Serving the City of St. Louis
Immigration Medical Exam (I-693) in St. Louis City
City residents adjusting status complete the Form I-693 with a DHS-designated civil surgeon a short, familiar drive from downtown — sealed the same day when everything is in order.
A city drive, not a trip
St. Louis is an independent city, and its residents sit on a different set of public health services from the surrounding county — a distinction that matters mostly when you need a vaccination record. The exam itself is straightforward: fifteen to twenty minutes from most city neighborhoods to the Woodson clinic by the airport.
What is done at the visit
Your history, the examination USCIS defines, an immunization review with any missing doses administered, and on-site testing for tuberculosis, syphilis and gonorrhea. Budget 2 to 6 hours. Costs and turnaround are published on fees and timeline; the dose requirements by age are on vaccine requirements.
The designation is the whole point
An I-693 signed by an undesignated physician comes back as a Request for Evidence months later. Dr. Padda is a DHS-designated civil surgeon, CSID 111051, board-certified by five American specialty boards, and the designation is federal.
Getting here from the city
4477 Woodson Rd, Suite 102 is 15 to 20 minutes via I-64 or I-70 from most city neighborhoods, directly beside Lambert Airport, with easy parking.
County residents
If your address is in St. Louis County rather than inside the city limits, the county health centers are your public vaccine option — those are listed on the St. Louis County page.
When the civics test is the barrier
A medical or mental-health condition that prevents an applicant completing the English and civics requirement may support an N-648 disability waiver — a distinct evaluation, done in house, in the applicant’s own language where that produces a more accurate assessment.
City immunization records and exemptions
Missing or unprovable vaccinations delay more I-693s than anything else. Doses can be given at your exam, but if you need a copy of a record the city already holds, or an exemption, the City of St. Louis runs its own services separate from the county.
City of St. Louis immunization records
Records line: (314) 657-1548
8:30 a.m.–5:00 p.m., Monday–Friday
$10 fee per record, cash only
Immunization exemptions
Walk-in 9:00 a.m.–12:00 p.m., Monday–Friday
Appointments: (314) 657-1475
Note the record request carries a $10 fee, cash only, and the exemption clinic is walk-in on weekday mornings. Confirm hours before you travel — city services change without much notice.
Driving directions from St. Louis City, MO to 4477 Woodson Rd, Suite 102.
Nearby: St. Louis County · Clayton · Ferguson · Illinois applicants
Frequently asked questions
How do I get a copy of a vaccination record the city holds?
The City of St. Louis records line is (314) 657-1548, open 8:30 a.m. to 5:00 p.m. weekdays, with a $10 fee per record payable in cash. Bring whatever they release to your exam.
How long does a completed I-693 stay valid?
The rules on validity and on when the form must be signed have shifted more than once recently, which is why we date and seal at completion rather than in advance. The current position is summarized in what changed on the I-693 since 2025.
Do I need the gonorrhea and syphilis testing?
It depends on age and on the current USCIS requirements, which is why it is drawn on site rather than assumed. Who gets tested and why: gonorrhea and syphilis testing in the I-693 process.
Will I be charged for a second visit?
A follow-up is $190, and only when one is genuinely needed — for a medical reason, or because the first visit was missing paperwork, testing or immunization records. A complete first presentation carries no follow-up fee. See fees and timeline.
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.