Immigration medical exam · St. Louis
Immigration Medical Exam (I-693) in St. Louis, MO
St. Louis green-card applicants complete the USCIS-required Form I-693 immigration medical exam with a DHS-designated civil surgeon. The form is sealed and ready for your interview in one visit when your paperwork, testing and immunizations are complete.
A civil surgeon in the middle of the metro
The clinic sits on Woodson beside Lambert Airport. That puts it a short drive from almost anywhere in the city or the county. For most St. Louis applicants, the medical step is the easy part of the filing. It is booked within days, done in an afternoon, and handed back sealed.
What the appointment consists of
History, the focused physical USCIS specifies, a review of your immunization record with any missing doses given, and the required tuberculosis, syphilis and gonorrhea testing drawn on site. Plan for 2 to 6 hours. The full order of steps and turnaround are on fees and timeline. The dose list by age is on vaccine requirements.
Why it has to be a designated physician
USCIS accepts the I-693 only from a doctor it has designated as a civil surgeon. Dr. Gurpreet Singh Padda, MD, MBA, MHP, holds that designation (CSID 111051). He is board-certified by five American specialty boards.
Finding the clinic
4477 Woodson Rd, Suite 102 is a short drive from anywhere in the city or county. It sits right beside St. Louis Lambert International Airport, with parking at the building.
If you live inside the city limits
The public vaccine options differ between the city and the county. So city residents should use the St. Louis City page instead. It lists the city’s own immunization records line and exemption clinic.
If the citizenship test is the obstacle
Say a medical or mental-health condition prevents an applicant from passing the English and civics requirement. The N-648 disability waiver is a separate evaluation that can excuse it. We perform it in house, in the applicant’s own language where that helps.
Public vaccine options across St. Louis County
Incomplete immunization records are the most common reason an I-693 needs a second appointment. Doses can be given here during your exam. Or you can get them beforehand at a public clinic. St. Louis County runs three community health centers across the metro area.
John C. Murphy Health Center (North County)
6121 N Hanley Rd, Berkeley, MO 63134
(314) 615-0500
Monday–Friday, 8:00 a.m.–5:00 p.m.
North Central Community Health Center (North County)
4000 Jennings Station Rd, Pine Lawn, MO 63121
(314) 615-9700
Monday–Friday, 8:00 a.m.–5:00 p.m.
South County Health Center
4580 S Lindbergh Blvd, Sunset Hills, MO 63127
(314) 615-0400
Monday–Friday, 8:00 a.m.–5:00 p.m.
All three run a walk-in vaccine clinic. All three apply a sliding fee discount for uninsured patients below 200% of the federal poverty guidelines. Their published policy is to serve patients “regardless of their ability to pay,” but a small fee is still expected at the time of service. Insurance and Medicaid are accepted. Hours change, so call before you go.
Driving directions from St. Louis, MO to 4477 Woodson Rd, Suite 102.
Nearby: St. Louis City · Clayton · Ferguson · Bridgeton
Frequently asked questions
Which of the three county health centers should I use?
Whichever is closest to your address. All three offer the same immunization service and the same sliding fee scale. If you are in north county, John C. Murphy in Berkeley and North Central in Pine Lawn are both minutes from the clinic.
Were some of your doses given abroad? What USCIS accepts is set out in Will USCIS Accept My Foreign Vaccination Records? What Counts for the I-693.
Can the sealed I-693 envelope be opened before my interview?
No. USCIS requires it to stay sealed, and breaking the seal voids the form. Dr. Padda seals it. You carry it unopened to your interview. Learn more: what changed on the I-693, including the sealed envelope rule.
What happens if my TB test comes back positive?
A positive screen is not a denial. It moves you to imaging. Where indicated, it also moves you to a treatment pathway that USCIS recognizes. Planning for that possibility is what keeps it from stalling your case: where green-card exams stall.
What exactly does the $390 cover?
The full exam, the records review, completing the form and the sealed envelope. With Regular, it is paid in full at the visit. With Document Verified, it is a $100 non-refundable fee at booking plus $290 at the visit. Lab testing and vaccines are billed separately at their own rates. 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
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. Book Regular and pay nothing until your visit, or book Document Verified with $100 at booking and $290 at the visit. Bring your ID and vaccine records.