Immigration Physicals

Bon Secours Medical Group civil surgeons offer immigration medical exam physicals at Bon Secours Monarch Medical Associates, Patient Choice Oceana and Bon Secours Town Center Medical Associates. These immigration medical exams are required for individuals applying for citizenship, seeking Permanent Residency, or applying for a Green Card. These applicants must have an immigration physical before they can be approved.

It is mandatory that the immigration physical exam be completed by a designated civil surgeon so the exam is valid. Randall Fedro, M.D., Donald Hastings, M.D. and Nelson Sarino, M.D. are the designated civil surgeons for the U.S. Department of Homeland Security and the U.S. Citizenship and Immigration Service (USCIS).

The results of the examination will be provided to an immigration officer and may be shared with appropriate United States health authorities.

Services & Fees

Our designated civil surgeons will perform the required immigration medical exams (I-693 Exam) in accordance with the Department of Homeland Security and U.S. Citizen and Immigration Services for immigrants or employers who hire employees originating from another country. Each evaluation includes an examination performed according to the medical guidelines established by the Department of Homeland Security, USCIS, and Centers for Disease Control. The civil surgeon will record the exam results on Form I-693 for the applicant to return to the USCIS.

Our locations will perform immigration medical examinations most days of the week and our civil surgeons are often able to examine patients the same day they call for an appointment. We accept proof of vaccination done elsewhere. Those looking to get an immigration medical physical done have three options:

  1. Complete Immigration Physical Examination
    The cost of the COMPLETE Immigration Physical Examination is $265.00 and includes:
    • Physical Examination and completion of all the necessary paperwork
    • Tuberculin (skin test) and interpretation
    • Vaccinations status verification
    • RPR (Syphilis test)
    The cost of the X-ray is not included in the price of the immigration exam (since it may not be required, but can be done at either of our offices for an additional fee). If a blood test for tuberculosis is done instead of a skin test there is an additional charge.
  2. Physical Exam Only
    If you only require a medical exam the cost is $200.00. Additional services that may be required are not included in this price, but are offered or can be arranged in our office for an additional fee. If necessary, vaccinations, laboratory testing, and follow-up chest x-ray for TB testing are performed for additional fees, as needed.
  3. Supplemental Form Only
    If you receive a letter from USCIS stating that you need a supplemental medical exam our civil surgeons can also perform that supplemental exam. The cost is $65.00 for this procedure. A supplemental form only covers the immunization portion of the exam, and is not for people needing a physical or TB skin test.

What To Bring

Patients are advised to bring the following to their immigration medical exam with them to their appointment:

  • Photo Identification
    Valid, government issued picture ID such as a driver's license or passport (preferred).
  • I-94 (if available)
  • A# (if available)
  • A copy of any prior immunization,vaccinations,shot records
  • Hospital or clinic records, including proof of prior treatment for tuberculosis or other infectious disease
  • Prior chest x-rays and/or other diagnostic tests
  • Any mental health records
  • An Immigration Physical Form I-693 pre-completed with your information

The Exam

The full immigration exam is simple and requires a few basic steps mentioned below and can be done in one office visit:

  • Basic immigration physical exam and mental status evaluation. 
    Per USCIS medical requirement, the civil surgeon's medical exam must include a search for any signs of infectious diseases involving the entire body, sometimes including private areas.
  • Blood Test
    Applicants age 15 and older are required to have a serologic blood test for HIV (AIDS) and Syphilis (RPR). Applicants under age 15 may require HIV or syphilis testing at the discretion of the civil surgeon, or if there is reason to suspect the possibility of infection. We will provide pre-test counseling to all applicants who take the HIV test. If you are found to have HIV infection, post-test counseling will also be provided.
  • Tuberculosis Skin Test
    Applicants age 2 and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to the office within 48 – 72 hours after administration.If the test reading is positive a chest x-ray and further evaluation will be required.
  • Proof of vaccinations or blood titer to prove immunity 
    Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves a person has immunity or antibodies for a particular disease. We will review your vaccination history with you to determine whether you have all the required vaccinations. Please bring all vaccination records to your scheduled appointment for the immigration medical exam.

After The Exam

Once the immigration medical examination is completed the civil surgeon will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the Department of Homeland Security and U.S. Citizen and Immigration Services. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of your blood tests results will be provided for you to keep after results have been discussed with the doctor. The medical examination will only be valid up to a year after the immigration exam date.

Adult Immunizations:

  • Measles, Mumps, Rubella vaccine
  • TdaP vaccine
  • Varicella (Chicken Pox) vaccine
  • Influenza (during flu season)

Childhood immunizations depend on age and may include:

  • Rotavirus vaccine
  • Measles, Mumps, Rubella vaccine
  • Tetanus, Diptheria, Pertussis vaccine
  • Polio vaccine
  • Haemophilus Influenzae Type b vaccine
  • Hepatitis B vaccine
  • Hepatitis A vaccine
  • Pneumococcal vaccine

Our Locations

Bon Secours Monarch Medical Associates
4211 Monarch Way
Norfolk, VA 23508
757-738-1400

Bon Secours Town Center Medical Associates
4421 Virginia Beach Blvd., Suite 114
Virginia Beach, VA 23462
757-738-1300

Patient Choice Oceana
1253 Nimmo Parkway, Suite 110
Virginia Beach, VA 23456
757-425-8590

Visit the Official US Citizen & Immigration Services website for more information.