Immigration Medical Exam (I-693) in Clayton, MO

The medical exam, a short drive from your attorney’s office

Clayton is the seat of St. Louis County and the center of its legal community. So a great many green-card applicants first hear the words “Form I-693” in an office here. The exam that follows does not have to be hard or far away. The clinic is fifteen minutes north on I-170. Appointments open within days. Applicants who arrive with their paperwork, testing and immunization records in order leave the same day with the sealed USCIS envelope.

What happens at the immigration medical exam?

The I-693 is a medical report. USCIS requires it from most adjustment-of-status applicants. Only a physician the government has designated as a civil surgeon may complete and seal it. We do it all in a single appointment. We take your history and perform the focused examination USCIS specifies. We review your immunization record and give whatever doses are missing. We also collect the required tuberculosis, syphilis and gonorrhea testing on site. Set aside 2 to 6 hours. The form is sealed at whichever visit your paperwork, testing and immunizations are all complete. That is the first visit, if you come prepared. The full fee and timeline breakdown is published here, and the vaccine list is broken out by age.

How much does an immigration medical exam cost?

The Form I-693 examination is $390, flat. Book Regular and pay the full amount at the visit. Or book Document Verified with a $100 non-refundable fee when you book. That fee is credited toward the $390, and $290 is due at the visit. That is the complete professional fee. There is no separate charge for completing or sealing the form.

Lab testing and any vaccines you actually turn out to need are billed separately. We deliberately do not quote them as a package price. The laboratory sets lab rates. Vaccine cost depends entirely on which doses your record shows you are missing. A bundled figure would overcharge the many applicants who need less. Some applicants prefer to run laboratory testing or imaging through their own insurance. They pay the rate their insurer has negotiated. The $390 examination fee itself is not billed to insurance.

A follow-up visit, if one is truly needed, is $190. It applies only when something is actually still open. That means a medical reason, or an applicant who arrived without complete records. When the first visit is complete, there is nothing more to pay.

Why does the exam have to be done by a civil surgeon?

Any licensed physician can perform a physical. Almost none can sign an I-693. USCIS accepts the form only from a doctor it has specifically designated. A form done by the wrong person, or done wrong by the right one, shows up months later as a Request for Evidence. Dr. Gurpreet Singh Padda, MD, MBA, MHP is a DHS-designated civil surgeon, CSID 111051. He is board-certified by five American specialty boards. The designation is federal. That is why the sealed envelope is accepted at any USCIS office in the country.

Getting here from Clayton

From downtown Clayton, take I-170 north to 4477 Woodson Rd, Suite 102. It takes roughly fifteen minutes. The clinic is right beside St. Louis Lambert International Airport, with parking at the building. Washington University’s Danforth campus sits along Forsyth Boulevard at Clayton’s eastern edge. So the drive is much the same for students and postdoctoral scholars adjusting status.

Who we see from Clayton

We see employment-based applicants and family petitions. We also see scholars tied to the university, and their spouses. They are often on a schedule with very little slack in it. Plan for 2 to 6 hours and bring everything listed below. Then one visit is normally all it takes.

N-648, if the citizenship test is the obstacle

Sometimes a medical or mental-health condition prevents an applicant from completing the English and civics requirement. The N-648 disability waiver can excuse it. It is a separate evaluation. We perform these in house. Where it makes the assessment more accurate, we do it in the applicant’s own language.

Where can Clayton applicants get missing vaccines?

Incomplete or unverifiable immunization records are the single most common reason an I-693 runs past one visit. Check the age-by-age requirements and audit your records before you book. Missing doses can be given here during your exam, or at a public clinic beforehand. Clayton is in St. Louis County, so the county health centers are the public option. From Clayton, the North Central center in Pine Lawn is the nearer of the two.

The county centers run a walk-in vaccine clinic. They give a sliding fee discount for uninsured patients under 200% of the federal poverty guidelines. Their published policy is to serve patients “regardless of their ability to pay,” though a small fee is still expected at the time of service. Insurance and Medicaid are accepted.

Hours and fees at public agencies change without much notice. Call before you drive. Driving directions from Clayton to 4477 Woodson Rd, Suite 102.

Nearby: St. Louis · St. Louis City · Ferguson · Berkeley · Illinois applicants

Frequently asked questions

Where to go

Clinic map & directions · Meet Dr. Padda, your civil surgeon