USCIS-Designated Civil Surgeon · St. Louis, Missouri
USCIS Immigration Medical Exam
(Form I-693)
Complete your green card or citizenship medical exam in one visit. Dr. Gurpreet Padda, a USCIS-designated civil surgeon, performs your examination, orders the required lab tests, and completes and seals your Form I-693 — with a 100% money-back guarantee on our paperwork.
Schedule Your Exam Text (314) 886-5902
Already booked? Complete your I-693 form online →
4477 Woodson, Suite 102, St. Louis, MO 63134 · $390 flat exam fee · Most exams completed in a single visit · Next to St. Louis Lambert International Airport
What happens at your I-693 exam, step by step
No surprises. Here is exactly what occurs from check-in to the sealed envelope.
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Book online or by text
Reserve your time on our calendar or text (314) 886-5902. A $100 scheduling fee holds your appointment and is credited toward the $390 exam fee.
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Check in with your documents
Bring your government-issued photo ID, vaccination records, and Form I-693 with Part 1 completed — but not signed. Do not sign until the civil surgeon instructs you.
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History and physical examination
Dr. Padda reviews your medical history and performs the physical exam USCIS requires. This exam checks only the conditions specified by immigration rules — it is not a general health assessment.
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Vaccination record review
We validate your U.S. and foreign vaccination records against the CDC age-specific requirements and document any vaccines you still need — so you never repeat a shot you already have.
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Required laboratory testing
A tuberculosis IGRA blood test (age 2 and older), a syphilis blood test, and a gonorrhea urine test, as required by your age. Samples are drawn on site.
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Form completion and sealed envelope
When results return, the civil surgeon completes and signs Form I-693, seals it in an envelope for USCIS, and gives you a copy for your records.
What the exam covers
History & physical
A focused evaluation for the conditions USCIS specifies — infectious diseases of public-health concern, substance use, and certain mental health conditions. Common conditions such as diabetes, high cholesterol, or hypertension do not interfere with your application; they are simply documented on Form I-693.
Vaccination review
USCIS requires proof of age-appropriate vaccines including Tdap, MMR, Varicella, Hepatitis A and B, Polio, and COVID-19. We validate foreign records so you only receive what is genuinely missing. See the full vaccine requirements →
Required lab screening
Tuberculosis IGRA blood testing for applicants age 2 and older, plus syphilis and gonorrhea screening based on age, per the CDC Technical Instructions for Civil Surgeons. See lab turnaround times →
What to bring to your appointment
- Form I-693 with Part 1 completed — complete it online now — do not sign Part 2
- A valid government-issued photo ID (passport, ID card, or driver’s license)
- For children under 14: a document showing name, date and place of birth, and parents’ full names (e.g., birth certificate)
- Immunization records, with official English translation
- A copy of your medical history and any previous chest X-rays
- A letter from your regular doctor outlining any treatment plans
- Your health insurance card, if any
- An interpreter who can speak, read, and write in English, if needed
- Payment (cash, check, or card) — due at the time of visit
Our 100% Money-Back Guarantee
If your Form I-693 is rejected solely due to our error in paperwork — and you have fully complied with all vaccination and medical requirements, with no other defects in your application — you’re entitled to a full refund. No fine print. No delays.
To qualify, submit a complete copy of the official USCIS letter or notice stating the rejection, showing no other application errors. The guarantee applies to I-693 immigration medical exams only; it does not cover N-648 evaluations or laboratory and radiology testing fees. Full terms →
What applicants say
Verified five-star Google reviews, in our patients’ own languages.
Excelente servicio. El Dr. Padda y su equipo fueron increíblemente rápidos y profesionales con mi examen médico de inmigración I-693. Todo estuvo listo en menos de una hora.
Excellent service. Dr. Padda and his team were incredibly fast and professional with my I-693 immigration medical exam. Everything was ready in less than an hour.
非常专业和高效。Padda医生的团队很熟悉I-693表格流程，解答了我们所有关于疫苗接种的问题，完全没有浪费时间。
Very professional and efficient. Dr. Padda’s team is very familiar with the I-693 form process and answered all our questions about vaccinations without wasting any time.
خدمة ممتازة وسريعة جداً. الدكتور بادا وفريقه متعاونون للغاية في إتمام الفحص الطبي الخاص بالهجرة. أنصح به بشدة.
Excellent and very fast service. Dr. Padda and his team were highly cooperative in completing the immigration medical exam. I highly recommend him.
Bác sĩ Padda và các nhân viên rất tận tình. Họ hướng dẫn rõ ràng từng bước và giúp tôi hoàn thành hồ sơ tiêm chủng nhanh chóng.
Dr. Padda and the staff are very dedicated. They guided me clearly through every step and helped me complete my vaccination records quickly.
Very pleasant experience. Staff were friendly, knowledgeable and efficient. Doctor was informative and friendly, engaged well with myself and the family and helpful in guiding us through the process and recommended steps. Overall experience was seamless and pleasantly blissful.
Great experience with my immigration medical exam. Very professional staff, clear pricing and they finished my paperwork on time.
Common questions
What does the I-693 exam cost, and what is billed separately?
The Form I-693 examination is $390 flat. Laboratory testing and any vaccinations you actually need are billed separately at lab and per-dose rates. The full breakdown, including N-648 fees and payment timing, is on the I-693 immigration medical exam cost page.
How long does the I-693 exam take?
Plan for 2 to 6 hours for the full appointment, including the physical exam, vaccine record review, and on-site lab draws. Required lab results (IGRA tuberculosis blood test, syphilis, gonorrhea) typically return within 2–5 business days, after which your form is completed and sealed.
Do I need to repeat vaccines I already received in my home country?
No — if you bring official vaccination records with an English translation, we validate them against CDC requirements and only administer or refer you for vaccines that are genuinely missing.
Should I sign Form I-693 before my appointment?
No. Complete Part 1 of the form before your visit, but do not sign it. You sign only when the civil surgeon instructs you during the exam — a premature signature can invalidate the form.
Who can perform an immigration medical exam?
Only a physician designated by USCIS as a civil surgeon can perform the I-693 exam. Dr. Gurpreet Padda is a USCIS-designated civil surgeon practicing at 4477 Woodson, Suite 102, St. Louis, MO 63134.
What if I can’t take the English or civics test for medical reasons?
USCIS Form N-648, Medical Certification for Disability Exceptions, allows a licensed physician to certify a qualifying medical condition. Dr. Padda performs structured N-648 evaluations. Learn about the N-648 evaluation →
In the News · Distributed on Major Newswires
News & Regulatory Alerts
Our announcements are distributed via EIN Presswire to major newswires and indexed news databases. Regulatory alerts summarize federal changes that affect immigration medical timing — they are informational, not legal advice.
Regulatory Alert — H-1B $100,000 Fee Proclamation. September 25, 2025
A presidential proclamation imposed a $100,000 payment requirement on new H-1B petitions filed after September 21, 2025. It does not apply to petitions filed before the cutoff, previously approved petitions, or valid H-1B visas already issued. Careful coordination of medical exams, form editions, and filing sequence with immigration counsel can reduce exposure — alternatives include cap-exempt employment, extensions or transfers of existing status, and L-1, O-1, or TN classifications. Read the full alert →
July 3, 2026
N-648 service launched for disabled citizenship applicants
Structured medical certification for applicants who cannot take the English and civics tests — records review, standardized cognitive assessment in the applicant’s language, and Form N-648 completion by Dr. Padda, USCIS-designated civil surgeon (CSID 111051) and MoCA-certified rater. Read the release →
February 23, 2026
New location next to St. Louis Lambert International Airport
Our clinic operates at 4477 Woodson Road, Suite 102 — directly next to St. Louis Lambert International Airport, serving internationally mobile applicants with rigorous medical and documentation standards. Read the release →
Visit the newsroom → · All announcements distributed via EIN Presswire to major newswires.
Ready to complete your I-693?
Book directly on our calendar, or text us and our staff will schedule you.