Immigration Medical Exam (I-693) in Troy, IL

The eastern edge of the group

Troy sits at the eastern edge of the Madison County towns we serve. It is farther from the river than Glen Carbon or Maryville. That makes it the Illinois town where arriving fully prepared pays off most. Sort out records, testing history and immunizations in advance. Then the form is sealed on the first trip, not the second.

Your civil surgeon holds full staff privileges at Anderson Hospital, 6800 State Route 162, Maryville, IL. That puts him on the medical staff of a hospital a short drive west of Troy. Anderson can confirm that membership directly. The exam itself happens at the Woodson office across the river. That is where the testing and sealed-envelope process take place.

What does the immigration medical exam include?

The visit covers your history and the USCIS-defined exam. It includes an immunization review (a check of your vaccines) and any catch-up doses. Required tuberculosis, syphilis and gonorrhea tests are drawn on site. Plan on 2 to 6 hours. Costs: fees and timeline. Dose rules: vaccine requirements.

Can a Troy, IL applicant have the exam done in Missouri?

Because the designation is federal. USCIS accepts a sealed I-693 from any designated civil surgeon in the country. Dr. Gurpreet Singh Padda, MD, MBA, MHP is registered as CSID 111051. He holds five American board certifications.

A short trip from Troy

4477 Woodson Rd, Suite 102 is about thirty to thirty-five minutes via I-55/70 across the river. It is next to Lambert Airport, with easy parking.

Who we see from Troy

Family and job-based applicants from Troy and nearby Madison County towns. We also do N-648 evaluations in the applicant’s own language.

The N-648, separately

This is a separate evaluation. It is for applicants whose medical or mental-health condition keeps them from completing the English and civics requirement. See the N-648 disability waiver.

Madison County immunization clinic

Missing immunizations are the most common cause of a second appointment. From Troy, given the distance, that is the one most worth avoiding. Vaccines are a local matter, and Troy is in Madison County. But the doses can just as well be given during your exam, in a single trip.

The county lists “all routine adult and childhood immunizations” as available. It accepts Illinois Medicaid and most commercial insurance. It asks for a co-pay at the visit. Booking ahead is preferred, though walk-ins are seen.

Driving directions from Troy, IL to 4477 Woodson Rd, Suite 102.

Nearby: Collinsville · Maryville · Glen Carbon · All Illinois applicants

Why does an I-693 get rejected?

Rejections are rarely about the medical findings. They are about missing pieces. Examples: a missing vaccine with no waiver or blood test to explain it, a sealed envelope that was opened, or an applicant signature in the wrong place.

Every one of those can be prevented at the appointment. That is why the form is checked before it is sealed, not after. It is a dull step, and it is the one that saves the second trip.

What a civil surgeon cannot do

We cannot advise on your immigration case or predict a decision. We cannot complete parts of an application that are not the medical form. Those belong to an attorney or an accredited representative. A physician who gives that advice is working outside their competence.

We also cannot certify a vaccine that was not given or recorded. When a record is missing, the honest routes are blood testing or repeating the dose. Both are ordinary. Inventing a history is neither.

How do I prepare for the immigration medical exam?

Three things settle most of it. Bring photo ID. Bring every vaccine record you can find. Bring a note of any tuberculosis testing or treatment you have had. If any of those are missing, tell us when you book, not when you arrive.

Nearly every second visit we see was caused by a document, not by a medical finding. That problem can be solved, and it is solved on the phone.

Frequently asked questions

From Troy, is it worth combining the vaccines with the exam?

Usually yes. Troy is the farthest east of the Illinois towns we serve. A separate trip to the county clinic, then a second trip across the river, is the slowest route. Getting any missing doses during the exam keeps it to one trip.

How does the tuberculosis testing work?

It is the step most likely to stretch the timeline. That is because a positive screen leads to chest imaging and possibly a treatment talk, not a same-day result. How it works in practice: TB testing and treatment in the I-693 exam.

My relative cannot understand the oath itself. Is there anything for that?

Yes. The oath waiver is separate from the English and civics waiver. It is often overlooked. Explained: the oath waiver explained.

Do you have parking, and is the clinic easy to find?

Yes to both. It sits right beside Lambert Airport, with parking at the building. Map and directions: clinic location and directions.

How much does the immigration medical exam cost?

The I-693 exam is $390. With Regular, you pay nothing when you book. With Document Verified, you pay $100 when you book and $290 at the visit. The full breakdown is on our fees and timeline page. From Troy, the bigger cost is usually a second drive across the river. So bring your photo ID and every vaccine record you have to the first appointment.

How long does the immigration medical exam take?

Plan on 2 to 6 hours at the Woodson office. That covers your history and the USCIS-defined exam. It covers the immunization review with any catch-up doses. It also covers the tuberculosis, syphilis and gonorrhea tests drawn on site. Add the thirty- to thirty-five-minute drive from Troy each way via I-55/70.

What happens if you fail the immigration medical exam?

Most forms that come back were not failed on medical findings. They were incomplete. Examples: a missing vaccine with no waiver or blood test to explain it, an opened sealed envelope, or a signature in the wrong place. Each of those is caught at the appointment. That is because the form is checked before it is sealed. A positive tuberculosis screen is different. It leads to chest imaging and possibly a treatment talk, not a same-day result.

Where to go

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