The green card journey is a milestone for any family, and the USCIS medical exam (Form I-693) is a required step for most adjustment-of-status applicants. If you live in Town ‘N’ Country or anywhere in Hillsborough County. Finding a designated civil surgeon who can handle the entire family from infants to grandparents in one visit makes the process far smoother. At Med A Physical in Tampa. We specialize in family USCIS green card exams with a focus on making children and adults feel at ease throughout every step of the process. From age-appropriate vaccine reviews to TB blood testing and the final sealed I-693 envelope. Knowing what to expect reduces anxiety and helps you prepare your family for a stress-free experience. This guide walks you through every step of a family USCIS medical exam in Tampa: what the exam covers, age-specific vaccine requirements per the CDC schedule. TB testing for children and adults, the documents you need to bring. How to prepare your child emotionally, and what happens after the civil surgeon completes the Form I-693.
USCIS Medical Exam Tampa: What Is a USCIS Green Card Medical Exam for Families?
When your family applies for permanent residency in the United States, you must complete a health screening. This mandatory step is known as the overview of the USCIS I-693 medical exam process. Most applicants who apply to adjust their status to a permanent resident must take this exam to show they are fit to stay, as outlined in the official USCIS Policy Manual. The exam ensures that newcomers do not bring serious health risks into the country.
The Purpose of the Immigration Health Screening
The main goal of this medical exam is to find disorders that could prevent someone from entering the country under U.S. immigration laws. According to the Centers for Disease Control and Prevention (CDC), the screening checks for specific health issues that could pose a public risk. During the visit, applicants must undergo both a physical and mental examination. The doctor will review your medical history, check your basic body systems, and look for any signs of conditions that need treatment. For families in Hillsborough County, this process ensures everyone is safe and ready to build a life in America.
Why You Must See a Certified Civil Surgeon
You cannot use your regular family doctor for this specific task unless they have special approval. Instead, only certified civil surgeons can perform these exams. These are doctors who have the direct authority to review your health and vaccines for your green card application. Here in Tampa, Med A Physical provides these certified screenings to help families complete their paperwork without stress. Your civil surgeon will guide you through each required lab test, check your vaccine history, and fill out Form I-693 for your family.
Scheduling Your Family Visit Together
The green card process can feel long, but you can save time by booking your medical visits at the same time. Many clinics in the Tampa Bay area let you schedule appointments for your whole family on the same day. Booking together means you only make one trip, and your children can stay next to you during the physical tests. This setup helps reduce stress for kids and keeps your records organized. A local clinic like Med A Physical in Town ‘N’ Country makes it simple to coordinate these family visits so you can focus on your future.
Age-by-Age Vaccine Requirements for Green Card Applicants
Getting your family ready for a USCIS medical exam Tampa often starts with a look at shots. The government wants to make sure all applicants have their required immunizations before they adjust their status. This part of the process is recorded on Form I-693, which serves as your official medical and vaccination record. When you come in, our team at Med A Physical will review your history to ensure everything is complete.
Shots for infants and toddlers
Young children have a long list of required immunizations. For babies and toddlers, the civil surgeon must check for hepatitis B, polio, and rotavirus. They also look for the DTaP shot, which protects against diphtheria, tetanus, and pertussis. Children under five will also need the PCV shot to prevent pneumococcal disease. Finally, the MMR vaccine for measles, mumps, and rubella is required for children once they reach one year of age.
Requirements for adolescents
As children grow into their teenage years, the required vaccine list changes. Pre-teens and teens need the Tdap booster to stay protected from tetanus and whooping cough. The CDC schedule also requires the meningococcal vaccine to protect against brain and spinal infections. Additionally, adolescents must get the HPV vaccine series. Knowing how a civil surgeon differs from a regular doctor helps here, as our specialized team knows exactly which age groups need these specific shots.
Adult vaccines and clinic catch-up
Adult applicants must also show they are up to date on their immunizations. If you are missing any doses, you do not need to worry or delay your filing. According to guidelines on the CDC civil surgeons page, any missing age-appropriate vaccines can be given right during your exam. Our staff in Tampa can administer these required shots on the spot. This ensures your medical records are complete and your application remains on track without extra trips to other clinics.
TB Testing for Children and Adults: What to Expect
The overview of the USCIS I-693 medical exam process includes screening for communicable diseases. The Centers for Disease Control and Prevention (CDC) mandates tuberculosis (TB) screening to ensure that noncitizens entering the U.S. do not pose a public health threat. Our team at Med A Physical, located in Town ‘N’ Country, handles this entire workflow efficiently for families undergoing a USCIS medical exam Tampa.
How We Screen for Tuberculosis
For most applicants, the standard screening is an Interferon Gamma Release Assay (IGRA) blood test, such as QuantiFERON-TB Gold or T-SPOT. This modern blood test is highly accurate and requires only one clinic visit. It is much more reliable than the older skin test, which often required patients to return to the clinic to have their skin reaction read. Adults and children aged two and older must undergo this TB blood test. For children under the age of two, a blood test is not always required unless there is a known exposure or other medical concern.
What Happens If a Test is Positive
A positive IGRA blood test does not mean you have active tuberculosis. It simply means you have been exposed to the TB bacteria. If the blood test is positive, we must perform a chest X-ray to look for signs of active infection in the lungs. If the X-ray shows potential signs of tuberculosis, the civil surgeon may refer you for a sputum culture or a treatment consultation. In Town ‘N’ Country, Med A Physical guides families through every step of this follow-up protocol to ensure full compliance with federal immigration rules.
Syphilis and Gonorrhea Screenings
The CDC also requires testing for other communicable diseases like syphilis and gonorrhea. Syphilis testing is mandatory for all applicants aged 18 to 44 and is performed via a simple blood draw during your physical. Gonorrhea screening is required for applicants aged 15 to 44 and uses a standard urine test. Our clinic processes these laboratory tests quickly so you can receive your signed Form I-693 in a sealed envelope without unnecessary delays.
Preparing Your Child for a Stress-Free Immigration Medical Exam
Taking your child to a medical clinic for a green card checkup can feel stressful. The government requires all applicants to undergo a physical and mental examination to show they are healthy enough to live in the United States. Preparing your family ahead of time can make the appointment much easier for your children.
At Med A Physical, we design our family visits to be as smooth and gentle as possible. Parents can use several simple steps to help their kids stay calm and relaxed during their USCIS medical exam Tampa visit in our Town ‘N’ Country clinic.
Talk to your child early
Children feel less anxious when they know what to expect. Use simple, clear language to explain the visit a few days before you come in. Tell them that a friendly doctor needs to check their height, weight, and breathing to help your family get their new green cards.
Avoid using words that might sound scary, such as needles, shots, or pain. Focus instead on how the visit helps keep everyone healthy and safe. Let them ask questions so you can reassure them that you will be right by their side the entire time.
Bring comfort items and distractions
Having a favorite object can help a child feel safe in a new environment. Bring a beloved stuffed animal, a soft blanket, or a favorite toy to the clinic. These small items provide comfort and help pass the time while we review your records.
Distraction is also a great tool during blood tests or shots. You can use a tablet to play a favorite video, read a colorful book together, or play a simple word game. Keeping their eyes and mind busy makes the actual medical check feel much quicker.
Choose a family-friendly clinic
The clinic environment makes a big difference in how your child reacts. A calm space with patient doctors can prevent tears and build trust. Our team knows how to work with kids of all ages to make the green card checkup a positive experience.
- Wear loose clothes: Dress your child in comfortable, loose-fitting clothing so the doctor can easily check their arms and legs.
- Bring a sweet treat: Pack a small snack or juice box to give your child as a reward right after their appointment.
- Stay calm yourself: Children pick up on parental stress, so keeping a relaxed tone helps your child stay calm too.
- Review vaccines early: Check your child’s past vaccine records with us before the visit to see if they need any new shots.
Documents You Need for Your Family’s USCIS Medical Exam in Tampa
When you prepare for your family’s green card journey, gathering the right paperwork is a vital first step. Having all required papers ready before you visit a civil surgeon in Tampa will save you time and prevent delays. Under federal guidelines, every family member adjusting their status must provide specific forms of identification, health history, and immunization records to complete their USCIS medical exam in Tampa. Collecting these items early helps ensure a smooth, stress-free appointment at Med A Physical.
Required Identification and Official Forms
First, you must prove the identity of each family member. Adults need a valid government-issued photo ID, such as a passport or driver’s license. For children who do not have a photo ID, you should bring birth certificates or school records. You also need to print and bring Form I-693 for each person. While you can fill out your personal information at the top of the page, do not sign the form yet. Your civil surgeon must witness your signature during the exam. The doctor will record your exam findings and shots directly on this document, which serves as your official medical and vaccination record.
Vaccination and Prior Medical Records
Your vaccination history is one of the most critical parts of the paperwork checklist. You must bring official, written proof of all past shots for each family member. This includes childhood immunization cards, school health forms, or lab reports that show immunity to diseases. If any family member has a chronic medical condition, like diabetes, heart disease, or mental health disorders, bring a report from your regular doctor. This report must outline your current diagnosis and treatment plan. If your original medical papers are not in English, you must obtain a certified translation to present to the civil surgeon during your appointment in Hillsborough County.
The Vital Sealed Envelope Rules
At the end of your visit, the civil surgeon will compile your results. The doctor will provide a completed Form I-693 inside a sealed envelope. How you handle this envelope depends entirely on how you file your application. If you file Form I-485 online, you must open the envelope, scan the pages, and upload the document to the online portal. However, if you file your application by mail, you must submit the form in the unopened sealed envelope. In both cases, you should keep the original paper documents and the envelope in a safe place at home until USCIS makes a final decision on your case. For a full list of everything you need, you can read our complete I-693 checklist and document requirements.
What Happens After the Exam: Form I-693 Next Steps
Once the USCIS medical exam is complete, the civil surgeon documents all findings on Form I-693, the Report of Immigration Medical Examination and Vaccination Record. The civil surgeon is responsible for reporting the results of all required tests and consultations on the prescribed forms. Here is what happens next with your family’s sealed envelope.
The Sealed Envelope Rule. The civil surgeon places the completed Form I-693 in a sealed envelope. If you are filing Form I-485 (Adjustment of Status) by mail, you must submit the I-693 inside the original unopened sealed envelope along with your application package. However, if you file Form I-485 online, USCIS requires you to open the sealed envelope and upload the completed Form I-693 with your electronic application. You must keep the original Form I-693 and the envelope until USCIS makes a final decision on your case.
No More Expiration Date. As of November 1, 2023, USCIS revised the regulations concerning the validity of Form I-693. Any completed and signed Form I-693 no longer has an expiration date and is valid indefinitely. This is a significant change that gives families more flexibility in timing their green card applications. For more details on current pricing and costs associated with the exam, see our Immigration Medical Exam Cost in Tampa Bay pricing guide.
DHS Makes the Final Decision. It is important to understand that the civil surgeon does not determine whether you are eligible to adjust your status. The civil surgeon reports the medical findings, but a DHS officer makes the final admissibility determination after reviewing all records, including the I-693. Even if the civil surgeon identifies a condition that requires follow-up, the DHS officer evaluates whether the condition makes the applicant inadmissible under the Immigration and Nationality Act. HIV infection, for example, is no longer listed as an inadmissible condition for immigration purposes.
What to Keep for Your Records. Make copies of all documents before sealing or submitting them. Keep any correspondence from the civil surgeon, receipts for tests and vaccines, and a copy of the completed I-693. If you filed online, retain the original envelope and I-693 until USCIS issues a final decision on your Form I-485. For a complete checklist of required documents, visit our I-693 checklist page.
Why Choose Med A Physical for Family USCIS Exams in Town ‘N’ Country
When it comes to your family’s USCIS medical exam, choosing the right civil surgeon makes all the difference, especially when children are involved. Med A Physical in Town ‘N’ Country is a trusted USCIS civil surgeon provider serving families throughout Hillsborough County. Including Tampa, Town ‘N’ Country, Westchase, Carrollwood, Citrus Park, Lutz, and Odessa.
A Civil Surgeon You Can Trust. Med A Physical has a USCIS-designated civil surgeon on staff who is authorized to complete Form I-693 for green card applicants of all ages. Our provider understands the specific USCIS and CDC requirements for immigration medical exams and ensures that every form is completed accurately and in compliance with current regulations. The immigration medical examination includes a review of your medical history, a physical examination, required blood tests, and a vaccination record review.
Family-Friendly Environment. We know that medical exams can be stressful for children. Our team is experienced in working with pediatric patients and creating a calm, reassuring environment. We offer family scheduling so parents and children can be seen together during the same appointment, saving you time and reducing the number of visits. From the initial paperwork to the physical exam and any needed blood draws or vaccines. Our staff takes the time to explain each step to both parents and children.
Comprehensive Services Under One Roof. Med A Physical offers everything your family needs for a complete USCIS medical exam in one convenient location. This includes the physical examination, IGRA TB blood test (preferred over the skin test for accuracy). Syphilis blood test, gonorrhea urine test, vaccination record review, and any catch-up vaccines your family members may need. Having all services in one place means no running between different clinics for bloodwork or vaccines.
Conveniently Located in Town ‘N’ Country. Our location at 5416 Town N Country Blvd, Tampa, FL 33615. Is easily accessible from the Veterans Expressway (SR-589) and just minutes from the Tampa International Airport area. We serve families from Town ‘N’ Country, Westchase, Carrollwood, Citrus Park, Lutz, Odessa, and all of Northwest Hillsborough County. Contact us today at Med A Physical or call (813) 639-9119 to schedule your family’s USCIS medical exam.
Frequently Asked Questions About Family USCIS Medical Exams
What is a civil surgeon, and how is it different from a regular doctor?
A civil surgeon is a medical doctor who has been specifically designated by USCIS to perform immigration medical examinations (Form I-693) for green card applicants. While any licensed physician can treat medical conditions, only a USCIS-designated civil surgeon can complete the official I-693 medical exam required for adjustment of status. Med A Physical in Tampa has a designated civil surgeon on staff who is authorized to perform these exams for families in Hillsborough County.
What vaccines are required for a child’s green card medical exam?
Children must meet the CDC’s Advisory Committee on Immunization Practices (ACIP) age-appropriate vaccine schedule. Required vaccines include hepatitis B, DTaP (diphtheria, tetanus, pertussis), IPV (polio), MMR (measles, mumps, rubella), varicella (chickenpox), and influenza depending on age. Adolescents need Tdap, HPV, and meningococcal vaccines. If your child’s vaccination records are missing any shots, the civil surgeon can administer them during the same visit at Med A Physical in Tampa to complete the I-693 requirements.
How much does a USCIS medical exam cost in Tampa for a family?
The cost of a USCIS medical exam in Tampa typically ranges from $100 to $500 per person, depending on the provider and which tests are required. Additional costs may apply for TB blood tests, chest X-rays, and any missing vaccines. Many civil surgeons including Med A Physical offer family scheduling so multiple family members can be seen during the same appointment. Most health insurance plans do not cover immigration medical exams, so it is best to inquire about package pricing when booking. Visit our pricing guide for current rates.
What happens during the TB test for a USCIS medical exam?
The TB test is a standard part of every USCIS immigration medical exam. Most civil surgeons now use a blood test called IGRA (Interferon-Gamma Release Assay) rather than the older skin test. A small blood sample is drawn and tested for tuberculosis exposure. If the blood test is positive, a chest X-ray is required to rule out active TB disease, which is a Class A condition that could affect admissibility. For children, the blood test is preferred over the skin test for accuracy. Med A Physical in Town N Country Tampa offers same-day TB blood testing as part of the comprehensive I-693 exam.
Is a civil surgeon covered by health insurance?
Most health insurance plans do not cover USCIS immigration medical exams because they are considered an administrative requirement rather than a medical necessity. This means patients typically pay out of pocket for the civil surgeon exam, TB testing, bloodwork, and any vaccines administered during the visit. Some clinics including Med A Physical offer transparent package pricing so you know the total cost upfront. Bring your insurance card regardless, as some plans may cover individual components like vaccines or bloodwork even if they do not cover the exam itself.
Ready to Schedule Your Family’s USCIS Medical Exam in Hillsborough County?
Getting your family’s green card medical exams done together simplifies the process and reduces stress for everyone. Med A Physical in Town ‘N’ Country is your trusted civil surgeon in Tampa for USCIS exams for children and adults of all ages. Our USCIS-designated civil surgeon provides comprehensive same-day I-693 exams including physicals, TB blood testing, vaccination record review, and any needed catch-up vaccines , all in one convenient visit. Call (813) 639-9119 or book online to schedule your family’s appointment. We welcome families from Town ‘N’ Country, Westchase, Carrollwood, Citrus Park, Lutz, Odessa, and all of Hillsborough County.
Schedule Your Family’s USCIS Exam Today