Immigration Physicals

Avita MD provides immigration physical examinations performed by USCIS-designated civil surgeons at our clinics in Los Altos, Mountain View, and Los Gatos. We complete the required Form I-693, perform on-site blood draws and TB testing, and administer any missing vaccinations. Call (408) 495-5770 to schedule or book online.

Avita MD's USCIS-designated civil surgeons, Dr. Patricia Sitnitsky, M.D. and Dr. Jyotsna Singh Vincent, M.D., are authorized to perform the green card medical exam and complete Form I-693. Every Form I-693 is reviewed and signed by Dr. Sitnitsky or Dr. Vincent, and our physician assistants may assist under their direct supervision. We are a physician-owned practice with more than 890+ five-star Google reviews. Our staff speaks several languages, which is particularly helpful for applicants who are more comfortable discussing medical details in their native language.

What the Immigration Physical Involves

The immigration physical is a standardized exam required by USCIS for all applicants seeking a green card (permanent residency) through adjustment of status. A designated civil surgeon must perform the exam and complete Form I-693, which is submitted with your immigration application.

During the exam, your civil surgeon reviews your medical history and immunization records, performs a physical and mental evaluation, checks your vaccination records against USCIS requirements, and orders any required testing. This includes a blood draw for syphilis screening and either a TB blood test (interferon-gamma release assay) or a tuberculin skin test. Required testing can also include a chest X-ray when indicated.

Vaccination Review and Administration

USCIS requires proof of a specific list of vaccinations. If your records show gaps, we can administer many of the required vaccines during your visit. Bring whatever vaccination records you have, even if they are incomplete. Our team will review what you need and work with you on a plan to get current.

On-Site Lab Work

Avita MD has on-site phlebotomy at all three locations, so your required blood work happens during the same visit. There is no need to schedule a separate appointment at an outside lab. This helps you get your completed I-693 form faster.

Form I-693 Completion

After your exam and lab results are in, your civil surgeon completes and signs Form I-693. The form is valid for two years from the date the civil surgeon signs it. We review the form with you before sealing it, so you understand every section. You receive the sealed envelope to submit with your USCIS application.

How to Prepare for Your Appointment

To make the most of your visit and avoid delays:

• Bring a valid photo ID (passport, driver's license, or state ID)
• Bring all available vaccination records from any country
• Bring medical records for any chronic conditions or past surgeries
• If you take medications, bring a list or the medication bottles
• Wear short sleeves for blood draw and any vaccinations

Pricing and Insurance

Immigration physicals are not covered by health insurance. The examination fee includes the physical exam, Form I-693 completion, and required TB screening. Vaccinations are billed separately. Call us at (408) 495-5770 for current pricing information.

Schedule Your Immigration Physical

Avita MD offers same-day and next-day appointments at all three locations. Call (408) 495-5770 or book online. Our clinics are in Los Altos, Mountain View, and Los Gatos, serving patients throughout the Bay Area and greater San Francisco Bay Area.

If you are also looking for a primary care physician for ongoing care, our providers are happy to serve as your regular doctor after the immigration physical is complete. We offer annual physicals, chronic disease management, and preventive care for adults.