Designated Civil Surgeon · Humble, Texas
Immigration Medical Exam
- USCIS Civil Surgeon
- Board Certified Family Medicine
- Bilingual, English & Spanish
Appointments Typically Available Within 1–3 Business Days
Monday through Friday, 9 a.m. to 5 p.m., by appointment only.
About the Exam
What is an immigration medical exam?
Also called the green card medical exam, it is required for most applicants filing to become a permanent resident. It must be performed by a USCIS-designated civil surgeon and submitted on Form I-693.
Dr. Medina is authorized to conduct the full immigration physical and to complete and sign all required USCIS documentation for your case.
Not every doctor can do this. USCIS designates who can, and the form is only valid if a designated civil surgeon signs it.
What the exam covers
- A complete physical examination
- Review of your full vaccination history, U.S. and foreign
- The lab work USCIS requires
- Any missing vaccines administered on site
- Titer testing, only where your records make it necessary
- Completion and signature of Form I-693, sealed for filing
The exam is done in English or Spanish, whichever you prefer. Our staff is bilingual.
Transparent Pricing
How much does the immigration medical exam cost?
Base Exam · One Fee
Immigration Medical Exam
$400
- The full immigration physical
- Vaccine record review
- Standard USCIS-required lab work
- Dr. Medina’s completion and signature of Form I-693
- Your sealed envelope, ready to file
Only If Required
Additional Titers
-
Varicella titer $50
-
MMR titer $50
-
Hepatitis B titer $40
How to pay
Cash, debit, and major credit cards. Payment is due at the time of your visit.
What vaccines are required?
Bring your vaccine records. We check what is due for your age.
Vaccine names: MMR = measles, mumps and rubella. Td = tetanus and diphtheria; Tdap also protects against whooping cough. DTaP is the childhood version. Hib = Haemophilus influenzae type b.
| Age | Vaccines we review |
|---|---|
| Adults 18–59 | Tdap/Td · MMR · Chickenpox · Hepatitis B · Polio (IPV) · Flu |
| Adults 60–64 | Tdap/Td · MMR* · Chickenpox · Polio (IPV) · Flu |
| Adults 65+ | Tdap/Td · MMR* · Chickenpox · Polio (IPV) · Pneumococcal · Flu |
| Children under 1 | Hepatitis B from birth. From 2 months: DTaP, polio, Hib and pneumococcal. Rotavirus has a limited age window.* Flu starts at 6 months. |
| Children 1–6 | DTaP · Polio · MMR · Chickenpox · Hepatitis A · Hepatitis B · Flu. Hib and pneumococcal only through 59 months. |
| Children 7–17 | Tdap/Td* · Polio · MMR · Chickenpox · Hepatitis A · Hepatitis B · Flu. Meningococcal (MenACWY) from age 11. |
- At age 18, hepatitis A and meningococcal (MenACWY) are also required. MMR applies if born in 1957 or later.
- Tdap/Td depends on age and vaccine history, especially catch-up at ages 7–10. Rotavirus: 6 weeks–8 months; do not start at 15 weeks or later.
- Flu is seasonal. COVID-19 vaccination is not required.
- Bring dated vaccine records; self-reported doses do not count. If a dose is due, the first or next dose is generally given now; finish the series later. Medical exceptions apply.
- Titers may show immunity to MMR, hepatitis A/B, chickenpox or polio. Polio titers must cover all three types. I can also verify a reliable chickenpox history.
What tests are included?
TB blood test (QuantiFERON)
Age 2+ · Blood sample
Syphilis blood test
Ages 18–44 · Blood sample
Gonorrhea test
Ages 18–24 · Urine sample
Physical and mental status exam
Everyone · History and examination
Further evaluation if needed.
- We order required tests; prior syphilis/gonorrhea tests cannot replace them. Other ages are tested if infection is suspected.
- Bring TB records: prior positive blood tests may avoid retesting; prior treatment requires a chest x-ray. BCG does not affect results.
The Process
Four steps to a sealed Form I-693
Call the office to start. There is no online booking, just a phone number and a person who answers.
2
Exam, vaccines & labs
Dr. Medina performs the physical, reviews your vaccine history, and orders the required lab work along with any missing titers.
3
Results reviewed
Once results come back, Dr. Medina reviews everything and we contact you with next steps.
4
Sealed envelope issued
When all vaccines and labs are complete, you receive your sealed Form I-693 envelope to file alongside your immigration application.
What should I do with the sealed envelope?
- Keep the completed Form I-693 envelope sealed for USCIS. If it is opened or damaged, contact the civil surgeon’s office before submitting it.
- File it promptly. Your I-693 stays valid while the application you filed it with is pending.
- It is not reusable. The form belongs to the application you file it with. A future application needs a new exam.
Be Prepared
What to bring to your appointment
Three things. The second one is the one that saves you money.
Valid government-issued ID
A passport is preferred. A foreign national ID or another government-issued photo ID is also accepted.
Vaccination records
Every immunization record you have, from the U.S. or from your home country. This is what determines whether you need titers at $40 to $50 each, or none at all.
Payment
Cash, debit, or a major credit card, due at the time of your visit.
Your Civil Surgeon
The physician who signs your form
Diana Medina Galvan, M.D., DABOM, MSCP
Dr. Medina Galvan is board certified in family medicine and designated by USCIS as a civil surgeon. She completed her residency at Houston Methodist Hospital and has practiced in the Houston area for over twelve years.
She speaks Spanish. So does her staff. For a form this consequential, that should not have to be a bonus.
Frequently asked questions
Does insurance cover an immigration medical exam?
We do not bill immigration exams to insurance. The $400 cash-pay base fee covers the exam, vaccine-record review, standard USCIS-required lab work, and your completed, sealed I-693. Additional vaccines, titers or follow-up services, when needed, may cost extra.
What may cause you to fail an immigration medical exam?
The exam checks for specific public-health concerns, including certain communicable infections, missing required vaccinations, physical or mental disorders linked to harmful behavior, and certain substance use disorders. A finding may require treatment, further evaluation or other steps before medical clearance. I explain what is needed and document the findings; USCIS decides your case.
Should I fast before the exam?
No. None of the required immigration labs (TB, syphilis, or gonorrhea testing) need fasting. Eat normally, come as you are.
Will I be drug tested by the civil surgeon?
There is no routine drug test for every applicant. I review your medical history and do a physical and mental status exam. Individual findings may call for drug testing, and CDC requires testing in certain substance-use evaluations.
Source: CDC mental-health and substance-use examination instructions.
Immigration Exam Reviews
Write a reviewI came to get my medical exams for USCIS and had an excellent experience. The staff is very friendly and professional, they explain everything clearly and are always available to answer any questions. The results came back quickly and I had no problems. 100% recommended.
Enrique Gracia
We went there for immigration i-693. They are super fast and don't charge for unnecessary immunizations. Highly recommend.
Kitty
I had an excellent experience at this clinic for my immigration exam. Dr. Diana Madina was extremely kind, professional, and informative throughout the process. She took the time to answer all of my questions and made me feel comfortable. The results were delivered on time, and I'm very happy with the overall service. Highly recommend this place for anyone needing an immigration exam!
jose hernandez