Latest ALERTs - Updated March 2025

New! On-Site Lab Collection Services

At Sunshine State Medical Inc., we now offer on-site phlebotomy services, including blood draws and urine collection. This means you no longer need to schedule an appointment at an external lab—our team can take care of it during your visit. Your samples are submitted directly to the lab for faster processing, improving your overall experience and helping you get results sooner. This is especially beneficial for immigration medical exams, follow-up tests, and routine care.

• ALERT: Effective January 22, 2025, USCIS waives any and all requirements for COVID-19 vaccination. USCIS will not deny any adjustment of status application based on the applicant’s failure to present documentation that they received the COVID-19 vaccination.
• ALERT: Effective Dec. 2, 2024, if you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, USCIS may reject your Form I-485. 
• ALERT: Polio Vaccine is now required for most patients if you don't have records of vaccinations.
• ALERT: Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire, and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds. For more information, see the Policy Alert. 
  

Para obtener información en español sobre el examen médico de inmigración, haga clic aquí

Questions and answers for the Immigration Medical exam form I-693

Why is the form I-693 required for immigration purposes?

The Immigration Medical Exam is required for filing form I-485 (Application to Register Permanent Residence or Adjust Status. Once you have your "Green Card," you can become a citizen in 3 - 5 years, depending on your case.

What is the cost of the immigration medical exam?

The exam requires a medical examination by our immigration certified civil surgeon, blood and urine labs, and vaccinations if you don't have proofs. Continue reading for all the details.

The cost at our clinic is:

$300 for EACH patient

- It is self-pay and not covered by any insurance -

• The examination includes digital preparation of the form I-693, revision of documents including vaccine records and the examination with our immigration certified doctor.
• If there are any missing vaccines, you will receive a script that you can take to the pharmacy of your choosing.

The required labs:

$150 for self-pay

- may be covered by your insurance -

• The labs require blood and urine testing and you do not need to fast. One of the tests is for tuberculosis and some individuals test positive due to vaccination in other countries. If this is the case, Immigration will require a chest x-ray with a cost of $30 - $50.
• We collect your blood and urine samples right here at the clinic and send them directly to the lab—no need for a separate appointment or long wait times.
• We’re your one-stop clinic for medical exams, lab work, and more.

What are the required vaccines for the immigration Medical Exam?

The Immigration medical exam requires proof of several vaccines. below is the complete list for your convenience.

(CLICK ON THE LINKS FOR CURRENT PRICING AT VARIOUS PHARMACIES)

- VACCINES MAY BE COVERED IF YOU HAVE INSURANCE -

- The health department can also administer the vaccines for free or at a reduced cost -

Please visit their website to make an appointment by clicking here

*Please plan accordingly if they don't have appointments in the timeframe required*

1. If you have vaccine records from your country, we will review them to avoid the extra cost but keep in mind that some vaccines expire, and you must perform them again even if you had them in the past.
2. Vaccines have an extensive range in price. Our office has access to verify your information within the FloridaShot portal and obtain a full report and avoid unnecessary vaccines costs at no additional charge if vaccines have been performed in Florida.

Here is the current list of vaccine requirements you can also view the CDC Vaccine Guide 

• MMR Link to coupons for best pricing
• Mumps
• Measles
• Rubella
• Varicella (Chickenpox) Link to coupons for best pricing
• Tdap Link to coupons for best pricing
• Diphtheria
• Tetanus
• Pertussis
• Hib (Influenza type B) Required from 2 -59 months old Link to coupons for best pricing
• Influenza (Flu, Gripe) Required during flu season Link to coupons for best pricing.
• COVID-19 Effective January 22, 2025, No longer required CDC details on requirements
  
• Pneumonia (Required for adults ages65 and up) Link to coupons for best pricing.
• Polio (From 2 months old all ages required) Link to coupons for best pricing locally
• Meningococcal (MenACWY) (Age 11 - 18 years old) Link to Coupons for best pricing
• Hepatitis A (Age 12 months - 18 Years old) Link to Coupons for Best Pricing locally
• Hepatitis B (Age from birth to 59) Link to coupons for best pricing

IF YOU HAVE BEEN VACCINATED BUT DON'T HAVE THE RECORDS, WE CAN REQUEST A BLOOD TITER TEST TO SEE IF THE ANTIBODIES ARE PRESENT IN YOUR BLOOD.

FOR MMR, VARICELLA, AND HEPATITIS B ONly

(Pricing varies per lab and can cost more than the vaccines)

How long does it take to complete the process for the i-693 medical exam?

• We need to see you at the clinic at least 2 times. the initial visit to do the paperwork, labs and doctor visit and one sign and pick up the paperwork.
• We deliver the sealed envelope in 5-7 days if the labs return normal and we have all the required vaccine records or proofs.
  
• Some patients require an additional chest x-ray or medical treatment if the blood or urine test come back positive delaying the process.

How fast can I make an appointment for the immigration medical exam?

We keep appointments open every day Monday to Friday and you can Schedule fast and conveniently here on our website, via chat, or by calling us directly.

Can I send a family member to pick up my sealed envelope with form i-693?

No, the person applying and performing the exam MUST sign in person after verifying all information is correct before we seal the envelope.

Here are direct links to the USCIS website for the latest information:

• CDC Vaccine Guide
• I-693 Form
  

Meet the team at our clinic.

We are here to serve you fast and we make it easy to book your appointment online, via chat, or by calling us.