Boston, MA
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Let’s get this right the first time.
Your green card medical exam matters. Find a local civil surgeon, a clear price, and a careful approach to your Form I-693.
Check your clinic for available appointments and form timing.

Your immigration medical exam must be performed by a USCIS-designated civil surgeon. Each partner clinic has its own physician and appointment calendar, with the same $599 exam fee and required lab testing included.
Verify a doctor with USCISIndependent medical practices. No government affiliation.
Our first partner clinics are coming soon. Get notified in your area.
We’re onboarding our first clinics now. Leave your ZIP and we’ll contact you as soon as one opens near you.
Need an exam sooner? Search every designated civil surgeon on the official USCIS locator ↗.
We are planning coverage in these areas. Clinics and opening dates are not yet confirmed. Appointments are not available.
Planned service area
Book, visit, and receive your sealed form, with a clear plan along the way.
Choose your clinic, then check its available appointments or call to arrange your visit.
Your civil surgeon reviews your records, performs your exam, and explains the required testing.

When all requirements and results are complete, your civil surgeon completes and seals your Form I-693.
Your clinic will confirm form timing.Form timing is separate from appointment availability.
The same exam fee at every National IME clinic. Required lab testing included, with additional services explained before your visit.
Your needs depend on your records and test results. Your clinic will explain any additional costs before you proceed.
Each clinic confirms payment options, lab arrangements and form timing.
For everything that comes next.A deadline. A new beginning. A family’s future. There’s a lot behind this appointment, and careful preparation matters.
Share your deadline with your clinic. Confirm appointment options and when your form can be ready.
Bring previous records and any attorney instructions so your civil surgeon can review the next steps.
Confirm your doctor’s designation, gather your records, and plan around your filing deadline. These practical steps help you arrive prepared.
Read the complete exam guideA medical license alone is different from civil surgeon designation. Verify your doctor on USCIS.
Photo ID, vaccination records and a medication list. Bring any prior exam records, too.
Review current I-693 guidance with your attorney and share your deadline with the clinic.
Keep the original sealed for USCIS. Ask the clinic for a separate copy for your records.
Vaccines, TB screening, exam costs and what to bring. Clear explanations with links to official guidance.
What the immigration medical exam (Form I-693) involves in 2026: who needs it, required tests by age, TB results, the sealed form, costs and timing.
Read the guide Policy updateI-693 forms signed since Nov 1, 2023 have no expiration date but are valid only for the application they are filed with. What that means for timing.
Read the guide Cost guideImmigration medical exam prices vary widely and often leave out labs, vaccines or x-rays. What to ask before booking so the price you see is what you pay.
Read the guide Exam guideWhich vaccines the immigration medical exam requires by age, why COVID-19 no longer applies, how titers replace lost records, and how vaccine waivers work.
Read the guide Exam guideA positive TB blood test on the immigration medical exam means a chest x-ray. If it's normal, it's latent TB (Class B2) and treatment isn't required first.
Read the guide Exam guideThe immigration medical exam has no routine drug screen. What the civil surgeon does assess, why accurate answers matter, and when to call an attorney.
Read the guideThe essentials before your appointment, with clear answers and a little more peace of mind.
All frequently asked questionsOnly a physician USCIS has designated as a civil surgeon. A medical license alone is not enough, and a form signed by a doctor who is not designated will not be accepted. Every clinic in our network is led by a designated civil surgeon, and you can confirm any doctor’s designation yourself on the official USCIS Find a Doctor locator at my.uscis.gov/findadoctor.
Before you file. Since December 2, 2024, most people filing Form I-485 must include the sealed I-693 in the same package, and USCIS may reject an I-485 that arrives without it. Because the form is also tied to the one application it is filed with, the practical approach is to book the exam once the rest of your filing is nearly ready. If an attorney is handling your case, follow their timing.
Forms signed on or after November 1, 2023 no longer expire on a calendar date. Under the policy that took effect June 11, 2025, however, a form is valid only for the application it was filed with. If that application is denied or withdrawn, you will need a new exam for any future application. Forms signed before November 1, 2023 keep the older two-year window.
A drug screen is not part of the routine immigration medical exam. The civil surgeon takes a medical history, which includes questions about drug and alcohol use, and must record the findings accurately. How any part of your history bears on your case is a legal question, so if it worries you, speak with an immigration attorney before your appointment. A reputable clinic will never coach you on what to say.
A positive blood test does not mean you have active tuberculosis. You will need a chest x-ray. If the x-ray is normal and you have no symptoms, CDC classifies the result as latent TB infection (Class B2), and treatment is not required to complete your immigration medical exam. The result is reported to the local health department, and treating latent TB is still worth doing for your own health.
Each clinic in our network publishes its exam fee on its clinic page, together with a line-by-line list of what the fee includes and what is billed separately. Vaccines you still need and a chest x-ray, if one is required, are usually extra. Most health insurance plans do not cover the immigration medical exam because it is required for an immigration benefit rather than for treatment.
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