Alexandria, South Riding, Woodbridge, VA, and Germantown, MD
An immigration physical — also known as a green card medical exam — is required for most people applying to become permanent U.S. residents through adjustment of status. The examination must be completed by a physician designated by U.S. Citizenship and Immigration Services (USCIS) as a civil surgeon; a routine physical from your primary care provider cannot replace it. The civil surgeon documents the results on Form I-693, Report of Immigration Medical Examination and Vaccination Record, but does not approve or deny your application — USCIS makes that decision after reviewing your complete application.
Same-day, next-day and weekend appointments at select locationsCompetitively priced at $395 with a discount for families (additional costs will apply if new or updated vaccines are required)
Exams, vaccines, blood work and X-rays all happen onsite, so most families finish in one visit.
Medical history. The civil surgeon reviews previous illnesses and hospitalizations, physical and mental health conditions, current medications, past tuberculosis diagnoses or treatment, and substance use history. Answer all questions completely and honestly, as additional records or evaluations may be required in certain cases.
Physical examination. The examination typically covers your eyes, ears, nose and throat, heart and lungs, abdomen and lymph nodes, skin and extremities, and mental status. This is not a general wellness physical and does not replace routine medical care.
Required testing. Testing depends on your age and medical history. It may include a tuberculosis blood test, generally for applicants ages 2 and older, a chest X-ray when medically required, and syphilis and gonorrhea screening. A positive tuberculosis result does not automatically mean you have active tuberculosis, but further evaluation may be necessary.
Vaccination review. The civil surgeon checks your records against the vaccination requirements for your age group. If documentation is missing, they may recommend laboratory evidence of immunity or, when medically appropriate, administer an age-appropriate vaccine.
Bring the following items unless the clinic gives you different instructions. Having your records with you avoids multiple visits and unnecessary vaccination costs:
The current edition of Form I-693, with Part 1 completed
Vaccination records from childhood and adulthood, including proof of a COVID-19 vaccination
English translations of any records written in another language
Relevant medical records, including any previous tuberculosis documentation
A valid government-issued photo ID, such as a passport, driver's license or state ID
Your USCIS A-Number, if applicable
Any recent chest X-rays requested by the clinic
A list of your medications and current health conditions, and a translator if you do not speak English
Do not sign Form I-693 before your appointment — you must sign it in the civil surgeon's presence. After your exam, truHealthNow prepares your report using USCIS guidelines and gives it to you in a sealed envelope, along with a copy for your records. Do not open the sealed envelope: USCIS may reject a Form I-693 if it has been opened or altered.
Follow USCIS's current filing instructions for your application. Certain applicants must submit Form I-693 (Report of Immigration Medical Examination and Vaccination Record) together with Form I-485 (Application to Register Permanent Residence or Adjust Status). If Form I-693 isn't submitted, the I-485 application could be rejected.
Immigration Medical Exams are available at all truHealthNow locations except Leesburg, Purcellville, Dulles and Elkton.
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*Booking an Urgent Care visit is not an appointment. The clinic will reserve the time you select, but service times are not guaranteed and may be delayed due to high patient volume.*
CALL NOW: 240-238-2177
CALL NOW: 240-238-2177
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