I-693 Immigration Medical Exam in Houston: How to Prepare

Only a physician designated as a Civil Surgeon by USCIS can complete Form I-693. At Clínica Hispana Airline we do, in Spanish and English, walk-in, at 934 E Tidwell Rd. This article is not the form itself — it is what is worth knowing before you come, so you do not have to come twice.

What is the I-693, exactly?

It is the Report of Medical Examination and Vaccination Record that USCIS requires for most permanent residence applications. It does not assess your general health. It checks three specific things that immigration law treats as grounds of inadmissibility: communicable diseases of public health significance, required vaccinations, and certain disorders or substance use.

The official, current list is on the USCIS Form I-693 page. Before any appointment, confirm the form's validity rules there, because USCIS updates them from time to time.

What should you bring?

This is what causes the most repeat visits. Bring:

• Photo identification (passport, consular ID or driver's license).
• Your vaccination record, whatever you have — even if it is from your home country and in another language. It counts.
• Your USCIS receipt or case number, if you already have one.
• A list of your current medications.
• If you were ever treated for tuberculosis, the paperwork from that treatment.

The vaccination record is the critical one: every vaccine you cannot document has to be repeated. An old, creased card from your home country can save you several doses.

Which vaccines are required?

USCIS requires a set of vaccines defined by the CDC, and the list varies with your age. The usual ones are influenza (in season), tetanus-diphtheria, MMR, varicella, hepatitis B and pneumococcal where applicable.

You do not need to arrive with all of them done. Whatever is missing we administer here during the process, along with the rest of the exam. See our vaccines service.

What does the visit look like?

• Review of your history and of any documented vaccines you bring.
• General physical exam.
• Tuberculosis testing. Depending on your age and history, this is the skin test or the blood test; with a prior history it may require a chest X-ray. See tuberculosis testing.
• Required lab work.
• Any missing vaccines.
• Sealed form, handed to you in a closed envelope.

Do not open the envelope

We hand you the I-693 in a sealed, signed envelope. Do not open it. An opened envelope invalidates the document and the entire exam has to be repeated. Submit it exactly as received, with your packet or at your interview, as instructed.

Keep the copy we give you for your own records. That one you can read.

The three mistakes that delay cases most

• Coming with no vaccination record at all. You repeat doses you already had.
• Opening the envelope "just to check everything is right".
• Timing the exam wrong relative to your stage in the process. Confirm current timing at uscis.gov/i-693 or with your attorney.

On that last point: we perform the medical exam, we do not advise on your immigration case. For legal questions, talk to your attorney.

What does it cost, and do I need insurance?

No insurance required. Ask the price before the exam, including which vaccines you will need, so you know the total up front. We accept cash and cards.

Where we are

934 E Tidwell Rd, Houston, TX 77022, on the north side of the city. Open seven days a week, 9 AM to 9 PM, walk-in, with the whole process available in Spanish.

See the service details at I-693 immigration medical exam.