If you are in Coppell and applying for a green card (adjustment of status), certain visas, or naturalization in the United States, USCIS requires you to complete a medical exam with a USCIS-designated civil surgeon. In the Dallas–Fort Worth area, many applicants search for an immigration physical exam near me, a USCIS civil surgeon in Coppell, or Form I-693 in Coppell, TX because completing this exam and form correctly can help avoid delays in an immigration case.
But where can you perform your immigration medical exam in Coppell so you never face any paperwork issues that usually come up during the process? Let’s show you everything you need to know about the immigration physical exam and Form I-693 and answer your questions.
What Is Form I-693?
Form I-693 is the official USCIS form used to show that you meet the health requirements for a green card or certain other immigration benefits. The form must be:
- Completed by a USCIS-designated civil surgeon, not just any doctor
- Submitted with or in support of Form I-485 (Application to Register Permanent Residence or Adjust Status)
- Completed using the latest version of the form from the USCIS website
- Properly signed, sealed, and submitted based on USCIS requirements
A civil surgeon is a doctor approved by USCIS to perform immigration medical exams. Not every doctor or clinic is authorized to complete and sign Form I-693. That’s why it’s important to choose a USCIS-designated civil surgeon in Coppell before scheduling your immigration medical exam.
Who Needs a USCIS Immigration Medical Exam?
You will usually need Form I-693 if you are:
- Applying for a green card (adjustment of status) through Form I-485
- A K-1 fiancé(e) visa holder applying for adjustment of status after marriage
- Applying through a family-based, employment-based, or asylee/refugee adjustment category
- Asked to provide new medical documents because your previous exam is no longer valid
- Asked by USCIS to submit updated medical information during your case or interview
If you are not sure whether your visa or immigration category requires Form I-693, the team at America First Urgent & Primary Care in Coppell can help you understand what is generally needed based on your case type and USCIS notice.
What Happens During the Immigration Physical Exam?
The immigration medical exam is more focused than a regular annual physical. It is designed to meet the health requirements set by USCIS. At our Coppell clinic, the exam generally includes:
Review of Immunization Records
The civil surgeon reviews your vaccination history to check whether you have the vaccines required for immigration purposes. These include:
- COVID-19
- Measles, Mumps, and Rubella (MMR)
- Tetanus, Diphtheria, and Pertussis (Tdap)
- Polio
- Varicella (chickenpox)
- Hepatitis A and B
- Meningococcal disease
- Pneumococcal disease
- Rotavirus, for eligible age groups
- Haemophilus influenzae type B (Hib), for applicable ages
- Seasonal influenza (flu)
If you are missing a required vaccine, AFUC provides it during your visit, depending on your age and medical situation. Completing vaccinations quickly helps you keep your immigration paperwork done.
Tuberculosis (TB) Screening
TB screening is an important part of the immigration medical exam. Depending on your age and other requirements, the civil surgeon uses a TB blood test (IGRA) or a tuberculin skin test.
Blood Tests
Applicants who are 15 years or older generally need to be screened for syphilis and gonorrhea as part of the immigration medical exam, based on current CDC and USCIS requirements.
Physical and Mental Health Evaluation
The civil surgeon performs a general physical exam and reviews your mental and behavioral health history. This helps identify any medical conditions that USCIS classifies as Class A or Class B conditions.
Substance Use Disorder Screening
The exam also includes a standard screening for substance use disorders. The civil surgeon uses a questionnaire and other required steps based on the current CDC technical instructions for immigration medical exams.
Documents to Bring to Your Appointment in Coppell
When you know the required documents you need and get prepared, your immigration medical exam process becomes easier and prevents unnecessary delays. So bring these things to your appointment:
- Government-issued photo ID, such as a passport, driver’s license, or state ID
- All vaccination records, including immunization cards, records from your home country, and school or employer vaccination records
- A copy of your latest USCIS notice like your I-485 receipt notice, interview notice, or Request for Evidence, if applicable
- Previous chest X-ray reports or TB test results, especially if you had them within the past 12 months
- A list of your current medications and any important medical history
- Eyeglasses or contact lenses, if you use them for the vision screening
How Much Does a USCIS Civil Surgeon Exam Cost in Coppell?
Immigration medical exam fees vary by clinic and are usually not covered by health insurance because these exams are generally considered administrative services rather than regular medical visits. Your total cost also higher if you need:
- Additional required vaccinations
- A follow-up chest X-ray after TB testing
- Blood tests for syphilis or gonorrhea
For the most accurate pricing, contact America First Urgent & Primary Care in Coppell before your appointment. The clinic can provide current pricing and explain any additional vaccine or testing costs.
How Long Does the Process Take?
- The exam itself usually takes about 30–60 minutes. It takes longer if you need vaccinations or additional testing during the same visit.
- TB test results require a follow-up visit if a skin test is used. The test usually needs to be checked 48–72 hours after it is placed.
- Sealed Form I-693 is generally prepared within a few business days after all required tests and evaluations are completed.
If a TB skin test or additional testing is needed, you need more time to complete the process. Whenever possible, schedule your immigration physical exam in Coppell at least 1–2 weeks before your I-485 filing deadline or USCIS interview date.
How Long Is Form I-693 Valid?
Under current USCIS policy, a properly completed Form I-693 is generally valid for the immigration benefit application it was submitted with, as long as that application remains pending. If the application is denied or withdrawn, the Form I-693 is no longer considered valid for that application. If you submit a new immigration benefit application, you need to submit a new Form I-693.
USCIS can also request a new or updated Form I-693 if an officer has reason to believe the medical information is no longer accurate. But USCIS policies change frequently so check the latest USCIS guidance or speak with an immigration attorney when preparing your application.
What Happens After the Exam?
After your immigration medical exam, the civil surgeon will:
- Complete and sign Form I-693 with the required medical information.
- Place the completed form in a sealed envelope. Do not open the envelope yourself. USCIS requires the form to remain sealed when it is submitted.
- Tell you how to submit the form, such as including it with your I-485 application or bringing the sealed envelope to your USCIS interview, if instructed.
Keep the envelope safe after you receive it. Opening, damaging, or tampering with the sealed envelope can cause problems when you submit Form I-693.
Why Choose America First Urgent & Primary Care for Your Coppell Immigration Physical Exam
America First Urgent and Primary Care has been serving Coppell and nearby areas for years. Our clinic has USCIS-designated civil surgeons who are familiar with immigration medical exam requirements. We also prefer bilingual staff to help applicants who prefer to communicate in a language other than English.
- On-site vaccinations and lab testing facilities are provided which can reduce the need for multiple appointments.
- We are conveniently located for applicants in Coppell, Irving, Carrollton, Lewisville, Flower Mound, and the greater DFW area so just walk in.
- We offer same-day appointments to help busy applicants meet their immigration deadlines.
Our clinic regularly performs immigration medical exams, so we can help you understand what documents to bring, complete the required testing, and prepare your Form I-693. This can make the process easier as you prepare for your green card interview or I-485 filing.
