Immigration Medical Exam I-693

We are a USCIS-authorized civil surgeon: we perform the full immigration medical exam, with lab work and vaccines in the same place, and hand you Form I-693 in its sealed envelope.

What does the exam check?

Four things: communicable diseases of public health significance, required vaccines, disorders with harmful behavior and drug use. Having diabetes, high blood pressure or extra weight does not affect your case.

What should I bring?

Photo ID, your vaccination record (even if it is from your home country and in Spanish), your medication list, previous tuberculosis results if you have them and the USCIS notice for your case. Without the record, doses you already had get repeated.

How long does it take?

The visit usually takes under an hour. If the tuberculosis test is positive, a chest X-ray follows and the process stretches a few days. Some vaccines need a second dose: ask on day one whether your schedule requires it.

Does the form expire?

Since 2024, the signed I-693 has no expiration date as long as it is properly completed. Do not open the envelope: if it arrives open, USCIS can reject it. To prepare, read our I-693 exam guide.

Can I bring my family the same day?

Yes, and it helps: if several people in the case need the exam, doing it in one visit saves trips and lets us review vaccination records together. Each person gets their own sealed envelope, in their name.

What if I live with a chronic condition?

It does not affect your case. Diabetes, high blood pressure or asthma are recorded as part of your history, nothing more. What USCIS reviews is communicable diseases of public health significance, required vaccines and drug use.

Why come to La Michoacana?

We are on Spencer Hwy, at 6500 Ste 180, just off Highway 225 and minutes from Deer Park, South Houston and La Porte. We open seven days a week: Monday to Saturday from 9 AM to 9 PM and Sunday from 9 AM to 7 PM, so you can come after work or on the weekend without taking time off. No appointment and no insurance needed. Our whole team speaks Spanish, parking is free and the entrance is wheelchair accessible.

How payment works

You pay per visit, with no insurance involved. We take cash, debit cards, credit cards (Visa, Mastercard, American Express and Discover) and phone payments. We do not take checks. Ask about the price of your service when you arrive or over the phone: we tell you before we start, so you know what you are paying.

Where our patients come from

Most live in Pasadena, in ZIP codes 77505, 77504, 77506 and 77503. We also see families from Deer Park, South Houston, La Porte, Pearland and the rest of the Houston area. If you work at the industrial plants along Highway 225 or the Ship Channel, we are on your way home.