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The Immigration and Naturalization Services (INS) requires that most applicants seeking adjustment of status are to have a medical examination. The medical examination must be conducted by an approved physician designated by the INS as a Civil Surgeon. The examination must be documented using form I-693. 

In addition to the examination, the civil surgeon is responsible for ensuring that all the required components include specific vaccinations which include, but are not limited to: varicella, mumps, measles, rubella, polio, tetanus-diphtheria (Td)/ tetanus-diphtheria-pertussis (Tdap), influenza, hepatitis B and covid-19 as recommended by the Advisory Committee for Immunization Practices (ACIP). 

After the Civil Surgeon has completed the examination, Form I-693 and the supplemental Form, they shall be placed in a sealed envelope and given to the applicant. DO NOT OPEN THE SEALED ENVELOPE. 

Our physician, Dr. Clinton G. Bush is approved by the Immigration and Naturalization Services as a US Civil Surgeon. 


• Picture Identification
• Proof of vaccinations

Medical Examination includes: 

  • Basic physical examination 

  • Required laboratory testing:

    • Quantiferon Tuberculosis (TB) Gold screening

    • Syphilis (RPR) blood test

    • Gonorrhea urine test

  • Vaccination status verification 

  • Copies of laboratory results 

  • Certified and sealed I-693 Form 

Contact Sources: 

For frequently asked questions. 

Immigration Exam Miami

Immigration Exam Doral

Immigration Physical Exam Miami

Immigration Physical Exam Doral

Immigration Physical Examination Miami

Immigration Physical Examination Doral

USCIS Civil Surgeon Miami

USCIS Civil Surgeon Doral

I693 form Miami

I693 form Doral

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