Quick answer: Green card applicants filing Form I-485 in the U.S. need an immigration medical exam on Form I-693, done by a USCIS-designated civil surgeon. USCIS requires the completed, sealed I-693 to be submitted with the I-485 in most cases. The COVID-19 vaccine has not been required since January 22, 2025. PACS has civil surgeons who perform walk-in I-693 exams, with required vaccines available on site.

The medical exam is a required step in adjustment of status. Coming prepared saves time and avoids a second visit.

New to PACS? Start with our complete guide to urgent care in Alexandria, VA.

What the exam includes

  • Review of your medical history and vaccination records
  • A physical exam
  • Screening for tuberculosis (usually a blood test)
  • Blood test for syphilis (age 18 and older)
  • Urine test for gonorrhea (age 18 to 24)
  • Required vaccines you’re missing, based on age

What to bring

  • A government-issued photo ID, such as a passport
  • Your vaccination records, translated if possible
  • Any medical records for chronic conditions
  • A list of current medicines
  • Form I-693, if your attorney asks you to bring a printed copy (the civil surgeon completes it)

Validity and submission

USCIS requires the sealed I-693 to be filed together with your I-485 in most cases. USCIS ended the old “60-day rule” for civil surgeon signatures in 2023. Rules change, so confirm current requirements with your attorney or at uscis.gov/i-693.

Immigration physicals at PACS

Our civil surgeons perform immigration physicals as walk-ins, with required vaccines available. Patients come from Alexandria, Bailey’s Crossroads, Arlington and across Northern Virginia.

Frequently asked questions

How long does the immigration medical exam take?

The visit often takes about an hour. If you need a TB blood test or vaccines, results or a follow-up may be needed before the form is finished.

Can any doctor do the I-693?

No. Only USCIS-designated civil surgeons can complete it.

Is the COVID-19 vaccine required?

No. USCIS removed the COVID-19 vaccine requirement effective January 22, 2025.

Get care today at PACS Urgent Care

PACS Urgent Care – Alexandria
3481 N Beauregard St, Alexandria, VA 22302
Open 7 days a week, 8 AM – 8 PM · Walk-ins welcome
Call (571) 656-8838 · Get directions · New patient guide

This article is for general information and isn’t a substitute for medical advice. If you think you’re having a medical emergency, call 911.