U.S. Citizenship & Immigration Services
What Is an USCIS Citizenship Test
In order to obtain a green card or US citizenship test, individuals must complete an immigration physical with required blood work and vaccination. Based on the exam and blood work civil surgeon(designated physician by USCIS) has to complete the form I-693. This form needs to be submitted to USICS or a lawyer in a sealed envelope. This is required by the United States Citizenship and Immigration Services (USCIS).
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The number of locations you need to visit for your complete immigration physical
100%
USCIS Certified Civil Surgeons performing your exam
2 hours
Be in and out within 1–2 hours on average.
Am I Eligible?
Anyone looking to obtain a green card or US citizenship is eligible and must obtain an Immigration Physical.
Find Location
What to Expect with LenoyMED's Immigration Medical Exam
01
Book your time slot
Schedule your exam online at a time and a location convenient for you.
02
Meet with a Certified Civil Surgeon
Receive your immigration physical from a Civil Surgeon certified by the USCIS, the only physicians allowed to perform them.
03
Receive additional vaccines if necessary
Get any additional vaccinations that prove necessary at the same time as your immigration exam.
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Obtain additional screening if necessary
Obtain additional screening vaccine preventable disease should you need them based on your age.
Your Immigration Services…
What Do I Need to Bring?
There are several things you can do to help your immigration physical go smoothly:
- Bring a government issued, original , unexpired ID
- Bring your vaccination record
- Have a flu shot if it is flu season
- Bring a record of prior TB testing if available
- You may eat and drink prior to your examination, but please do not bring food into the office
- You DO NOT need to bring or fill out your own I-693 form, we will provide you with the form I 693 first 4 pages for proofreading
- Payment by cash or credit card only (all major credit cards accepted)
LenoyMED will take care of the rest. We provide all the tests mandated by USCIS to complete your I-693 form.


One Location For All Your Needs
At Lenoy Med, we offer everything you need to complete your immigration physical. As we’ve highlighted, if you need additional testing or screening to complete your exam, we provide them with the convenience of:
- Walk-in examinations
- Weekday and weekend hours
- Contact options or up-to-date information
- Affordable pricing
Consider Lenoy Med your one-stop shot for your immigration physical.
You’re in Good Hands
LenoyMED is a USCIS designated Civil Surgeon Office. Only Civil Surgeons are authorized to conduct immigration physicals for those looking to obtain a green card or citizenship.
Our Civil Surgeons are highly qualified professionals with your best interests and safety in mind. Rest assured, you’re in good hands.


Reasonable Pricing
At LenoyMED, we offer the affordable price of $329.99 to complete I 693.
This includes:
- Initial physical exam by civil surgeon.
- Blood work for tuberculosis (Serum Quantiferon Gold / IGRA), syphillis and vaccine prevetable disaease.
- Urine test for gonorrhea
- Completion of USCIS paperwork
This cost does NOT include additional vaccinations or chest X rays that may be needed based on the blood work result to satisfy the USCIS requirements.
Additional vaccinations are, however, provided at the office for an additional cost.
Frequently Asked Questions
At Lenoy Medical Spa, you can usually schedule your immigration medical exam within 24 to 48 hours, depending on appointment availability. We understand that USCIS timelines can be urgent, so we prioritize quick scheduling and efficient processing.
To get started, simply contact us or book online. We provide USCIS-compliant immigration physicals with all necessary lab tests, vaccinations, and Form I-693 completion — all in one visit when possible.
At Lenoy Medical Spa, our base fee for the USCIS Immigration Medical Exam is $329.99. This all-inclusive price covers:
✔ A full initial medical evaluation
✔ Blood test for tuberculosis (TB) using IGRA (QuantiFERON)
✔ Blood test for syphilis
✔ Urine test for gonorrhea
✔ Complete Form I-693 documentation (13 pages)
We provide fast, USCIS-compliant exams with same-week availability at our Belleville, Metuchen, and Elizabeth locations. No hidden fees — just comprehensive care and accurate paperwork.
Yes, additional fees may apply. If you need vaccinations, they can be administered at our clinic for an extra cost. If your syphilis test is positive, we’re required to send your results to a commercial lab, and you’ll be responsible for that lab fee.
No, we do not accept insurance for immigration medical exams.
These exams are considered non-covered services by most insurance providers because they are required for immigration purposes, not medical necessity.
At Lenoy Medical Spa, payment is due at the time of service. If you wish to submit a claim yourself, please note:
We do not provide a Tax ID, diagnosis codes, or procedure codes,
And we cannot bill insurance directly.
Our immigration exam pricing is transparent, and we’re happy to answer any questions before your appointment.
Yes, you can eat before your immigration medical exam — and we actually recommend it.
Eating a light meal and staying well-hydrated before your appointment helps make the blood draw process quicker and more comfortable. There’s no fasting required for the tests we perform.
Yes, a urine test is required as part of the immigration medical exam.
This test is used to screen for gonorrhea, which is one of the infectious diseases the USCIS requires testing for.
Please avoid urinating for at least 1 hour before your appointment to ensure we can collect a proper sample during your visit.
Yes, we have Spanish-speaking staff available in our office most days.
If you prefer to speak in Spanish during your immigration medical exam, we’re happy to assist. Just let us know when booking, and we’ll make sure a native Spanish speaker is available to support your visit.
Yes, you must bring a valid, government-issued photo ID to your immigration medical exam.
The ID must be current and not expired, and it should clearly show your full legal name, photo, and date of birth. Acceptable forms include a passport, driver’s license, or state-issued ID card.
Bringing your vaccination record is not required, but it’s helpful.
If you have a record of your past vaccinations, bring it with you. It may help avoid duplicate shots and ensure your Form I-693 is completed accurately.
If you don’t have your vaccine history, that’s okay — we can still assess your needs and provide any required vaccinations at our clinic.
Yes, you can still complete the immigration medical exam even if you don’t have your vaccination records.
Our medical provider will determine which vaccines are required based on your age and health history. Any missing or incomplete vaccinations can be administered at our clinic during your visit to ensure your Form I-693 is fully compliant with USCIS requirements.
No, we only draw a small amount of blood — typically just two tubes.
This is enough to complete the required tuberculosis and syphilis tests for your USCIS Form I-693. The process is quick, and most patients find it comfortable and minimally invasive.
Yes, you still need to take the syphilis test again during your immigration medical exam.
The USCIS requires that all lab tests, including the blood test for syphilis, be performed at the time of your medical examination — even if you’ve had a recent negative result elsewhere. This ensures your Form I-693 meets official documentation standards.
If your blood test for syphilis is positive, it must be sent to a commercial lab for confirmation — as required by USCIS.
If the positive result is confirmed, you’ll need to complete treatment through either a public health clinic or a licensed private physician.
Once your treatment is completed and documented, we can finalize and sign your I-693 immigration medical form.
No, an HIV test is not required to complete the I-693 immigration medical exam.
However, if you’d like to include it, we can perform an HIV test using the same blood sample collected for your syphilis screening. This is available upon request and at an additional cost.
No, the TB skin test (PPD or TST) is no longer accepted for immigration exams.
As of October 1, 2018, the USCIS requires tuberculosis screening to be done by an IGRA blood test, not a skin test. There are two approved IGRA tests: the Quantiferon-TB Gold and the T-Spot.
At Lenoy Medical Spa, we perform the Quantiferon-TB Gold test in-office as part of your USCIS-compliant immigration medical exam.
A chest x-ray is only required if you test positive on the Quantiferon TB blood test.
If your TB test result is positive, you must undergo a chest x-ray (CXR) to check for signs of active tuberculosis — even if you are pregnant.
Prior chest x-rays cannot be accepted; the x-ray must be current and performed after your positive TB result, as per USCIS Form I-693 requirements.
No, we do not perform chest x-rays in our office.
If your TB blood test (Quantiferon) is positive, we will provide you with a prescription (CXR script) to take to any local radiology center. Once your chest x-ray is completed, we’ll review the results and complete your Form I-693 as required by USCIS.
Yes, you may still need the MMR vaccine — even if you’ve had measles, mumps, or rubella in the past.
If you were born after 1956, USCIS requires written documentation of the following:
Two doses of measles vaccine
One dose each for mumps and rubella
Alternatively, a blood test showing immunity (positive antibodies) for each disease is acceptable.
If you’re missing documentation or test results, you’ll need only one MMR vaccine injection to complete your immigration medical exam.
USCIS does not accept verbal confirmation from you or your doctor as proof of prior illness.
Yes, most applicants are required to receive one (1) dose of the varicella (chickenpox) vaccine.
However, if you have a blood test showing immunity (positive varicella antibodies), that is also acceptable to fulfill the requirement.
USCIS does not accept verbal confirmation or personal history of having had chickenpox as proof. You must either:
Get 1 dose of the Varivax vaccine, or
Provide official lab results confirming immunity.
Yes, a tetanus vaccination (Tdap or Td) is required for your immigration medical exam if you don’t have written proof of receiving it within the past 10 years.
If your vaccination records are missing or outdated, we’ll provide the required tetanus vaccine at our clinic to ensure your Form I-693 meets USCIS standards.
Yes, the influenza (flu) vaccine is required during flu season — from October 1 through March 31 — for all immigration applicants aged 6 months or older.
If your exam takes place during this period, you must receive the seasonal flu shot to meet USCIS vaccination requirements. If needed, we can administer the flu vaccine at our clinic during your visit.
Yes, the flu shot is still required — even if you are pregnant or may be pregnant — if your immigration medical exam takes place during flu season (October 1 to March 31).
The CDC and USCIS recommend the inactivated influenza vaccine for all individuals 6 months and older, including pregnant applicants, unless medically contraindicated. The vaccine helps protect both you and your baby during flu season.
No, you’re not required to receive all vaccinations from us.
Once we review your records and determine what vaccines are needed to meet USCIS Form I-693 requirements, you may choose to:
Get the missing vaccines from your primary care provider, or
Visit a local pharmacy for administration.
For your convenience, we also offer all required vaccinations in our clinic for an additional charge, depending on which ones you need.
Yes, you will receive official documentation for any vaccinations administered at our office.
All vaccines given during your immigration medical exam are recorded on your personal copy of Form I-693, which you can keep for your own records. This provides proof of immunization for both immigration and future healthcare needs.
Yes, you can request a vaccination waiver for religious or moral objections — but it’s difficult to obtain and often denied.
To qualify, you must file Form I-601 (Application for Waiver of Grounds of Inadmissibility) and prove that your objection is deeply held and sincere.
The process is time-consuming and requires additional documentation. Most applicants are encouraged to complete the required USCIS vaccinations to avoid delays or denial of their green card application.
Yes, you will receive a copy of your completed I-693 form for your personal records.
We provide one sealed envelope that must be submitted to USCIS, and one unsealed copy for you to keep. This allows you to retain a full record of your immigration medical exam and vaccination history.
No, we do not send your sealed I-693 form to your lawyer, employer, or USCIS.
After your immigration medical exam, we provide you with:
One sealed and signed I-693 envelope for USCIS submission, and
One unsealed copy for your personal records.
It is your responsibility to deliver the sealed envelope to your attorney, employer, or directly to USCIS as part of your green card application process.
Your I-693 immigration medical exam is valid for up to 2 years — but only if it’s submitted to USCIS within 60 days of the civil surgeon’s signature on the form.
If you wait longer than 60 days to submit, the form may be rejected, and you’ll likely need to complete a new medical exam.
If your original, sealed I-693 form is lost, we can reissue a duplicate copy using the original exam dates stored in our records.
Please note:
The information cannot be updated or changed,
The reissued form will contain the same dates and data as the original,
A $50 fee applies for this service.
If your previous I-693 is expired or no longer valid for USCIS submission, a new medical exam will be required.
Yes, if USCIS requests your I-693 to be rewritten on a newer version of the form, we can do that for you.
The updated I-693 will contain the same original medical exam information and dates. A $50 service fee applies for reissuing and completing the form on the latest USCIS version.
Please bring the USCIS notice with you when you come in, so we can ensure full compliance.
Book Your Time Slot for a Citizenship Test Today
Consider LenoyMED your one-stop shop for immigration medical exam.