Serving Troy & Madison County, Illinois
Immigration Medical Exam (I-693) in Troy, IL
Troy applicants complete the USCIS Form I-693 with a designated civil surgeon whose federal designation is valid across Illinois — and who holds full staff privileges at Anderson Hospital in Maryville.
The eastern edge of the group
Troy sits at the eastern edge of the Madison County communities we serve, farther from the river than Glen Carbon or Maryville. That makes it the Illinois community where arriving fully prepared pays off most — records, testing history and immunizations sorted in advance, so the form is sealed on the first trip rather than the second.
Full staff privileges at Anderson Hospital, 6800 State Route 162, Maryville, IL put your civil surgeon on the medical staff of a hospital a short drive west of Troy. Anderson can confirm that membership directly. The examination itself happens at the Woodson office across the river, where the testing and sealed-envelope process live.
What the visit includes
History, the USCIS-defined examination, immunization review and any catch-up doses, and required tuberculosis, syphilis and gonorrhea testing drawn on site — 2 to 6 hours. Costs: fees and timeline. Dose requirements: vaccine requirements.
Why an Illinois applicant can be seen in Missouri
Because the designation is federal. USCIS accepts a sealed I-693 from any designated civil surgeon in the country. Dr. Padda is registered as CSID 111051 and 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, next to Lambert Airport with easy parking.
Who we see from Troy
Family and employment-based applicants from Troy and the neighbouring Madison County communities, plus N-648 evaluations in the applicant’s own language.
The N-648, separately
A distinct evaluation for applicants whose medical or mental-health condition prevents them completing the English and civics requirement. See the N-648 disability waiver.
Madison County immunization clinic
Missing immunizations are the commonest cause of a second appointment — and the one most worth avoiding from Troy, given the distance. Vaccines are a local matter and Troy is in Madison County, though the doses can equally be given during your exam in a single trip.
Madison County Health Department immunization clinic
Appointments preferred, walk-ins accepted
(618) 692-8954 ext. 2
8:45 a.m.–4 p.m. Monday, Tuesday, Wednesday and Friday (closed noon–1 p.m.)
The county lists “all routine adult and childhood immunizations” as available, accepts Illinois Medicaid and most commercial coverage, and 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
Frequently asked questions
From Troy, is it worth combining the vaccines with the exam?
Usually yes. Troy is the farthest east of the Illinois communities we serve, so a separate trip to the county clinic and then a second trip across the river is the slowest route. Having any missing doses given during the examination keeps it to one journey.
How does the tuberculosis testing work?
It is the step most likely to extend the timeline, because a positive screen leads to chest imaging and possibly a treatment discussion rather than a same-day result. How it runs 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 and is frequently overlooked. Explained: the oath waiver explained.
Do you have parking, and is the clinic easy to find?
Yes to both — it sits directly beside Lambert Airport with parking at the building. Map and directions: clinic location and directions.
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.