Immigration Exams

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Certified US Civil Surgeon

Dr. Arroyave is a licensed US Civil Surgeon who is authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physicals and  Exams for the Department of Homeland Security.


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  • If the applicant is NOT fluent in English or Spanish, they must come in with a Translator. The  translator must be the same person for each visit.
  • Full payment is due at time of service. (We do not accept any form of private or government health insurance.)

fee$

Fixed Cost

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If the applicant has proper documentation of their immunization  or lab reports indicating adequate immunization, the fee is $289.  


This fee covers:

Physical & Mental Exam  / TB Skin Test and  follow-up visit  / required Lab Tests for Syphilis & Gonorrhea  / Signed, Certified and Sealed I-693 Form

Possible Additional Costs

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If the applicant Does Not Have proper documentation of vaccinations or Immunity, the fee will depend on  (i) whether Lab test(s) are needed to determine immunity to certain viruses; and (ii) whether certain vaccination(s) are required. 


Also, if the PPD test for Tuberculosis is positive, a Chest X-ray will be required. Also, a Flu Shot is required during Flu Season.

What to Bring To The Exam

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A valid photo identification, e.g.,  driver’s license or passport / Form I-94 - if available / Alien Registration Number (A#) - if available / Copies of prior vaccination records /medical records, including proof of prior treatment for tuberculosis or other infectious disease. / On arrival for the exam, the applicant's portion of “Report of Medical Examination and Vaccination Record” (Form I-693) must be COMPLETED. 


Form I-693 can be downloaded by Clicking here

For instructions on filling out the I-693 Form please click here.

After The Exam

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After the examination is completed, the applicant will receive Form I-693 & support documents in a sealed enveloped. This sealed envelope needs to be returned to the INS with your immigration application to the INS.


A copy of your blood tests results will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.

Click here to visit the Official US Citizen & Immigration Services website for more information.