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USCIS-Designated Civil Surgeon

Bay Area's trusted I-693 immigration medical exam.

Dr. Arun Sharma is a USCIS-designated Civil Surgeon serving green card applicants across the Bay Area with same-day I-693 immigration medical exams, transparent pricing, and a sealed envelope ready to submit to USCIS, all from a clinic with more than 60 verified five-star reviews.

$350 Flat Fee
1 Visit For Most Cases
3-4 Days for Lab Results
I-693

Immigration Medical Exam

Form I-693 · Latest Edition 01/20/25

$350 flat fee

Includes physical exam + sealed I-693 form

  • Complete USCIS-required physical exam
  • Vaccination review & administration
  • Lab order coordination (TB, syphilis, gonorrhea)
  • Sealed I-693 envelope ready for filing
  • Free electronic copy for your records
  • Records accepted from any country
Book Your Appointment

USCIS Designated

Authorized Civil Surgeon by U.S. Citizenship & Immigration Services

One-Visit Completion

Most exams completed in a single appointment

🔒

Sealed Envelope

Per USCIS requirements, signed and sealed in your presence

🌐

Multilingual Staff

English, Spanish, Hindi, Punjabi, Mandarin, Vietnamese

Four steps to your sealed I-693 envelope.

No mystery. No surprises. Most patients walk out the same day with paperwork in hand.

1

Book Online or Call

Same-day or next-day appointments are usually available. Mention any USCIS deadlines and we'll prioritize.

2

Prepare Your Form

Fill in pages 1, 2, and the photo ID details on page 3 of your I-693. Send documents ahead of time if requested.

3

Exam & Lab Orders

Physical exam, history review, and lab orders for TB, syphilis, and gonorrhea, coordinated with your insurance.

4

Sealed Envelope

Once labs return, sign your form in front of the civil surgeon. Walk out with the official sealed I-693 envelope plus a digital copy.

How to prepare your I-693 form.

Filling out Form I-693 correctly before you arrive saves time, reduces RFE (Request for Evidence) risk, and helps us complete everything in a single visit. Here's exactly what to do.

Step 1, Download the latest Form I-693

To make this easier for our patients, we host the most current edition of Form I-693 directly on our website, no need to navigate USCIS forms pages. Just click below to download.

Current edition: 01/20/25 (expires 09/30/27).

⬇ Download I-693 Form (PDF) ⬇ Download Patient Prep Guide Verify Latest on USCIS.gov →

New: Our 2-page Patient Prep Guide walks you through what to bring, what to expect during your visit, and what happens after, printable and easy to share with family members.

Step 2, Fill in Pages 1, 2, and Page 3 ID details

Please complete Page 1, Page 2, and the photo identification details on Page 3. All information will be verified against your original photo identification during the medical examination. The medical sections of the form are completed by the civil surgeon during your appointment.

1
Page 1, Applicant Information

Complete your full legal name, mailing address, A-Number (if you have one), date of birth, and country of birth. Use the name exactly as it appears on your I-485 and passport, no nicknames or shortened forms.

2
Page 2, More Applicant Details

Continue with email, phone, gender, height, weight, and eye/hair color. Be honest and thorough, the civil surgeon will verify these against your photo ID.

3
Page 3, Photo ID Section Only

Fill in the photo identification details at the bottom of page 3 (passport number, driver's license number, or other government-issued ID). Stop there. The medical sections below are completed by the civil surgeon during your exam.

⚠ Critical: Do NOT sign Form I-693 before your appointment

By federal regulation, your signature must be witnessed by the civil surgeon at the time of the exam. If you sign before your appointment, USCIS will reject the form and you will need to start over. The civil surgeon does not assume responsibility for the accuracy of information you provide on pages 1–3, please double-check everything carefully before arriving.

📋 Document upload & secure file sharing

To make your appointment more efficient, the doctor may ask you to upload or email documents ahead of time for cross-verification, or to share them in a HIPAA-compliant secure folder for review before your visit. This is especially helpful for patients with vaccination records from other countries, prior medical conditions, or complex histories. We'll send you a secure upload link if needed when you book.

Use a black ballpoint pen. Print clearly. If you make a mistake, do not use white-out, start a fresh form. USCIS rejects forms with any white-out, marker, pencil, or correction tape.

What else to bring

📄
Government photo ID

Passport, driver's license, or state-issued ID. Required to verify your identity against your I-693 form.

💉
Vaccination records

Any records you have, from any country. We accept records from CVS, Walgreens, Costco, Walmart, school systems, and foreign clinics.

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Medical history

Documents about chronic conditions, mental health treatment, prior TB exposure, or substance use treatment.

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Payment & insurance

Cash, credit/debit card, or check for the $350 fee. Insurance card if you have one (used to bill labs and vaccines).

Sealed I-693 envelope ready for USCIS
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Sealed I-693 Envelope
Replace with photo of the actual sealed envelope patients walk out with. Save as: images/sealed-envelope.jpg

What you walk out with.

Every USCIS-compliant I-693 examination ends the same way: an envelope, signed and sealed in your presence by the civil surgeon, ready to submit directly with your I-485 application.

You also receive a complimentary digital copy for your records, and we keep a secure copy on file in case you ever need a replacement.

USCIS requires the envelope remain sealed until they open it. Do not open it yourself.

No hidden fees. No surprise charges.

We publish our prices because immigration is stressful enough. Here's exactly what you'll pay.

Complete I-693 Service

Medical exam + Form I-693 paperwork + sealed envelope

$350/applicant

  • Comprehensive physical examIncluded
  • Form I-693 preparation & signingIncluded
  • Sealed envelope (USCIS compliant)Included
  • Free electronic copyIncluded

Lab test package

Most patients choose this for speed and peace of mind.

  • TB QuantiFERON + syphilis + immunity profile$250

Often drawn right at our office during your visit, or, when it's simpler, sent to a nearby lab we work with. Either way, we handle it: no appointment to book on your own, no insurance to sort out, no extra payments if you go through us. Results come straight back to us in about 4 days. You're also welcome to use insurance at an outside draw center, but pricing through insurance varies, we recommend checking with your insurer about coverage for the QuantiFERON TB test, syphilis screening, and immunity profile (MMR, varicella, hepatitis B) for adults 18–64.

Vaccines (if needed) are typically covered by insurance, or $60–$150 each cash.

We Also Offer

  • DS-1843 Emigration Exam
  • N-648 Disability Waiver
  • Pre-employment physicals
  • School & sports physicals
  • Annual wellness exams
Call for Quote

Verified Google reviews.

A selection of recent 5-star reviews from our verified Google Business Profile. Every one is a real patient, read all 69 on Google.

★★★★★
4.9★ average Based on 69 Google reviews
★★★★★
★ GOOGLE

“Dr. Arun Sharma is PCP+. Imagine a really good soccer coach, who happens to be a great yoga coach too! That is the closest analogy I can think of. At times he did phone-call follow-ups to keep me on track. As a result of his advice I changed my food habits. For the last 1 year I have adhered to those changed ones. Pre-emptive and preventive care.”

Avinash Mulye
Verified patient
★★★★★
★ GOOGLE

“I am very thankful to Dr. Arun. He shows exceptional dedication toward his work. He was so prompt and understood the urgency of my request that he even worked over the weekend to get my documents done. Highly recommended!”

Abdul Gafoor
Verified patient
★★★★★
★ GOOGLE

“Dr Sharma has provided amazing services for my dad as part of immigration medical requirements. He walked us through each step of the process with care and immense knowledge. Without his guidance we would have been lost in the lengthy and complex process to get the necessary medical requirements cleared. Highly recommended!”

Govind Baliga
Verified patient
★★★★★
★ GOOGLE

“I had a fantastic experience getting my I-693 medical exam completed at Atlas Intensive Care. The entire process was exceptionally fast, smooth, and completely hassle-free from start to finish. Dr. Arun Sharma was incredibly efficient and accommodated every required check, lab test, and immunization review without any delays. What impressed me the most was how clearly the process was explained. The doctor took the time to walk me through every step, ensuring I understood what was needed and what to expect. Finding a reliable civil surgeon who delivers thorough, accurate work within such a short timeframe is rare. I highly recommend this clinic to anyone looking for a seamless, stress-free experience for their immigration medical paperwork!”

Priya Sundararaman
Verified patient
★★★★★
★ GOOGLE

“We came to Dr. Arun Sharma at Atlas Intensive Care to get my grandmother’s I-693 done for her green card, and he did a very thorough job. But what really stood out was everything after that. My grandmother had run out of her blood pressure and diabetes medications from India, and he took the time to figure out what the equivalents were here and get her back on track. He also answered questions outside of normal office hours more than once, which we didn’t expect. You can tell he actually cares about his patients. Highly recommend, if you need help with immigration medical exams.”

Anjana Srinivasaprasad
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun was wonderful throughout the entire I-693 medical examination process for me and my husband. He was professional, knowledgeable, patient, and made the whole experience very smooth and stress-free. He took the time to explain everything clearly and made sure we felt comfortable and well taken care of. I would highly recommend Dr. Arun to anyone looking for a physician to complete their immigration medical examination.”

Nayana Nair
Verified patient
★★★★★
★ GOOGLE

“The experience was seamless. Dr Arun is a knowledgeable and a genuinely friendly individual who guided me through the whole process and its nuances. The entire process finished timely, and I was also able to keep in touch with Dr Arun whenever I had any questions in the interim. Recommend them highly.”

Sandesh V. Borgaonkar
Verified patient
★★★★★
★ GOOGLE

“Thanks to his efficiency and professionalism, I was able to complete the entire immigration medical exam process in less than a week. I highly recommend Dr. Sharma to anyone looking for a USCIS civil surgeon who is knowledgeable, organized, and makes the process as stress-free as possible.”

Harsha Badami
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun Sharma is the best primary care doctor I have ever had. He is incredibly thorough, taking the time to explain medical concepts and treatment choices clearly. I always leave my appointments with a solid understanding of my health and a clear plan moving forward. If you are looking for a primary care doctor who genuinely cares about your well-being, he is highly recommended.”

Rohit
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun Sharma received us with a welcoming smile and made us very comfortable through the entire medical process. It was quick and smooth all over. You can tell by his work that he's experienced and knows how to handle clients. We had a good experience and can recommend him to anyone seeking any assistance with medicals.”

Abhishek Kaukuntla
Verified patient
★★★★★
★ GOOGLE

“Dr Arun Sharma was very professional, kind, and detail oriented! He was able to give me a complete break-down of the entire process for my USCIS filing / medical examination and left me at ease through the entire process. I would highly recommend him and his practice to anyone in need of such services or any medical care! Thank you once again.”

Farzook Fayyaz · Local Guide
Verified patient
★★★★★
★ GOOGLE

“Dr Sharma was friendly, helpful and very responsive. I especially appreciated his swift and timely provision of what I needed. I was on a very tight timeline and Dr Sharma helped make that happen! I would highly recommend.”

Joel Taylor
Verified patient
★★★★★
★ GOOGLE

“I had a fantastic experience with Dr. Sharma for my immigration medical exam (I-693). The entire process was seamless and efficient. Dr. Sharma was incredibly thorough during the examination, taking the time to explain every step and answering all my questions regarding USCIS requirements. The paperwork was handled and finalized much faster than I anticipated.”

Pratha Shah
Verified patient
★★★★★
★ GOOGLE

“Finding a doctor who is both highly skilled and genuinely kind can be tough, but Dr. Arun Sharma is both. I had a wonderful preventive care visit with him over telehealth, and he made me feel completely at ease. He still manages to make you feel like his only patient, even through a screen. Highly recommend him!”

Bhargav Kanodia
Verified patient
★★★★★
★ GOOGLE

“I had a great experience with Dr. Sharma for my immigration medical exam. The entire process was extremely quick and efficient. He was very knowledgeable about the immigration medical process, answered all my questions patiently, and made everything smooth and stress-free. There were no unnecessary charges or extra fees for quick processing.”

vaibhavi kulkarni
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun Sharma was helpful throughout my I-693 medical exam process. He walked me through the paperwork step by step and ensured it was filled out correctly to avoid any potential RFEs later. I would highly recommend him to anyone needing a civil surgeon for immigration medical exams.”

nagendra kini
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun Sharma, as a civil surgeon, was great at handling our case and took great care filling out and reviewing the paperwork. They apparently even handle vaccinations as well, not just the paperwork. So, if you are in a hurry trying to get appointments for vaccines and fill out USCIS related paperwork, you can start with this office and they may be able to handle the whole process.”

Ajay B · Local Guide
Verified patient
★★★★★
★ GOOGLE

“Dr. Arun Sharma was incredibly helpful and patient throughout the entire I-693 process. Navigating medical forms for immigration can be stressful, but he was exceptionally knowledgeable and took the time to explain every detail. I ended up calling him four separate times with follow-up questions, and each time he answered with genuine patience.”

Snehal Kharat
Verified patient

Read all reviews, and share your own experience, directly on Google.

View reviews → Leave a review →

Everything you need to know.

Thirty-one questions sourced from real patient inquiries, organized by topic. Look for the colored tags showing which questions are most commonly asked in each language. If yours isn't here, just call us.

Booking & logistics

Is Dr. Sharma a USCIS-designated Civil Surgeon? ES ZH

Yes, and in active status. Dr. Arun Sharma is officially designated by U.S. Citizenship and Immigration Services (USCIS) to perform, complete, and seal Form I-693 immigration medical examinations. He is currently listed in the USCIS Find a Civil Surgeon locator as Atlas Intensive Care–Telemedicine (6203 San Ignacio Avenue, San Jose, CA 95119). You can verify any civil surgeon at uscis.gov/tools/find-a-civil-surgeon.

How do I book an appointment? ES VI

You can book directly online through our website, call 213-582-8527 during business hours, or send us a message through the contact page. Most appointments are available within 1–3 business days. If you have an urgent USCIS deadline, please mention it when booking and we'll prioritize.

What are your hours?

Most weekdays 10:00 AM to 3:00 PM. Saturdays and Sundays are closed for routine visits but available by appointment for urgent cases. Call 213-582-8527 to schedule.

Which location should I visit? ES

We have two clinical locations: 6203 San Ignacio Avenue (San Jose) and 900 East Hamilton Avenue (Campbell). Choose whichever is most convenient. Free parking is available at both. Please do not visit our 7052 Santa Teresa Blvd address, that is for mail correspondence only, not patient visits.

How long is the actual appointment?

Plan for 45 minutes to 1 hour. The medical exam itself takes about 20–30 minutes; the rest is paperwork review, vaccination administration, and lab orders. Family groups should plan for additional time depending on the number of applicants.

Do I need to fast before the appointment? HI PA

No fasting is required for the standard I-693 exam. The required lab tests (TB screening via blood draw, syphilis, gonorrhea) do not need fasting. Eat normally before your visit.

What should I wear?

Wear comfortable, modest clothing that allows easy access to your arms (for blood pressure and blood draws) and back (for the brief physical exam). Avoid one-piece outfits. No special preparation needed.

Cost & insurance

How much does the I-693 exam cost? ES VI ZH HI

Our flat fee is $350 per applicant. This includes the medical exam, completion of Form I-693, and the sealed envelope. Most patients also choose our lab package at $250, TB QuantiFERON, syphilis screening, and the standard immunity profile, drawn right at our office or sent to a nearby lab we work with, for speed, peace of mind, and direct results to us within about 4 days. You're also welcome to use your insurance at an outside draw center if you prefer, though pricing through insurance can vary widely.

What forms of payment do you accept?

Cash, credit card, debit card, and check. Payment for the $350 civil surgeon fee is collected at the time of service. Insurance does not cover the I-693 exam itself, but it usually covers lab work and vaccinations, we'll bill your insurance directly when possible.

Is there a family discount? ES HI

The $350 flat fee is per applicant, but we offer family group scheduling so the visit is efficient when multiple family members need exams together. Call us, we're happy to discuss family arrangements before booking.

Can I get an itemized receipt?

Yes. We provide itemized receipts on request, useful for HSA/FSA reimbursement, tax purposes, or your records. Just ask at the front desk during your visit or email us afterward.

Do you charge extra for expedited service?

For urgent USCIS deadlines, we work to expedite the exam, lab coordination, and envelope completion at no extra charge. Mention your deadline when booking. If lab results are needed faster than the standard 3–4 days, expedited lab fees may apply (typically $50–100), passed through directly from the lab.

Form I-693 & documents

What pages of the I-693 do I need to fill in? ES HI ZH

Pages 1, 2, and the photo identification section at the bottom of page 3. Use a black ballpoint pen. Do not sign the form before your appointment, your signature must be witnessed by the civil surgeon. All information you provide will be verified against your photo ID at the appointment.

Which version of Form I-693 do you accept?

We use the latest USCIS edition: 01/20/25, expiring 09/30/27. We host the current form directly on our website, download it from the immigration page so you have the right version. If USCIS releases a newer edition, the link to USCIS.gov on our page will always show the latest.

What if I make a mistake filling out the form?

Do not use white-out, correction tape, marker, or pencil, USCIS rejects forms with any of these. If you make a mistake, start a fresh form. Print clearly with a black ballpoint pen. If a field doesn't apply to you, write "N/A" rather than leaving it blank.

Can I send documents in advance? ES

Yes. After booking, our team will share a secure HIPAA-compliant folder link where you can upload vaccination records, prior medical records, lab reports, or other documents you'd like the doctor to review ahead of time. This is especially useful for international documents, partial vaccine histories, and prior medical workups, and makes your in-person visit much more efficient.

What ID do I need to bring? ES VI

A valid government-issued photo ID, passport, driver's license, or state-issued ID. Bring the original, not a photocopy. The civil surgeon must verify your identity against the form information in person.

Do you accept vaccination records from other countries? HI PA ZH VI

Yes. We accept vaccination records from any country, in any language. We also accept records from US pharmacies (CVS, Walgreens, Costco, Walmart), school systems, and primary care providers. Bring whatever records you have, partial records are still useful.

What if I'm missing some vaccination records?

That's normal, many patients arrive without complete records. We can administer required vaccines on the day of your visit, or order blood titers to prove immunity for diseases like measles, mumps, rubella, varicella, and hepatitis B. This adds a small lab cost but solves the problem in one step.

Can I get a copy of my completed I-693?

Yes. We provide a free electronic copy for your records, sent securely after your sealed envelope is finalized. Do not open the sealed envelope yourself, only USCIS may break the seal. The electronic copy is for your reference only.

The exam itself

How long does the whole process take? ES ZH

Most exams are completed in one visit. Lab results typically take 3–4 working days. Once results return, you can pick up your sealed I-693 envelope. We can expedite for urgent USCIS deadlines, please mention this when booking.

What lab tests are required? HI

USCIS requires testing for tuberculosis (TB blood test for ages 2 and older), syphilis (ages 18–44), and gonorrhea (ages 18–24). If you are outside these age ranges, the corresponding tests are not required. We coordinate all labs locally, most are billable to insurance.

Will I need additional tests if my TB screen is positive?

If your initial TB blood test is positive, USCIS requires a chest X-ray to rule out active TB. This is common and does not necessarily mean you have TB, many people have latent infection from prior exposure. We refer you to a local imaging center; results return in 1–3 days. Cost is typically covered by insurance.

What vaccines are required? ES VI

USCIS requires age-appropriate vaccines including MMR, Tdap, varicella, hepatitis B, polio, influenza (seasonal), pneumococcal (if applicable), and COVID-19. We review what you've already received, document those, and administer any missing required vaccines during your visit.

Can the whole family come together? ES HI PA

Absolutely. We schedule family group appointments to streamline the process. Each adult applicant must appear in person to sign the I-693 in front of the civil surgeon. Children are examined individually but can be scheduled back-to-back.

Do you examine children and infants? ES

Yes. We perform I-693 exams for applicants of all ages, including infants and children. Pediatric exams have age-specific vaccine and screening requirements per CDC Technical Instructions. A parent or legal guardian must be present for minors.

Special situations

What if I have a complex medical history?

Class A medical conditions can affect inadmissibility, but most situations are manageable. We've helped many patients navigate complex histories, including DUI, prior TB exposure, mental health treatment, substance use disorders, HIV, and chronic conditions. Call to discuss confidentially before booking.

I'm a refugee, asylee, or K-visa holder. Do I need a full exam?

Not always. If you completed an overseas medical exam signed by a panel physician, you may only need the vaccination record portion completed (Section 4A on the form). Bring your prior overseas exam paperwork, we'll review and confirm what's needed.

Can you handle DACA or asylum-related immigration exams?

I-693 is required for adjustment-of-status applicants, that is, those filing or supplementing Form I-485. If you are a DACA recipient or asylee transitioning to a green card, an I-693 is part of your package. We handle these cases regularly.

What if I need an N-648 medical disability waiver?

We complete N-648 forms for naturalization applicants who, due to medical conditions, are unable to demonstrate the English or civics requirements. This is a separate evaluation from I-693 and requires detailed documentation of the qualifying condition. Call to discuss.

Interpreters & accessibility

Can I bring my own interpreter?

Yes. You may bring a family member or friend to interpret if you prefer. The interpreter signs Part 3 of Form I-693 certifying they translated accurately. Note: USCIS prefers professional or family interpreters over minor children.

Two convenient Bay Area locations.

San Jose, San Ignacio

6203 San Ignacio Avenue
San Jose, CA 95119

Mon–Fri: 10:00 AM, 3:00 PM
Sat–Sun: By appointment only

📍 Get directions →

Campbell, Hamilton Avenue

900 East Hamilton Avenue
Campbell, CA 95008

Mon–Fri: 10:00 AM, 3:00 PM
Sat–Sun: By appointment only

📍 Get directions →
✉ For Mail Only
Mailing Address (correspondence only, not a patient location): Atlas Intensive Care · 7052 Santa Teresa Blvd, #102 · San Jose, CA 95139 Use this address for formal letters, USCIS correspondence, insurance, billing, and legal mail. Patients should not visit this address, please use one of the two clinical locations above.

Ready to complete your green card medical exam?

Same-day and next-day slots are usually available, and we'll work around your USCIS timeline. Book online or send us a message and we'll get back to you within one business day.

Call Us
213‑582‑8527
21-FLU-ATLAS · Speak with our team during business hours
📠 Fax
740‑472‑8527
740-IQ-ATLAS · For attorneys, USCIS, & medical records