01
Call to Book Your Slot
Call us to book your appointment. Same-week appointments are usually available.
2 minutes
USCIS-Designated Civil Surgeon · Manhattan, NY
Your USCIS Immigration Medical Exam, Guided Start to Finish
Form I-693 performed and sealed by a USCIS-designated civil surgeon in Manhattan, New York. One exam appointment. We write every lab and vaccine order USCIS requires and complete your form the moment your results arrive.
The Process
Five steps from booking to sealed envelope
No guessing, no runaround. Here is exactly how your immigration medical exam works with us, from booking to sealed envelope.
02
Gather Documents
Photo ID, vaccination records and your printed Form I-693 with Part 1 filled in. Full checklist below.
Before visit
03
Complete the Exam
Physical exam and history review with Dr. Irshad, who writes every lab order and vaccine prescription you need.
About an hour
04
Complete Your Orders
Take your lab order to the collection site and any prescriptions to your pharmacy. We tell you exactly where to go.
Your schedule
05
Collect & File
Results reach us in 3–5 business days. We call you, then hand over your sealed envelope plus a copy to keep.
3–5 business days
USCIS-DESIGNATED CIVIL SURGEON
FORM I-693
IGRA TB BLOOD TEST
SEALED THE DAY RESULTS ARRIVE
NO REFERRAL NEEDED
ALL FIVE BOROUGHS
INTERPRETERS WELCOME
By the numbers
One appointment is the whole point
The hard part of the I-693 is rarely the exam. It is knowing exactly which tests and vaccines USCIS wants for your age and history, and getting every one of them documented correctly. That is the part we take off your hands.
- 1
- Exam appointment
- 3–5
- Days for results
- 11
- Vaccines checked
- 5
- Boroughs served
01
Authorized Civil Surgeon
Only a USCIS-designated civil surgeon may sign Form I-693. Dr. Huma Irshad is designated and signs your form personally.
02
Labs & Vaccines Ordered For You
Your exam takes one appointment. We order every test and immunization USCIS requires that same day and tell you exactly where to go. Results come back in 3–5 business days.
03
Properly Sealed Form
Your I-693 is signed, sealed and stamped exactly the way USCIS requires, plus an unsealed copy for your own records.
04
Multilingual & Judgment-Free
We serve applicants from every background. Bring an interpreter if you prefer. No one is rushed and no question is too small.
What's Included
What happens during your I-693 exam
USCIS and the CDC set the exact scope of the immigration medical examination. Here is what a complete exam covers, and what we perform at NY MedCare.
Physical Examination
A head-to-toe examination including eyes, ears, nose and throat, heart, lungs, abdomen, lymph nodes, skin and extremities, plus height, weight, blood pressure and vision.
Tuberculosis Screening (IGRA)
We order an Interferon Gamma Release Assay blood test, required by the CDC for applicants aged 2 and older. The older PPD skin test is no longer accepted as the initial screen.
Required Blood & Urine Labs
Syphilis serology and gonorrhea testing within the CDC-specified age ranges. Ordered at your visit and processed by the laboratory we direct you to.
Vaccination Record Review
We review your immunization history against the CDC schedule, identify exactly what is missing for your age, and write the prescriptions so you can complete them at your pharmacy.
Mental Health & Substance Screening
A confidential evaluation for mental-health conditions associated with harmful behavior and for drug or alcohol use disorders, as USCIS requires.
Completed & Sealed Form I-693
Dr. Irshad completes and signs the current 01/20/2025 edition, seals it in the required envelope, and gives you a duplicate copy to keep.
Come Prepared
Arrive with these eight things
Arriving with the right paperwork is the single biggest thing you can do to keep your file moving. It is what lets Dr. Irshad write the right orders the first time.
Which vaccines USCIS may require
Which ones apply depends on your age and immunization history. We identify exactly what you need and write the prescription.
01
MMR (Measles, Mumps, Rubella)
Required for most adults and children. We verify documented dates or order laboratory blood titers to prove existing immunity.
Two recent changes worth knowing. Polio (IPV) was added to the CDC technical instructions for civil surgeons in May 2024. The COVID-19 vaccination requirement was removed by USCIS effective January 22, 2025. You no longer need to document it on Form I-693.
Lost your vaccination records? You still have options.
This is one of the most common situations we see. Depending on your age and history we either prescribe the vaccines you need or order blood titers to prove you are already immune. Either route completes the vaccination section of your form.
Your Civil Surgeon
Dr. Huma IrshadMD
Primary Care Physician · USCIS-Designated Civil Surgeon
Dr. Irshad has spent her career caring for immigrant families, and she performs every immigration medical examination personally. She understands that this form sits between you and a decision that shapes your family's future, so she takes the time to explain each requirement, answer questions without rushing, and make sure the paperwork leaves our office exactly the way USCIS expects it.
- USCIS-designated civil surgeon authorized to complete and sign Form I-693
- Board-certified physician licensed in the State of New York
- Follows current CDC technical instructions for civil surgeons
- Every exam confidential and HIPAA-protected
Dr. Irshad and her team are phenomenal. I came in for my immigration physical and was seen within 20 minutes. Professional, thorough, and genuinely caring.
Applicants from across all five boroughs
You do not need to be an existing patient and you do not need a referral. Applicants travel in from across the metro area because the exam itself takes a single appointment.
Manhattan ·
Brooklyn ·
Queens ·
The Bronx ·
Staten Island ·
Jersey City ·
Hoboken ·
Newark ·
Yonkers ·
Westchester ·
Long Island ·
New Jersey
Interpreters welcome
Family appointments
Adults & children
Same-week appointments
Our Manhattan location
Convenient to multiple subway lines. Full directions and transit details are confirmed when you call.
Address: 15 E 40th St, Suite 201, New York, NY 10016
Phone: (917) 905-8140
Email: info@nymedcare.com
Phone: (917) 905-8140
Email: info@nymedcare.com
Questions
Immigration exam FAQ
What exactly is Form I-693?
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is the official USCIS form used to document that an applicant for immigration benefits is not inadmissible to the United States on health-related grounds. It must be completed and signed by a USCIS-designated civil surgeon.
Is Dr. Irshad a USCIS-designated civil surgeon?
Yes. Dr. Huma Irshad, MD is officially designated by U.S. Citizenship and Immigration Services (USCIS) as a civil surgeon authorized to perform immigration examinations and sign Form I-693.
How long does the appointment take?
Your exam appointment typically takes about an hour. During this visit, Dr. Irshad performs your physical exam, reviews your vaccination history, and writes all required lab orders and prescriptions.
Do I need a TB skin test or a blood test?
Per CDC technical instructions, all applicants aged 2 and older must receive an Interferon Gamma Release Assay (IGRA) blood test (such as QuantiFERON-TB Gold or T-SPOT). The older PPD skin test is no longer accepted as the initial screening.
Which vaccinations does USCIS require?
Required vaccines depend on your age and medical history, including MMR, Tdap/Td, Polio (IPV), Varicella, Hepatitis A & B, Rotavirus, Hib, Meningococcal, Pneumococcal, and seasonal Influenza. Note: The COVID-19 vaccine requirement was officially removed by USCIS effective January 22, 2025.
What if I have lost my vaccination records?
This is very common. Dr. Irshad will evaluate your needs and can order blood antibody titers to prove immunity for diseases like Measles, Mumps, Rubella, Varicella, and Hepatitis B, or administer needed immunizations.
Does my completed Form I-693 expire?
Under USCIS policy updated in 2024, a Form I-693 properly completed and signed by a civil surgeon on or after November 1, 2023, retains evidentiary value indefinitely and does not expire, as long as it was filed concurrently with your immigration petition.
Which edition of the form should I bring?
You must bring the current 01/20/2025 edition of Form I-693. USCIS has accepted only this edition since July 3, 2025. Please fill out Part 1 before your visit, but DO NOT sign it until instructed by the civil surgeon.
Can I open the sealed envelope?
Never open the sealed envelope. USCIS will reject your Form I-693 if the seal is broken or tampered with. We provide an identical unsealed copy for your personal records.
Does insurance cover the immigration physical?
Immigration medical examinations are generally not covered by health insurance and are self-pay. However, insurance or prescription coverage may often be used for third-party lab work or pharmacy vaccines.
Do you serve applicants from outside Manhattan?
Yes. We serve applicants from all five NYC boroughs (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester, and across New Jersey and Connecticut.
Do I need to be an existing patient or have a referral?
No. You do not need to be an established patient of our clinic, and you do not need a referral from any attorney or physician to schedule an exam.
Can my whole family be seen on the same day?
Yes. We accommodate family appointments so adults and children can complete their immigration medical examinations together in a single coordinated visit.
Get your I-693 done right the first time
One exam appointment. Every order written for you. A USCIS-designated civil surgeon who has walked hundreds of applicants through this exact form.