Walk-In Immigration Physicals in Albany County, NY – $200
Immigration Physicals for all ages are conducted at Surya on a walk-in basis, Monday-Thursday between 9 am and 1:30 pm; we no longer schedule immigration physicals for Friday and Saturday. For non-English-speaking adults, an interpreter will be provided at no charge (we can schedule an interpreter a week after your initial visit). Please note that family members are not allowed to interpret.
Dr. Giridhar Kamath is a licensed U.S. civil surgeon performing immigration physicals. Ultimately, a completed I-693 form will be provided in a sealed envelope, in addition to copies of the I-693 and supporting documents (for personal records).
We request that you arrive before 1:30 pm to allow enough time to go to the lab (which closes by mid-afternoon). After your physical, you will sign the I-693. It typically takes 1 week to acquire lab results. (If a lab titer is low, then you will need to obtain the necessary vaccination. If the Quantiferon Gold or T-Spot blood test is positive, then you will need to obtain a chest x-ray.) As soon as the file is complete, the civil surgeon will sign the I-693. A sealed envelope will be created containing the I-693 and supporting documentation. If you live a distance away (i.e. over 50 miles from our office), we can mail the documents via FedEx.
When presenting for an Immigration Physical, bring the following:
- 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 (flu shots can be obtained at local pharmacies). 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). As of 10/01/2021, full covid-19 vaccination is required (2 doses for Pfizer and Moderna; 1 dose for Johnson & Johnson).
- Medical records, if relevant (i.e. prior treatment for tuberculosis)
- Laboratory studies, if available: Quantiferon Gold or T-Spot (TB blood test); RPR (as of 09/01/2021, mandatory for ages 18-44) and Gonorrhea (as of 09/01/2021, mandatory for ages 18-24); measles/mumps/rubella/varicella titers***
- Insurance card, if available, for processing lab studies [Quantiferon Gold (TB), RPR, Gonorrhea, MMR/varicella titers]; you will be sent to a lab with a script
- Eyeglasses, if applicable (for eye exam)
***Please inform us whether you have previously had chicken pox (varicella disease). If so, a varicella titer is not needed.
The following are required to complete the I-693 form:
- Physical examination[$200] (includes review of health history and brief exam); please bring your eyeglasses!
- Tdap (tetanus vaccine) [$85], 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).
- Quantiferon Gold or T-Spot (Tuberculosis) blood testing required 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)
- Syphilis blood testing (RPR) required, as of 09/01/2021 for ages 18-44 (not older than 1 year)
- Gonorrhea urine test required, as of 09/01/2021 for ages 18-24 (not older than 1 year)
- MMR titers if born in 1957 or later (not needed if immunization record of two MMR vaccines)
- MMR vaccine if titer is not immune [$150 for MMR]****
- Varicella titer (not needed if history of chicken pox disease or immunization record of two varicella vaccines)
- Varicella vaccine if titer is not immune [$200 for varicella]****
- Flu vaccine (during flu season [October to March]; flu vaccine is under $40 at a pharmacy or primary care office)
- As of 10/01/2021, full Covid-19 vaccination (2 doses for Pfizer and Moderna; 1 dose for Johnson & Johnson).
- For ages 65-and-older, Pneumococcal vaccine [$150 for Pneumovax23]
- For ages 17-20, Meningococcal vaccine (obtainable at pharmacy or primary care office)
- For ages 18-and-under, childhood vaccination records
****If both MMR and Varicella vaccines are needed, please note that they should be received on the same date (both are live vaccines).
Upon completion, a signed I-693 form with supporting documentation will be provided in a sealed envelope. This envelope may NOT be opened and is to be submitted to the USCIS as part of the application process. When submitting to USCIS or an attorney, please do not write or place stamps on the sealed envelope (if mailing, please place the sealed envelope in a separate, larger stamped envelope).
12 Frequently Asked Questions (Please Read These!)
At Surya, we have been performing immigration physicals since October 2014. We have become proficient at completing this process. Immigration physicals are a core part of our practice. We do the physicals on a walk-in basis. The 4,000-square-foot facility is within 10 minutes’ drive to the Albany USCIS field office (which recently moved to 500 New Karner Rd, Third Floor, Albany, NY 12205).
To save time, the immigrant signs the I-693 form on the date of the physical. Our office is organized and dedicated to the proper completion of the I-693.
Generally, immigrants should expect to get their completed, sealed I-693 envelope within 7-10 days of their visit.
For non-English speakers, we can schedule an interpreter a week after the initial visit.
No, please do not call. We perform immigration physicals on a walk-in basis 9 am-1:30 pm, Monday – Thursday.
Please do not bring in the form. We have the form. We will complete it on computers.
For adults (ages 15-and-older) who have no records, the typical charge at our office is $285 ($200 for the physical and $85 for Tdap vaccine). For senior patients (ages 65 and older), a pneumococcal vaccine is also required ($150 at our facility). Children generally have vaccination records at their primary care office (please bring in these records). For children, the typical charge at our office is $200 (for the physical). Laboratory studies for adults (defined as 15-and-older) typically involve a Quantiferon Gold (TB test), RPR (syphilis test), Gonorrhea (urine test), MMR titers (not required for persons born in 1956 or before), and Varicella titer. The cost of the lab studies varies based on insurance and can be as high as $500. Please note: these lab tests are considered screening tests (not diagnostic). Some insurers do not cover screening tests. A screening code (Z13.9) will be listed on the lab script.
During flu season (October through March), flu vaccine can be obtained through a pharmacy or a primary care office for $40-50.
Covid-19 vaccination can be obtained at pharmacies and the health department (typically no charge to patient).
If the Quantiferon Gold (TB test) is positive, then a chest x-ray is needed. We can send you to a walk-in imaging center with a chest x-ray script where your insurance can be used (we typically send people to ImageCare at 711 Troy Schenectady Rd at Capital Region Health Park in Latham, NY).
If the MMR titers are not immune, we charge $150 for an MMR vaccine (and do not go through insurance). You have the option of going to your primary, the health department, or another urgent care center to get the MMR vaccine. Please note that MMR is a two-shot series where the second shot is obtained 4 weeks or later after the first shot (only the first shot is needed to proceed with the I-693 paperwork). The MMR vaccine is not required for persons born in 1956 or before.
If the Varicella titer is not immune, we charge $200 for a Varicella vaccine (and do not go through insurance). You have the option of going to your primary, the health department, or another urgent care center to get the Varicella vaccine. Please note that Varicella is a two-shot series where the second shot is obtained 4 weeks or later after the first shot (only the first shot is needed to proceed with the I-693 paperwork).
No. At Surya, the exam is performed by Dr. Kamath, who is a male physician. However, based on current CDC technical guidelines, we have stopped doing genitalia exams for immigration physicals.
Please inform the front desk staff that you are pregnant. Please provide all lab reports that have been performed during pregnancy (these can be obtained from your OB/GYN office). The tetanus injection (Tdap) is recommended at 27-36 weeks of gestation (if you are not currently in your 3rd trimester, we can proceed with the I-693 without Tdap). Varicella and MMR are both live vaccines which are contraindicated (not to be received) during pregnancy (we can proceed with the I-693 form without these vaccines; the vaccines, if needed, would have to be received after delivery).
Yes. For the purposes of this process, the BCG vaccine is not recognized. Please note that we have received instruction from Homeland Security to follow the recent recommendations by the Centers for Disease Control to stop performing PPD placements (we now perform Quantiferon Gold blood tests for immigration physicals).
No. We will perform a Quantiferon Gold blood test (as recommended by the CDC). If the blood test is positive, the chest x-ray would need to be repeated. Please note that the RPR test (for ages 18-44) and gonorrhea test (for ages 18-24) cannot be older than one year.
No. Adults need to sign their own I-693. Children who are 14-and-older need to sign their own I-693. A parent may sign for children 13-and-under.
No. Family members are not allowed to interpret. We will set up an interpreter at no charge to you. For non-English speakers, we can schedule an interpreter a week after the initial visit.
Yes. You will receive copies of all supporting documents (labs, vaccines, physical). You will receive a copy of the I-693 after it has been signed.