 44 years old.
  • Gonorrhea: urine test for applicants 18 to 24 years old.
  • HIV testing is not required for immigration.

Vaccination review

The civil surgeon checks your vaccination record against the CDC list for your age. Depending on age and history, it may include:

  • MMR (measles, mumps, rubella)
  • Tdap / Td (tetanus, diphtheria, pertussis)
  • Polio
  • Varicella (chickenpox)
  • Hepatitis A and hepatitis B
  • Pneumococcal and meningococcal
  • Hib and rotavirus (children)
  • Seasonal influenza (during flu season)

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.

What to bring

  • Passport or other government-issued photo ID
  • All vaccination records you have, translated into English if needed
  • Form I-693 information (your A-number, if you have one)
  • Records of any past TB treatment, positive TB tests or chronic conditions
  • Glasses or contact lenses if you wear them
  • Payment for the exam

How the process works

  1. Book the exam. Call 212-249-6218 or book online. Tell us if you are applying as a family, so we can see you together.
  2. Visit 1: exam and blood draw. Dr. Gafanovich reviews your history and vaccination records, performs the exam and draws blood. Missing vaccines are given the same day.
  3. Results. When all results are back, the doctor completes and signs Form I-693.
  4. Visit 2: pick-up. You collect the sealed envelope and a copy for your records.
  5. File with your I-485. Include the sealed envelope in your green card package.

If a result needs follow-up (for example, a positive TB test), we explain the next steps and help you arrange them.

Why patients choose Dr. Gafanovich

Board-certified internist

Certified by the American Board of Internal Medicine (ABIM), with more than 20 years in practice.

Hospital affiliation

Affiliated with NewYork-Presbyterian / Weill Cornell Medical Center.

A practice with history

Dr. Gafanovich has led this Upper East Side practice since 2008; the practice was founded in 1961.

Tests on site

ECG, spirometry, urinalysis and blood draw in the same office, often during the same visit.

Time to listen

Unhurried visits, and every result is explained.

Languages

English, Russian, Spanish

Frequently asked questions

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.

Related services

Medically reviewed by Dr. Marina Gafanovich, MD, board-certified internist · Last reviewed: September 21, 2026

Book a visit

  • Book online in about a minute
  • Most major insurance plans accepted
  • English, Russian & Spanish spoken

My NYC Doctor — Dr. Marina Gafanovich, MD
1550 York Ave, Suite A
New York, NY 10028

Mon–Fri: 9:00 am – 5:00 pm
Sat–Sun: closed

Book your appointment online

Choose a convenient time below — it takes about a minute. Prefer to talk to us? Call 212-249-6218, Mon–Fri 9 am – 5 pm.

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1550 York Ave, Suite A, Upper East Side · Mon–Fri 9 am – 5 pm