Immigration Medical Exam FAQs 

USCIS-Approved Immigration Medical Exams in Chicago with Dr. Anthony Martino

  • How much does the immigration medical exam cost?

    We offer both standard and expedited immigration medical exam services for adults and children.


    • Standard processing (typically completed within 7–9 days): $350
    • Rush processing (completed within 3–5 days): Additional $125, total $475

    Pricing assumes you already have all required vaccination records, including COVID-19 documentation.

  • Which vaccines are required for the USCIS medical exam?

    The vaccines required depend on your age and USCIS guidelines. Common required vaccines may include:

    • Hepatitis B
    • MMR (Measles, Mumps, Rubella)
    • Varicella (Chickenpox)
    • Tdap
    • Influenza
    • COVID-19
    • Polio
    • Hepatitis A
    • Pneumococcal

    Requirements vary by age group and current CDC/USCIS rules.

  • Is the immigration medical exam covered by insurance?

    In most cases, insurance does not cover the USCIS immigration medical exam itself. However, certain vaccinations or lab work may be covered under your individual health insurance plan. It’s best to contact your insurance provider for details.

  • Do I need an appointment, or are walk-ins accepted?

    Appointments are strongly recommended to reduce wait times, although walk-ins may occasionally be accommodated based on availability.

  • How long does the medical exam appointment take?

    Most immigration medical exam appointments take approximately one to one and a half hours to complete.

  • What if I was vaccinated but no longer have my records?

    If you don’t have copies of your vaccination records, you may be able to obtain them from a previous healthcare provider. Another option is antibody blood testing (titers), which can confirm immunity to certain diseases such as MMR, Hepatitis B, or Varicella.

  • Does your office offer immunity testing (titers)?

    Yes. Titer testing is available for patients who believe they previously received vaccines but cannot provide documentation. Additional fees apply for these lab tests.

  • What if I have all my vaccines but no proof?

    USCIS requires official vaccination documentation. If records are unavailable, you can either:

    • Complete titer testing to prove immunity, or
    • Receive the required vaccines again.

    Blood testing for immunity is available at an additional cost.

  • Is it safe to repeat a vaccine if I already had it as a child?

    Yes. In most cases, repeating a vaccine such as Varicella is considered safe. Alternatively, you may choose a titer test to confirm immunity before receiving another dose.

  • Can I use a photo of my vaccine records on my phone?

    Yes, digital copies are generally acceptable as long as they clearly show official vaccination documentation. Printed copies are preferred when possible.

  • How long is a Tdap vaccine valid?

    A Tdap vaccine is generally valid for 10 years.

  • Do adults still need the Hepatitis B vaccine?

    USCIS currently requires the Hepatitis B vaccine for applicants up to age 59.

  • Do you accept titer results from outside labs like CVS?

    Yes. Immunity testing completed at outside clinics or pharmacies may be accepted if the documentation meets USCIS requirements.

  • Do you perform TB screening and Hepatitis B antibody testing?

    Yes. TB blood testing and Hepatitis B antibody testing are available as part of the immigration medical process.

  • Is your clinic approved by USCIS?

    Yes. The clinic is designated as a USCIS-authorized civil surgeon office.

  • Will I receive my completed paperwork the same day?

    Most applicants require two visits. During the first visit, lab work and any necessary vaccinations are completed. Once test results return, you’ll return to pick up your sealed USCIS paperwork.

  • What should I bring to my appointment?

    Please bring:

    • A valid government-issued ID or passport
    • Any vaccination records
    • COVID-19 vaccination documentation
    • Immigration-related paperwork if applicable
  • Do you offer N-648 disability waiver evaluations?

    Yes. N-648 medical certification evaluations for disability exceptions may be available depending on your circumstances and supporting medical documentation.

  • Do you perform immigration exams for applicants outside the United States?

    No. These medical exams are only available for applicants adjusting status within the United States.

  • What is a civil surgeon?

    A civil surgeon is a physician authorized by USCIS to complete immigration medical exams and Form I-693 for green card applicants.

  • Does the immigration medical exam expire?

    Medical exam validity depends on current USCIS policy and when the form was signed. Applicants should confirm the latest rules with USCIS or their immigration attorney.

  • What happens if I cannot receive certain vaccines?

    If you have a medical or religious reason for declining a vaccine, documentation from your physician may be included with your immigration medical paperwork. Final approval is determined by USCIS.

  • When is a chest X-ray required?

    A chest X-ray may be required if your tuberculosis blood test returns positive. Only a small percentage of applicants typically need this additional step.

  • How are the medical exam results submitted to USCIS?

    You will receive a sealed envelope containing your completed Form I-693. This sealed packet must remain unopened and be submitted directly to USCIS. A copy may also be provided for your records or attorney.

  • Are virtual immigration medical exams available?

    No. USCIS immigration medical exams must be completed in person with a designated civil surgeon.

  • What if I need another copy of my immigration medical report?

    Replacement sealed packets and archived copies may be available for additional fees, depending on how long ago the exam was completed.

  • What payment methods are accepted?

    Accepted payment methods may include:

    • Cash
    • Debit cards
    • Checks
    • Zelle

    Some offices may charge additional fees for credit card payments.

  • Are there any discounts available?

    Some offices may offer coupons, promotional pricing, or discounts for same-day appointments.

  • What is included in the exam fee?

    The standard immigration medical exam fee generally includes:

    • Physical examination
    • TB blood testing
    • Syphilis testing
    • Gonorrhea testing
    • USCIS paperwork completion

    Vaccines and additional testing may cost extra.

  • Are additional fees ever required?

    Additional charges may apply for:

    • Vaccinations
    • Titer testing
    • Chest X-rays
    • Replacement sealed envelopes
    • Additional lab work

Chicagoland's trusted choice for immigration medical exams

When your immigration journey depends on accurate medical documentation, experience matters. Dr. Anthony Martino is a USCIS-approved civil surgeon in Chicago who provides trusted Form I-693 immigration medical exams for green card and adjustment of status applications.



With more than 20 years of medical experience, Dr. Martino has helped thousands of patients complete their immigration medical requirements with confidence. From the initial exam to the sealed paperwork, our team makes the process simple, efficient, and stress-free.


Every immigration physical is completed by Dr. Anthony Martino, a USCIS-designated civil surgeon authorized to perform and sign Form I-693 exams for immigration and adjustment of status cases. Patients throughout Chicago choose NorthPark Immigration Exams for dependable service, precise documentation, and a smooth experience from start to finish.

We are known for:

Fast appointment availability


Accurate Form I-693 completion


USCIS-compliant medical exams


Clear guidance through every step


Friendly, professional patient care


Quick turnaround on paperwork