Immigration physicals
Board-certified, USCIS-designated civil surgeons. A bilingual team. We do the exam, run the labs, and give you a sealed Form I-693
Let’s schedule your exam.
Book online or speak with our team about availability.
Monday–Saturday appointments.
Same-day appointments are often available.
What the exam includes
An immigration medical examination helps USCIS assess the health-related requirements for many applicants seeking adjustment of status to lawful permanent residence. Your designated civil surgeon records the results on Form I-693. You do not have to bring the I-693 form. We have the latest edition of the form at our office.
At Chicago Med Group, Dr. Cvengros or Dr. Munoz reviews your medical history, performs the physical examination, and checks your vaccination records. Bring all your past vaccination records.
Medical history & physical exam
A detailed medical history, physical examination, and review of the vaccinations required for your age.
Tuberculosis blood test
Syphilis blood test
A blood test is required for applicants ages 18 – 44. Testing at other ages may be needed when medically indicated.
Gonorrhea testing
Usually a urine test for applicants ages 18 through 24. Your doctor will tell you which sample is needed.
What to bring
Gather these items before your visit. Call us if anything is unclear.
Your appointment checklist
- Unexpired government-issued photo ID: bring a passport, driver’s license, or other government-issued photo identification.
- Children under 14: bring a birth certificate.
- Married last name: Bring your marriage certificate if names are different on ID/Passport.
- All vaccination records: include older immunization records and any flu shot documentation.
- Relevant medical records: bring information that helps the doctor review your history, including previous TB results or treatment records.
- Time for your visit: plan for 30–40 minutes and arrive a little early for paperwork. We have Form I-693 at the office; wait to sign until the civil surgeon asks you to.
No fasting is needed for the immigration exam.
How it works: three steps
Before your visit
During your visit
Results & Pick-up
Our staff contacts you when lab results are available, explains any next steps, and lets you know when your completed forms are ready to pick up.
Your completed I-693 packet
Lab results commonly take 48–72 hours. Plan on about 7 days for the full process when no further evaluation or records are needed. Contact us early if you have an upcoming USCIS deadline.
Meet the doctors
Our board-certified physicians are designated by USCIS to perform immigration medical examinations. Our doctors and staff speak English and Spanish.
Teresa Cvengros
Gilberto Munoz
Common questions
Short answers to what people ask most
About the exam
What is a USCIS immigration medical exam?
A USCIS immigration medical exam is a health exam required for many people applying for a green card from within the United States. A specially designated doctor, called a civil surgeon, reviews your health history, examines you, and checks the required tests and vaccinations.
At Chicago Med Group, we explain each step and help you get your medical paperwork ready. USCIS makes the decision on your immigration application.
What is Form I-693?
Form I-693 is the Report of Immigration Medical Examination and Vaccination Record. Your civil surgeon uses it to document your exam, test results, and vaccination review for USCIS.
We have the form at the office. You can also view Form I-693 on the USCIS website.
Can I arrange immigration exams for my family?
Call 773-755-2600 and tell us how many people need exams and their ages. We can help you check appointment options for your family. Each person needs their own appointment and paperwork; please do not book one appointment for several people.
For children under 14, bring a birth certificate.
Do you offer immigration exams in Spanish?
Yes. Our doctors and staff speak English and Spanish. Let us know your preferred language when you schedule so you can feel comfortable asking questions throughout your visit.
Tests & vaccinations
Which vaccines are required for an immigration medical exam?
The vaccines you need depend on your age, records, and health.
Not every vaccine on the CDC list applies to everyone.
Your civil surgeon will review your history and explain any doses you need.
Do I need to bring my vaccination records?
Yes—bring all the vaccination records you have, even older records or records from another country.
Written records help your doctor see which doses you have already received and may save you an extra visit. Note: Foreign records must be translated into English.
Include any flu shot documentation during flu season.
What if I don’t have my vaccination records?
Bring whatever you can find. Your doctor will review which vaccines or blood tests for immunity (titers) may be appropriate. Remembering a vaccination does not replace a written record.
We offer vaccines in the office for an additional charge. Ask us about the next steps and costs before arranging extra tests or vaccinations elsewhere.
Titers are an additional fee.
Can I get required vaccines at your office?
Yes. We offer immunizations at the office for an additional charge.
Your doctor will first review which ones you need.
Do I have to finish every vaccine series before Form I-693 is completed?
No. Some vaccine series take longer to finish.
Your doctor will explain which doses are needed now and which to arrange later for your ongoing protection.
Do I need a tuberculosis (TB) test for my immigration physical?
Applicants age 2 and older need an IGRA blood test for tuberculosis as part of the immigration exam.
What happens if my TB blood test is positive?
A positive TB blood test means you will need a chest X-ray for the immigration physical.
It does not, by itself, mean you have active or contagious TB.
Your doctor will review your symptoms, history, and X-ray and explain what comes next.
Some people need additional testing or a health department evaluation before their paperwork can be completed.
Do I need syphilis testing for my immigration medical exam?
Applicants ages 18–44 need a syphilis blood test under current CDC instructions.
The civil surgeon orders the required test as part of your exam.
Do I need a gonorrhea test for my immigration physical?
Applicants ages 18–24 need gonorrhea testing under current CDC instructions.
Testing commonly uses a urine sample.
Do I need an HIV test for my immigration medical exam?
No. HIV testing is not required for the U.S. immigration medical examination.
Can I use lab results from another doctor?
Bring previous vaccination records.
The required syphilis and gonorrhea tests must be ordered as part of the civil surgeon’s exam; prior or outside tests do not replace them.
Is a COVID-19 vaccine required for Form I-693?
No. USCIS waived the COVID-19 vaccination requirement for adjustment-of-status applicants in January 2025.
Can I have an immigration medical exam while pregnant?
Yes. Tell us when you schedule and remind the doctor at your visit. We will review your testing and vaccination needs with pregnancy in mind and explain whether anything needs to be delayed. The timing of any additional evaluation can affect when your form is ready.
Appointments & cost
What should I bring to my immigration physical?
Please bring:
- Unexpired government-issued photo ID, such as a passport or driver’s license.
- A birth certificate for children under 14.
- All vaccination records (must be translated in English), including any flu shot documentation. (during flu season)
- Relevant medical records, including previous TB results or treatment records.
Arrive a little early for paperwork. We have Form I-693 at the office; wait to sign it until the civil surgeon asks you to.
Do I need to fast, or can I eat and drink before my exam?
You do not need to fast for the immigration medical exam. You may eat and drink normally beforehand.
How long does an immigration medical exam appointment take?
Please plan for 30–40 minutes for your appointment, and arrive a little early for paperwork. More time may be needed depending on your needs.
Can the immigration physical be completed in one visit?
We can often complete the examination and vaccination review at your first visit, but your finished Form I-693 is usually not ready that day. We need to review the required lab results first.
Missing records, vaccines, or additional testing may mean another visit.
We are not able to expedite blood work results.
Can I get a same-day immigration physical in Chicago?
Call 773-755-2600 to ask about today’s availability. We offer appointments Monday through Saturday, but same-day openings vary.
Book your immigration physical online. A same-day appointment does not mean same-day completed paperwork; lab results and review take additional time.
How much does an immigration medical exam cost in Chicago?
Call our team at 773-755-2600 for current pricing.
Your total cost depends on the exam, possible titers and any vaccines that may be needed.
Does insurance cover the immigration medical exam?
Insurances typically do not cover Immigration physicals.
We can provide an itemized receipt for the exam for you to submit to your insurance company.
Whether you receive reimbursement depends on your plan and insurance company.
Where is your office, and is parking available?
Chicago Med Group
2845 N Sheridan Road, Suite 907
Chicago, IL 60657
Valet parking and self-parking are available in the building. The self-parking entrance is on Commonwealth Avenue.
Form I-693 & after your exam
How quickly can I get my completed Form I-693?
Please allow about 7 days for the full process when no extra records or evaluation are needed. We use Quest Labs; results commonly take 2-3 days, followed by the doctor’s review and paperwork.
If you have an upcoming deadline, schedule your appointment as soon as possible.
Our team will let you know when your sealed packet is ready.
What will I receive after my immigration medical exam?
Once your exam and required follow-up are complete, you receive your Form I-693 in a sealed USCIS envelope.
We also provide a separate copy of your form and your lab results for your records.
Follow the current USCIS instructions, or your immigration attorney’s guidance, for the sealed packet.
Can I open my sealed I-693 envelope?
No, keep the USCIS envelope sealed. USCIS may return Form I-693 if the envelope has been opened or altered.
Use the separate copy we provide to review your results.
Does each family member need a separate Form I-693?
Yes. Each applicant who needs an immigration medical exam must have a separate Form I-693, including children. One family member’s form does not cover the rest of the family.
Should I sign Form I-693 before my appointment?
No. You can fill in your personal information, but wait to sign until the civil surgeon tells you to.
The signature must be completed in the civil surgeon’s presence.
What if I need additional testing, treatment, or medical records?
Your doctor will explain what is needed and why, whether that means another record, a vaccine, a chest X-ray, or follow-up care.
Still have a question?
Information checked September 18, 2026. Exam requirements follow USCIS and CDC guidance; your civil surgeon will explain what applies to you.
Find us on Sheridan Road.
Suite 907 · Chicago, IL 60657
Parking in the building
Enter self-parking from Commonwealth Avenue.