College of Public Health students graduating

USCIS Immigration Medical Examinations

USCIS Civil Surgeons

Dr. Susan Spengler is a designated United States Citizenship and Immigration Services Civil Surgeon and provides medical examinations for applicants who need adjustment of status. In ideal situations, our Civil Surgeon can complete this process in two days.

Form I-693

The purpose of Form I-693 is to report results of a medical examination to USCIS. The examination, performed by a Civil Surgeon, is required to establish that an applicant is not inadmissible to the United States on public health grounds. After completion of the medical examination, our civil surgeons will give you the completed form in a sealed envelope for you to file with the USCIS.

What do I need to bring to my appointment?

We ask our patients bring any and all past immunization records as well as a government form of photo identification (i.e. passport or driver's license). 

What should I expect at my appointment?

A Form I-693 medical examination consist of three things. First, a TB skin test which checks for Tuberculosis. This test has to be read 48-72 hours after administered. For example, a TB skin test given on Monday will have to be read on Wednesday. Second, a blood draw will be performed to identify syphilis. Lastly, the Civil Surgeon will perform a medical examination as well as identify any immunizations you may need to complete the form.

How early should I come for my appointment?

We ask our patients to arrive twenty minutes prior to their appointment to fill out the registration form, medical history, and Form I-693. These forms are also provided on these links for you: Registration Form, Medical History, and Form I-693. If possible, please complete and print to bring with you to your appointment.

Will insurance cover my clinic visit?

All payments for the medical examination are due upon checkout.

Call us for an appointment today!

The Department of Preventive Medicine and Environmental Health

Kentucky Clinic South (Basement)
2400 Greatstone Point
Lexington, KY 40504
Phone: 859-257-5150 or 859-257-5166
Fax: 859-257-8982