Immigration Examination

Civil Surgeon

Thank you for selecting The Robbins Health Alliance for your Immigration needs.  Dr. Lisa Robbins has been a Civil Surgeon for over a decade and is authorized to conduct your I-693 examination for your dream of becoming an American citizen!  Your  immigration examination will cost only $300 if all of your vaccination records are up to date.  Because we do not want you to repeat any vaccinations you may have already received, we urge you to bring any vaccinations records you may have to your appointment.  Same day appointments are available except on Thursday.


*** Effective October 1, 2018 our rates will increase by $60 due to the new USCIS changes to the Tuberculosis screening. ***

What to bring with you

Coming prepared will help expediate your process.  Please bring an interpreter if needed.    The following items are needed to process your I-693 form:           


  • Any documentations from Homeland Security concerning your examination  
  • Vaccination records (if available) 
  • Passport or government issued photo identification  
  • Alien Number (if issued) 
  • USCIS Online Account Number (if any)
  • Marriage certificate if your name has changed or is different from your identification 
  • Translator (if needed)
  • Full Payment

What you will receive

  • Immigration Examination  
  • Syphilis, Measles, Mumps, Rubella, Varicella, and Gonorrhea screening           
  • Tuberculosis (TB) lab test (skin test are no longer done as of 10/1/18)                             
  •  Form I-693 completed in a signed and sealed envelope          
  •  Personal copy of the I-693 form for your records                            
  • Vaccination screening and TDAP added to Georgia state registry

Vaccination Required by USCIS

 •Rotavirus vaccine should be given orally to children 6 through 32 weeks of age.

  •Hepatitis A vaccine should be given to children 12 through 23 months of age. 

 •Meningococcal  vaccine should be given to persons 11 through 18 years of age.

 •Zoster vaccine should be given to persons 60 years of age or older.

 •Hepatitis B vaccine should be given from birth through 18 years of age. 

 •Influenza vaccine should be given annually to children 6 through 59 months of age.  It continues to be required for adults 65 years of age or older during flu season of October to March.

 •The adolescent and adult formulation of tetanus and diphtheria toxoid and acellular pertussis (Tdap) vaccine is given as a single (booster) dose for persons 10 through 64


We offer the Tdap (Combined Tetanus, Diphtheria and Acellular Pertussis) vaccination  for $75.    Once this vaccination is given it is good for 10 years before requiring repeating.      If you need an Influenza vaccination (only during flu season October to March)  and other vaccinations we recommend obtaining them a clinic inside of Walgreens, CVS or the Health Department .

How long will it take

It will take 2 – 3 days for your laboratory results to be returned to our office.      We ask that you provide us with (2) two possible contact numbers.  Once you receive the completed paper work in a sealed enveloped you cannot open it.  It must be given to the Homeland Security representative or your lawyer in our sealed and signed/stamped envelope.    Any additional paperwork after your initial examination will cost $50.  We are happy draw any additional labs outside of the required screening such as thyroid, diabetes or cholesterol just ask us when you check in for your appointment.   A discount of up to 50% is provided for our self pay clients on their labs.  *** Effective October 1, 2018 results may take longer due to the change in lab work required for tuberculosis screening. ***


The updated policy, which goes into effect on Nov. 1, 2018, will require applicants to submit a Form I-693 that is signed by a civil surgeon no more than 60 days before filing the underlying application for an immigration benefit. The Form I-693 would remain valid for a two-year period following the date the civil surgeon signed it. As such, USCIS is retaining the current maximum two-year validity period of Form I-693, but calculating it in a different manner to both enhance operational efficiencies and reduce the number of requests to applicants for an updated Form I-693.  USCIS officers use Form I-693, Report of Medical Examination and Vaccination Record, to determine whether an applicant for an immigration benefit in the United States is inadmissible under the health-related grounds of inadmissibility. By specifying that the Form I-693 must be signed no more than 60 days before the applicant files the underlying application for which Form I-693 is required, the validity of the form is more closely tied to the timing of the underlying application.  Additionally, requiring submission of a Form I-693 that was signed no more than 60 days before the date the underlying application was filed may, in some cases, maximize the period of time Form I-693 will be valid while the underlying application is under USCIS review. Officers will still have the discretion, as they have always had, to request a new Form I-693 if they have reason to believe an applicant may be inadmissible on the health-related grounds. Delays in adjudicating the underlying application will also be reduced if fewer requests for updated Forms I-693 are necessary.

Does Insurance cover the Examination

 Insurance DOES NOT cover the examination however check with your primary doctor for the required vaccinations.  Your I-693 form is valid for one year from the date you receive it.

Immigration Examination