Immigration medical exam
USCIS Form I-693 Immigration Physical.
Performed in Fresno by Dr. Oscar Hernandez, MD — a USCIS-designated civil surgeon. We complete and seal your I-693 packet so you can submit it directly to USCIS.
USCIS-Designated Civil Surgeon
A federally authorized I-693 examiner — right here in Fresno.
Dr. Hernandez is officially designated by U.S. Citizenship and Immigration Services to complete the Form I-693 medical examination required for adjustment of status. The packet you receive is signed, sealed, and ready for submission.
What's included in the I-693 visit
- Comprehensive medical history review
- Full physical examination (vitals, head-to-toe)
- Required vaccination review and on-site administration
- Tuberculosis (TB) testing — IGRA blood test or PPD
- Required blood work (syphilis serology, gonorrhea where applicable)
- Urine testing per USCIS guidance
- Mental health and substance use screening
- Completed and signed Form I-693 in a sealed envelope
Administered on-site
Vaccines and labs we handle in one visit.
Vaccines available
- MMR (measles/mumps/rubella)
- Tdap (tetanus/diphtheria/pertussis)
- Varicella (chickenpox)
- Hepatitis B
- Hepatitis A
- Polio (IPV)
- Influenza (seasonal)
- COVID-19
- Pneumococcal (age-dependent)
- Meningococcal (age-dependent)
Labs in-house
- TB IGRA blood test
- TB PPD skin test
- Syphilis serology (RPR)
- Gonorrhea (when applicable)
- Urine analysis
- Vaccination titers (if records missing)
How the process works
Call our Fresno office. We'll confirm pricing, what to bring, and your appointment time.
45–60 minute appointment with Dr. Hernandez, plus required labs and vaccines on-site.
TB results and any outstanding items are reviewed within several days.
We hand you a signed, sealed Form I-693 ready to submit to USCIS — do not open it.
Frequently asked questions
Is Dr. Hernandez a USCIS-designated civil surgeon?+
Yes. Dr. Oscar Hernandez, MD, is authorized by USCIS to perform Form I-693 immigration medical examinations in Fresno, California.
How long does the immigration physical take?+
The in-office exam typically takes 45–60 minutes. If your vaccination records are complete and no additional testing is required, the sealed I-693 packet can often be ready the same week.
What vaccinations are required for I-693?+
USCIS requires age-appropriate vaccinations including MMR, Tdap, varicella, hepatitis B, polio, influenza (seasonal), and COVID-19. We review your records and administer or refer for any missing doses.
How much does the immigration physical cost?+
Costs vary based on required vaccinations and lab work. We provide a transparent quote during scheduling. Payment is due at the time of service.
Do I need to fast before the appointment?+
No fasting is required. Bring your photo ID, vaccination records, list of current medications, and Form I-693 if you already have it.
What if my TB test or other test comes back abnormal?+
Dr. Hernandez will discuss next steps with you directly. Additional follow-up or treatment may be required before USCIS can finalize your application.
What if I don't have my vaccination records?+
Bring whatever records you have. For missing immunizations, we can administer required vaccines on-site or order a blood titer to confirm existing immunity.
Should I open the sealed envelope?+
No. Do not open the sealed I-693 envelope under any circumstances — USCIS will reject a broken seal and require you to repeat the exam.
Do you offer appointments in Spanish?+
Yes. Our team is bilingual (English / Spanish). Tell us at scheduling if you'd prefer your visit in Spanish.
Book your immigration physical.
Call our Fresno office or send a message to schedule your I-693 exam with Dr. Hernandez. We'll confirm pricing and what to bring — no consultation deposit required.