Boston Immigration Medical Examination i693 form

USCIS authorized civil surgeon

USCIS Policy Update
The updated policy, which goes into effect on Nov. 1, 2018, will require applicants to submit a Form I-693 that is signed by a civil surgeon no more than 60 days before filing the underlying application for an immigration benefit. The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. Click here for more info.

Immigration examination overview

Dr. John Leung is a civil surgeon authorized by U.S. Citizenship and Immigration Services (USCIS) to perform immigration medical exam.
Top 3 reasons to choose us:

  • Accuracy: We strictly adhere to most up-to-date USCIS-issued technical instructions  We have the experience. We have processed hundreds of i693 forms a year for years successfully. There is nothing we have not seen. If your form is rejected for any reason (even if it is not our fault), we will amend it free of charge within 2 business days (vaccines and labs are extra if you need any).
  • Fast process: Most forms will be ready within 10 days
  • One-stop-shop: we have in-house laboratory, and we stock all required vaccines. Most immigration exams are completed in a single 60-minute visit.
  • Lowest cost: Thanks to high volume and streamlined process, we provide you with the lowest fee in the region: $200 (cash only, extra fees for vaccines/lab) No insurance, no problem. We offer one of the lowest out-of-pocket price for lab and vaccines.

    • We cannot accept lab results obtained elsewhere prior to your visit, per government guideline. The required labs (gonorrhea, syphilis and TB screening tests) need to be obtained AFTER you see Dr. Leung. Do not obtain these lab works before you come to us. Please watch the following video prior to scheduling your visit here.
    • Please note that patients younger than 14 years old need to provide both a birth certificate and a valid photo ID.
    • Patients with HIV may experience a delay in their form, as the government guidelines require a chest x-ray and referral to the Public Health Department for a sputum culture to rule out tuberculosis. The x-ray and sputum culture must be obtained AFTER your appointment with Dr. Leung, and may cause a delay of up to 8 weeks to complete your form.

How to prepare for the medical examination

Please watch the following video for further information about the I-693 form process at BFAC


Step 1. Call your insurance:

Below is a list of the most common labs and vaccines required for i693 application, but there may be exception depending on your unique medical conditions. To determine what specific labs and vaccines you need to fulfill your immigration application, Dr. Leung will need to see you in clinic first and do a thorough evaluation. Staff will not be able to tell you over the phone prior to your visit, as the lab and vaccine requirements depend on many factors. However, it does not mean you cannot call your insurance ahead of time to find out if they cover the most common labs and vaccines required. Many insurance policies cover vaccines, but lab work are seldom covered for immigration purposes. Only member themselves can access their insurance coverage policy, so you will need to contact insurance yourself. We offer one of the lowest lab fees in MA if you choose to pay out-of-pocket.

Most common labs for i693
Dr. Leung, NPI = 144-631-8711

Most common vaccines required for i693

Vaccine CPT Code
Tdap Vaccine 90715
Varicella Vaccine 90716
MMR Vaccine 90707
Flu Vaccine (Oct-Mar Only) 90656

If insurance does not cover your lab work or vaccines, we offer one of the lowest out-of-pocket price.
If insurance covers required lab work, you can obtain the lab work in our clinic during your visit, no deposit required.
If insurance covers the required vaccine(s), you can obtain the required vaccine(s) at your family doctor's office or local pharmacy with Dr. Leung's prescriptions (which will be given to you during your visit).
VACCINES CAN ALSO BE GIVEN AT THE CLINIC DURING INTERVIEW For clients’ convenience, you can also obtain all the required vaccines at our clinic. We make sure we always have all the i693 vaccines available. You will provide you with the detailed vaccine administrative records/proof (name of vaccine, dose, route of administration, expiration date, lot number, the certified nurse who gave the vaccines, location of injection, date of service, client’s correct name, date of birth, and etc). It gives clients peace of mind that the vaccine administration record is accurate and has all the details required by the government. Some PCP office/pharmacy may not have the vaccine templates that record all these information as their focus is for medical documentation, and not for immigration legal purposes. If you plan to obtain vaccine at our clinic, it is important to check your insurance coverage prior to your first visit. We are not responsible for any dispute between applicants and their insurance company/coverage, and applicant is ultimately responsible for the cost of the vaccines if insurance denied the reimbursement for ANY reason. The burden of insurance denial appeal lies on the clients.

Step 2 Prepare documents:

Bring the original and a copy of the following documents to your appointment
  1. Government-issued photo identification
  2. Relevant medical records
  3. Immunization Records (must be in English. Otherwise, certified translation is required)
  4. If you had tuberculosis treatment in the past, we will need your:
    • Prior CXR report
    • TB drug name, dosages, number of doses given
    • Start and end date of treatment
    • Name and address of treating physician
    • Date and results of most recent sputum culture in the past
    • Marriage certificate if applicable

Don’t speak English?

  • Please bring a translator that is fluent in both English and your native language to your appointment with you

What to expect after the initial visit

  • Your form will be ready for pickup within 2 weeks after you have fulfilled all the requirements (lab works and vaccinations).
  • Dr. Leung will review the form personally to ensure accuracy.
  • We will call you once your form is ready to schedule in-person pick up. A pick-up appointment takes about 30 minutes, as we will verify the form one more time with you and answer all the questions/concerns before giving it to you in a sealed envelope as required.
  • A digital copy will be provided to you free of charge.
  • We will also save a copy of your certified i693 form for 2 years.

We stand by our work

We certify hundreds of i693 forms a year successfully. While we don't anticipate any issues, if our certified i693 form is rejected for ANY reason, we will ammend it free of charge within two (02) business days.