If USCIS rejects your I-693 solely because of a paperwork error made by our team, we refund your exam fee in full, provided you met all vaccination and testing requirements, supply the official USCIS rejection letter, and have no other errors in your green card application.
Your green card application is too important to trust to an assembly line. So we back every I-693 exam with something no one else in the St. Louis area offers: a 100% money-back guarantee.
Why offer a money-back guarantee on the I-693 exam?
The I-693, Report of Medical Examination and Vaccination Record, is one of the few documents in your green card application where a third party controls the quality of the filing. That third party is the civil surgeon. Say the form is completed carelessly, sealed improperly, or documented incompletely. Then the applicant pays the price in delays, Requests for Evidence, or outright rejection. We believe the party who makes the error should bear the cost.
Our guarantee is simple: if your I-693 is rejected by USCIS solely because of a paperwork error made by our team, and you met all vaccination and testing requirements, and you can provide the official USCIS rejection letter, and there are no other errors elsewhere in your green card application — you get your exam fee back. Every dollar.
Who completes and seals your I-693?
A guarantee like this only works when the process behind it is built for precision. Dr. Gurpreet Singh Padda, MD, MBA, MHP, a USCIS-designated civil surgeon, completes every form. Each one is checked against current USCIS and CDC technical instructions. Each one is sealed according to protocol. We treat the I-693 as what it is: a federal compliance filing. It is not a routine office visit with a form stapled to it.
Applicants tell us the guarantee changes how the whole visit feels. They no longer wonder whether their paperwork is being handled correctly. They know the clinic has put its own money behind the answer.
Related reading: I-693 Exam: What St. Louis Applicants Must Know · Why USCIS Rejects Most N-648 Disability Waivers · How to Spot an N-648 Mill: 5 Red Flags
Frequently Asked Questions
What does the money-back guarantee cover?
If USCIS rejects your I-693 solely due to a paperwork error made by our team, you met all vaccination and testing requirements, you provide the official USCIS rejection letter, and no other errors exist in your green card application, your exam fee is refunded in full.
How much does the I-693 immigration medical exam cost in St. Louis?
Our I-693 exam is $390, with follow-up visits at $190. Lab testing and imaging, when required, are priced separately. See the complete I-693 immigration medical exam cost breakdown. It shows what is billed separately and when each amount is due.
Where is the exam performed?
At 4477 Woodson Rd, Suite 102, St. Louis, MO 63134. We are minutes from St. Louis Lambert International Airport, and we serve the entire St. Louis metro area.
What are the common reasons for I-693 rejection?
The I-693 is one of the few documents in a green card application where a third party, the civil surgeon, controls the quality of the filing. Say the form is completed carelessly, sealed improperly or documented incompletely. Then the applicant pays the price in delays, Requests for Evidence or outright rejection. That is why every form here is checked against current USCIS and CDC technical instructions before it is sealed.
Watch the full video above, and explore the rest of the series on our YouTube channel.
Schedule Your Exam in St. Louis
Schedule Your Exam Text (314) 886-5902 Call (314) 960-9100
Dr. Gurpreet Padda, MD — USCIS-Designated Civil Surgeon (CSID 111051)
4477 Woodson Rd, Suite 102, St. Louis, MO 63134 — minutes from St. Louis Lambert International Airport
🌐 ImmigrationExam.us
🕗 Mon–Wed 8:00am–5:00pm · Thu 8:00am–12:00pm · Closed Friday & federal holidays
💵 I-693 exam $390 · Follow-up visit $190 · N-648 case review $400 (credited toward evaluation) · N-648 evaluation from $1,400
This article is educational information about the immigration medical examination process. It is not legal advice and does not create a physician–patient relationship. For legal questions about your case, consult a licensed immigration attorney.
Medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP — USCIS-designated civil surgeon (CSID 111051), board certified in Anesthesiology, Pain Medicine, Interventional Pain Management, Addiction Medicine, and Obesity Medicine. Last reviewed September 2026.