|If you are...||then:|
|in the United States,||The immigration medical exam must be conducted by a physician designated by USCIS (also known as a "civil surgeon"). To find an approved doctor near you, see the My USCIS Find a Doctor or call our National Customer Service Center at 1-800-375-5283.|
|abroad,||The immigration medical exam must be conducted by a physician designated by the U.S. Department of State (also known as a "panel physician"). See the Department of State website to find an approved doctor near you.|
Medical Examination Fees
USCIS does not regulate the fees charged by civil surgeons for the completion of a medical examination. Rates vary by physician.
Completing Medical Forms
Print out and bring the most recent version of Form I-693, Report of Medical Examination and Vaccination Record, to your medical exam appointment: Fill out Part 1 of Form I-693 but do not sign until the civil surgeon instructs you to do so. The civil surgeon will use Form I-693 to document the results of your medical exam.
The designated civil surgeon will complete, sign and seal Form I-693 and any supporting documents in an envelope. You must submit the sealed envelope to USCIS as directed in the Form I-693 instructions.
IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.
Civil Surgeons' Responsibilities and Requirements
For more information on the responsibilities, requirements and instructions on how civil surgeons perform immigration exams, see our Designated Civil Surgeons page.