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Immigration Exam Miami offered by Efrain Garcia MD



Immigration Exam Services and Fees


Dr. Garcia is a licensed US Civil Surgeon who has been authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physicals and Immigration Exams for the Department of Homeland Security.


The cost of the Immigration Physical Examination is $295.00 with official documentation and records of past vaccines and  $495.00  without any records or official documentation of previous vaccinations.  The exam includes the following:


Physical Examination and completion of all the necessary paperwork

Quantiferon blood test and interpretation for Tuberculosis

Required serologic blood test for Syphilis

Required urine test for Gonorrhea

Certified and Sealed I-693 form with a copy for yourself and copies of your laboratory testing


Please see the following list of items you need to bring with you to the immigration exam or immigration physical:


Patients are advised to bring the following to their appointment:


Passport (if available)

A 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


Click here to access a detail copy of Form I-693 (Report of Medical Examination and Vaccination Record). The US Government requires specific vaccinations according to your age. Click here to access an Immigration Vaccine Immunization table.


Instructions for filling out the I-693 Form can be read by clicking here.


Additional services that may be required (such as required vaccinations and follow-up chest x-ray for TB testing) are not included in the price of the exam, but are offered or can be arranged in our office for an additional fee.


The Exam


The full INS immigration exam is very simple and requires only 4 basic steps and two office visits:


  1. Basic immigration physical exam and mental status evaluation (exam sometimes may be performed on the second visit)

  2. Blood Test: Applicants age 15 and older are required to have a serologic blood test for Syphilis (RPR). Applicants under age 15 may require syphilis testing at the discretion of the civil surgeon, or if there is reason to suspect the possibility of infection.

  3. 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 to 72 hours after administration.  If the test reading is greater that 5 mm of induration, a chest X-ray will be required.  The cost of the X-ray is not included in the price of the immigration exam but can be scheduled through our office for an additional fee at the radiology department in Mercy Hospital for an additional fee.  A Blood test for Tuberculosis examination which does not require that the applicant returns to our office in 48 to 72 hours is the “Quantiferon Gold”.  This blood test is not included in the regular price for the immigration examination but could be conveniently arranged in our office during your first visit.

  4. 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 that a person has immunity or antibodies for a particular disease. The Immigration Doctor will review your vaccination history with you to determine whether you have all the required vaccinations. The cost of additional vaccinations is not included in the price of the basic exam but they are offered through our office for an additional fee. Please bring all vaccination records to your scheduled appointment for the immigration physical.


After The Exam


After the immigration physical examination is completed, Dr. Garcia will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the INS. 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 examining doctor. The examination will only be valid up to a year after the immigration exam date.


Click here to visit the Official US Citizen & Immigration Services website for more information.

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