The full INS immigration exam is very simple and requires only 4 basic steps and two office visits:

Basic immigration physical exam and mental status evaluation (exam sometimes may be performed on the second visit)

Blood Test: Applicants age 15 and older are required to have a serologic blood test for HIV (AIDS) and Syphilis (RPR). Applicants under age 15 may require HIV or syphilis testing at the discretion of the civil surgeon, or if there is reason to suspect the possibility of infection. Dr. Cruz will provide pre-test counseling to all applicants who take the HIV test. If you are found to have HIV infection , post-test counseling will be provided also.

Tuberculosis skin test: Applicants age 2 and older are required to have a tuberculin skin test (TST) performed. This test requires a return visit to the office within 48 – 72 hours after administration. If the test reading is greater that 5 mm of induration, a chest X-ray will be required. The cost of the X-ray is not included in the price of the immigration exam but can be scheduled through our office for an additional fee.

Proof of vaccinations or blood Titer to prove immunity. Most adults require proof of vaccination for Tetanus-Diphtheria Td (within the last 5 years), Measles, Mumps, Rubella and Varicella (Chicken Pox). Blood Titer is a test that proves that a person has immunity or antibodies for a particular disease. The Immigration Doctor will review your vaccination history with you to determine whether you have all the required vaccinations. The cost of additional vaccinations is not included in the price of the basic exam but they are offered through our office for an additional fee. Please bring all vaccination records to your scheduled appointment for the immigration physical.

After The Exam

After the immigration physical examination is completed, Dr. Cruz will certify Form I-693 with the test results of the immigration exam and vaccination history in a sealed enveloped to present to the INS. DO NOT OPEN THE SEALED ENVELOPE. Turn in the envelope with your immigration application. A copy of your blood tests results will be provided for you to keep after results have been discussed with the examining doctor. The examination will only be valid up to a year after the immigration exam date.

Click here to visit the Official US Citizen & Immigration Services website for more information.