Immigration Physicals

We are happy to announce that Dr. Nirupama Gupta has received designation as a Civil Surgeon and is authorized by the US Citizenship and Immigration Services to perform Immigration Physicals for the Department of Homeland Security.

The Cost of the Immigration Physical includes:

  • Physical Examination & Labs (gonorrhea, syphilis, tuberculosis, MMR and VZV titers)

  • Review of health records and vaccination history

  • Certified and Sealed I-693 form along with a copy for your records.

  • Please note that any additional required laboratory, radiology, and vaccination would be charged extra.

Please bring the following to your appointment:

  • Valid government-issued picture ID, even for children (i.e. passport, driver’s license, employment authorization, learner’s permit, state ID); please note that school IDs do not qualify

  • Immunization records, if available (i.e. children’s vaccination records); please note: we do not call for records. During flu season (October-March), bring in a flu record.

  • Medical records, if relevant (i.e. prior treatment for tuberculosis)

  • Laboratory studies, if available: Quantiferon Gold or T-Spot (TB blood test); RPR and Gonorrhea (both not older than 1 year) for ages 15-and-older; measles/mumps/rubella and varicella titers.

The following are required to complete the I-693 form:

  1. Physical examination (includes review of health history and brief exam); please bring your eyeglasses!

  2. Tdap (tetanus vaccine), not older than 10 years (please note that Td is not acceptable). Please note: if you are a woman who has given birth in the past ten years, your OB/GYN office has a Tdap record on file (Tdap injection is given in the third trimester).

  3. Quantiferon Gold or T-Spot (Tuberculosis) blood testing for all age groups including children

  • Chest x-ray (necessary only when TB test is positive; the x-ray must not be older than 1 year)

  1. Syphilis blood testing (RPR) is required for ages 15-and-older (should not be older than 1 year)

  2. Gonorrhea urine test is required for ages 15-and-older (should not be older than 1 year)

  3. MMR titers if born in 1957 or later (not needed if immunization record of two MMR vaccines)

  • MMR vaccine if titer is not immune.

  1. Varicella titer (not needed if history of chicken pox disease or immunization record of two varicella vaccines)

  • Varicella vaccine if titer is not immune.

  1. Flu vaccine (during flu season [October to March].

  2. For ages 65-and-older, Pneumococcal vaccine [Pneumovax23]

  3. For ages 17-20, Meningococcal vaccine.

  4. For ages 18-and-under, childhood vaccination records.

Please Note:

  • Immigration exams and/or vaccinations will not be covered by insurance companies.

  • If you are pregnant please let the physician know so that we can administer the appropriate vaccinations.

  • If additional information or papers are needed, it will take longer then the regular processing time.

  • All paper work will be ready within 7-10 days for you to pick up.

Call us today at 571-206-4774 to schedule your appointment !