Immigration Physicals

USCIS authorized Civil Surgeon

When you apply for a green card (adjustment of status) in the United States, you need to have a medical examination. The exam must be done by a doctor who is authorized by U.S. Citizenship and Immigration Services (USCIS). USCIS designates certain doctors (also known as civil surgeons) to perform the medical exam required for most Green Card applicants. Dr. Adeel Afzal is authorized by the United States Citizenship and Immigration Services to conduct Immigration Exams and Physicals.  
  We have interpreters for Spanish and Hindi/Urdu. 

What to bring to your medical exam

  • Form I-693, Report of Medical Examination and Vaccination Record.  
  • Government-issued photo identification, such as a valid passport or driver’s license. If you are 14 years old or younger, bring identification that shows your name, date and place of birth and parent’s full name. Possible forms of identification include your birth certificate (with an English translation) or an affidavit.  
  • Vaccination or immunization record 
  • Medical insurance card (Please check with us before the examination to make sure that we accept your medical plan. Also, please be advised that NOT all insurance plans cover this type of exam)  
  • Payment (Please check with the front desk about acceptable forms of payment). 

During the exam

Dr. Adeel Afzal will test for communicable diseases such as tuberculosis and syphilis. The tuberculosis test is done in two parts. You will have to return to the doctor’s office within two to three days to have the results read. The syphilis test is a blood test. Dr. Afzal will also check your records to see if you need any vaccinations.  


After the exam, Dr. Afzal will complete Form I-693 and seal the form in an envelope for you to submit to USCIS. Make sure you get a copy of the completed Form I-693 for your personal records before the Dr. Afzal seals the envelope. USCIS will not accept the form if the envelope has been opened or altered.