Serving St. Charles County
Immigration Medical Exam (I-693) in St. Charles, MO
St. Charles County applicants complete the USCIS Form I-693 with a designated civil surgeon about twenty minutes east on I-70, across the Blanchette Bridge.
Across the bridge, and done in a visit
From St. Charles, St. Peters and O’Fallon the trip is a straightforward run east on I-70. What makes the difference to the timeline is not the drive but whether you arrive with your immunization history in hand — St. Charles County runs its own public health program, separate from St. Louis County’s, and it serves adults as well as children.
The examination itself
One appointment covers history, the USCIS-specified physical, an immunization review with catch-up doses, and the required tuberculosis, syphilis and gonorrhea testing. Allow 2 to 6 hours. See fees and timeline for costs and turnaround, and vaccine requirements for what applies at your age.
Only a designated physician can sign it
USCIS will not accept the form from anyone else. Dr. Padda is DHS-designated (CSID 111051) and board-certified by five American specialty boards, and because the designation is federal the sealed envelope is accepted nationwide.
The drive from St. Charles
4477 Woodson Rd, Suite 102 is roughly twenty minutes east on I-70 across the Blanchette Bridge, directly beside Lambert Airport, with parking on site.
Who we see from the county
Applicants from St. Charles, St. Peters, O’Fallon and Cottleville — employment-based filings, family petitions, and N-648 evaluations where a citizenship test is the obstacle.
The N-648, briefly
If a medical or mental-health condition stops an applicant completing the English and civics requirement, the N-648 disability waiver is a separate evaluation that can excuse it — performed here, and in the applicant’s own language where that matters.
St. Charles County’s own immunization clinic
Unprovable vaccination history is the leading cause of a second visit. You can complete missing doses at your exam, or beforehand at the county — and St. Charles County operates independently of St. Louis County, with its own clinic and its own rules.
St. Charles County Department of Public Health — Immunizations
1650 Boone’s Lick Road, St. Charles, MO 63301
(636) 949-7484
8:30 a.m.–3:30 p.m. (lunch 12–1 p.m.); walk-ins Tuesdays and Thursdays at the St. Charles location only
Walk-ins are taken Tuesdays and Thursdays at the St. Charles location only; a second county location operates in Wentzville. Call ahead to confirm which adult vaccines are in stock and what your insurance covers.
Driving directions from St. Charles, MO to 4477 Woodson Rd, Suite 102.
Nearby: St. Louis County · Chesterfield · Bridgeton · Clayton
Frequently asked questions
Does St. Charles County use the same health centers as St. Louis County?
No. St. Charles County runs its own immunization program at 1650 Boone’s Lick Road, and it serves adults as well as children. The St. Louis County community health centers are a separate system with separate rules.
Is the USCIS exam the same as a regular physical?
No, and expecting a physical is what catches most applicants out. It is a defined federal screening with a fixed scope — not a general health check-up, and not a substitute for one. Explained here: your USCIS medical exam is not a physical.
Should I mention a chronic condition, or leave it off?
Disclose it. An undisclosed condition discovered later is far more damaging to a case than the condition itself ever was. Why: hiding a health condition is the worst immigration strategy.
Is there any guarantee the form will be accepted?
There is a money-back guarantee on the examination, which is unusual in this field and exists because a correctly completed form is within our control. Terms: the 100% money-back guarantee.
Where to go
4477 Woodson Rd, Suite 102, St. Louis, MO 63134
Directly next to St. Louis Lambert International Airport · easy parking
Call or text (314) 886-5902 · info@immigrationexam.us
Hours: Mon–Wed 8:00 AM–5:00 PM, Thu 8:00 AM–12:00 PM
Clinic map & directions · Meet Dr. Padda, your civil surgeon
Schedule your immigration medical exam
Most applicants are seen within days. The complete I-693 exam is $390 ($100 to schedule, $290 at the visit). Bring your ID and vaccination records.