Immigration Physicals

Call 617-591-4660

CHA has an expert team that provides required immigration (Green Card) physicals for the Dept. of Homeland Security and U.S. Citizen and Immigration Services (USCIS or INS). Our clinic is easy to get to using public transportation and we offer medical interpreters at no extra cost.

The doctors on our team are Civil Surgeons, as required by law. They are selected by the USCIS to help people who are non-residents of the United States and are applying for permanent residence, or who are otherwise required to have a medical exam.

About the Process

Immigration exams take 1-2 visits to our clinic in Somerville, MA. Our staff will record your exam results on Form I-693 for you to return to the USCIS. 

Form I-693  |  Instructions


Immigration exams are not covered up front by insurance and will require direct payment for your visit (cash or credit card). 

About the Exam

All of the items listed below are required to complete Form 1-693. These can all be done at CHA.

Note that some items have an added cost.

  • Physical Exam
  • QuantiFeron (IGRA) testing
  • Syphilis blood test
  • Gonorrhea urine test
  • Tetanus vaccine (added cost)
  • MMR vaccine (1), or titers. If not immune, MMR vaccine will be necessary (added cost)
  • Hepatitis B series (3), if 18 years old or older (added cost)
  • Varicella vaccines (2), or titers. If not immune, varicella vaccine will be necessary (added cost). Documented history of chicken pox is acceptable.
  • Flu vaccine, if exam is during flu season, typically Oct. 1 - April 1 (added cost)
  • Pneumococcal vaccine, if over the age of 65 (added cost)
  • Meningococcal vaccine, if 18 years old (added cost)

What to Bring and Getting Your Results

What to bring to your exam:

  • A current, government-issued picture ID like a driver's license or passport
  • If necessary, someone who can read and write English to help you complete Form I-693
  • Hospital or clinic record (must be in English), including:
    • Any past immunization/vaccination records
    • Proof of prior treatment for TB or other infectious disease
    • Any mental health records

After the Exam:

Once the immigration exam is completed, CHA will certify Form I-693 with the test results, exam findings and vaccination history. This will be placed in a sealed envelope and provided to you, usually within two weeks.


You need to give the sealed envelope to the Department of Homeland Security and U.S. Citizen and Immigration Services. Turn in the envelope with your immigration application.

Immigration Physicals

CHA Assembly Square Care Center
5 Middlesex Ave. | 1st Fl.
Somerville, MA 02145
P: (617) 591-4660
F: (617) 591-4693
M - F: 8:30 am - 5 pm

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