Two ways to book
Book immigration medical exam · St. Louis
Schedule Your Immigration Medical Exam
Choose how you want to book. Both options are the same Form I-693 exam with Dr. Padda, USCIS civil surgeon, for $390.
Pay at your visit
$0 today
$390 paid at your visit
- Book online now. Nothing is charged today.
- Your Form I-693 paperwork is completed with you at the clinic.

Forms ready before you arrive
$100 today
$290 at your visit · $390 total
- Right after booking, you complete your part of Form I-693 online.
- We prepare your form before you arrive, so your visit is spent on your exam, not paperwork.
- The $100 is non-refundable and is credited toward your $390.
What you’ll pay
- $390 total for the Form I-693 exam, either way. Regular: nothing at booking, $390 at your visit. Document Verified: a $100 non-refundable fee at booking, credited toward the total, and $290 at your visit.
- Laboratory testing and vaccinations are billed separately, and only where USCIS requires them for your age and vaccination history. Patients who use their own insurance for laboratory testing or imaging pay the rate their insurer has negotiated; the $390 examination fee itself is not billed to insurance.
- $190 follow-up visit — charged only if an additional visit is actually needed, either for medical reasons (a finding that needs treatment or further evaluation, or a condition requiring an independent consultant’s report) or because you arrived without complete paperwork, testing, or immunization records. If your initial presentation is fully complete, there are no follow-up fees.
- No facility fee, no separate consultation fee, and no USCIS filing fee for Form I-693.
Your Form I-693 is completed and sealed at whichever visit your paperwork, testing, and immunizations are all complete — the initial visit for applicants who arrive fully prepared, or a later visit if anything is still outstanding. Full fee schedule and processing timeline.
Prefer to book by text?
Text us and our staff will schedule you directly — in your language if needed. You can also request an appointment by text online.
Where you’re going

Look for the gray building with the orange entrance — directly next to St. Louis Lambert International Airport.
ImmigrationExam.us
4477 Woodson Rd, Suite 102
St. Louis, MO 63134
Directions
Before you arrive
Bring your photo ID and vaccination records. Document Verified patients also complete Part 1 of Form I-693 online (don’t sign it) before the visit. Full checklist.
What to expect when you arrive
Never visited before? Press play to walk the exact route — from the parking lot, up the accessibility ramp, through the glass entrance, to the door with our sign. Then check in at the front desk — ask about Fast Track if you’re on a deadline.