๐Ÿ“ž Call: 213-582-8527 | ๐Ÿ“  Fax: 740-472-8527 | โฑ Same-day appointments
We speak your language: Hablamos espaรฑol เคนเคฎ เคนเคฟเค‚เคฆเฅ€ เคฌเฅ‹เคฒเคคเฅ‡ เคนเฅˆเค‚ เจ…เจธเฉ€เจ‚ เจชเฉฐเจœเจพเจฌเฉ€ เจฌเฉ‹เจฒเจฆเฉ‡ เจนเจพเจ‚ ๆˆ‘ไปฌ่ฏดไธญๆ–‡ Chรบng tรดi nรณi tiแบฟng Viแป‡t
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 โ€” all from a clinic with 22 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 ยท 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
โš•

USCIS Designated

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

โšก

One-Visit Completion

Most exams completed in a single appointment

๐Ÿ”’

Sealed Envelope

Per USCIS requirements, signed and sealed in your presence

๐ŸŒ

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 โ€” 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 โ€” 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 โ€” no need to navigate USCIS forms pages. Just click below to download.

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

โฌ‡ Download I-693 Form (PDF) โฌ‡ Download Patient Prep Guide Verify Latest on USCIS.gov โ†’

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

Step 2 โ€” 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 โ€” 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 โ€” no nicknames or shortened forms.

2
Page 2 โ€” More Applicant Details

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

3
Page 3 โ€” Photo ID Section Only

Fill in the photo identification details at the top 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.

โš  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 1โ€“3 โ€” please double-check everything carefully before arriving.

๐Ÿ“‹ 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 โ€” start a fresh form. USCIS rejects forms with any white-out, marker, pencil, or correction tape.

What else to bring

๐Ÿ“„
Government photo ID

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

๐Ÿ’‰
Vaccination records

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

๐Ÿ“‹
Medical history

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

๐Ÿ’ณ
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
๐Ÿ”’
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

In-house lab package

Most patients choose this for speed and peace of mind.

  • TB QuantiFERON + syphilis + immunity profile$250

Drawn at our office during your visit. No separate lab appointment, no driving across town. Direct results to us in about 4 days. Insurance can also be used at an outside draw center, but pricing through insurance varies โ€” we recommend checking with your insurer about coverage for the QuantiFERON TB test, syphilis screening, and immunity profile (MMR, varicella, hepatitis B) for adults 18โ€“64.

Vaccines (if needed) are typically covered by insurance, or $60โ€“$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 โ€” read all 45 on Google.

โ˜…โ˜…โ˜…โ˜…โ˜…
4.9โ˜… average Based on 45 Google reviews
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œDr 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.โ€

Joel Taylor ยท Just now
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œI 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.โ€

Pratha Shah ยท 3 months ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œFinding 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!โ€

Bhargav Kanodia ยท 3 weeks ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œI 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.โ€

vaibhavi kulkarni ยท 2 months ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œDr. Sharma took the time to listen to all of my concerns and explained everything in a way that was easy to understand. I never felt rushed during the appointment. I really appreciated his patience and professionalism.โ€

Janice Collins ยท 3 weeks ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œDr. 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.โ€

nagendra kini ยท 2 months ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œDr. 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.โ€

Ajay B ยท Local Guide ยท 3 months ago
โ˜…โ˜…โ˜…โ˜…โ˜…
โ˜… GOOGLE

โ€œDr. 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.โ€

Snehal Kharat ยท 2 months ago

Read all reviews โ€” and share your own experience โ€” directly on Google.

View on Google โ†’

Everything you need to know.

Thirty-one questions sourced from real patient inquiries โ€” 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. Dr. Arun Sharma is officially designated by U.S. Citizenship and Immigration Services to perform I-693 immigration medical examinations. 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 1โ€“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 three clinical locations: 18 South 2nd Street (San Jose Downtown), 6203 San Ignacio Avenue (San Jose), and 900 East Hamilton Avenue (Campbell). Choose whichever is most convenient. Free parking is available at all three. Please do not visit our 7052 Santa Teresa Blvd address โ€” 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 20โ€“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 in-house lab package at $250 โ€” TB QuantiFERON, syphilis screening, and the standard immunity profile, all drawn at our office 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 โ€” 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 โ€” we're happy to discuss family arrangements before booking.

Can I get an itemized receipt?

Yes. We provide itemized receipts on request โ€” 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 3โ€“4 days, expedited lab fees may apply (typically $50โ€“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 top of page 3. Use a black ballpoint pen. Do not sign the form before your appointment โ€” 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 โ€” 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 โ€” 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 โ€” and makes your in-person visit much more efficient.

What ID do I need to bring? ES VI

A valid government-issued photo ID โ€” 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 โ€” partial records are still useful.

What if I'm missing some vaccination records?

That's normal โ€” 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 โ€” 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 3โ€“4 working days. Once results return, you can pick up your sealed I-693 envelope. We can expedite for urgent USCIS deadlines โ€” 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 18โ€“44), and gonorrhea (ages 18โ€“24). If you are outside these age ranges, the corresponding tests are not required. We coordinate all labs locally โ€” 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 โ€” many people have latent infection from prior exposure. We refer you to a local imaging center; results return in 1โ€“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 โ€” 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 โ€” 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 โ€” 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.

Three convenient Bay Area locations.

San Jose โ€” Downtown

18 South 2nd Street
San Jose, CA 95113

Monโ€“Fri: 10:00 AM โ€“ 3:00 PM
Satโ€“Sun: By appointment only

๐Ÿ“ Get directions โ†’

San Jose โ€” San Ignacio

6203 San Ignacio Avenue
San Jose, CA 95119

Monโ€“Fri: 10:00 AM โ€“ 3:00 PM
Satโ€“Sun: By appointment only

๐Ÿ“ Get directions โ†’

Campbell โ€” Hamilton Avenue

900 East Hamilton Avenue
Campbell, CA 95008

Monโ€“Fri: 10:00 AM โ€“ 3:00 PM
Satโ€“Sun: By appointment only

๐Ÿ“ Get directions โ†’
โœ‰ For Mail Only
Mailing Address (correspondence only โ€” not a patient location): Atlas Intensive Care ยท 7052 Santa Teresa Blvd, #102 ยท San Jose, CA 95139 Use this address for formal letters, USCIS correspondence, insurance, billing, and legal mail. Patients should not visit this address โ€” please use one of the three clinical locations above.

Ready to complete your green card medical exam?

Same-day and next-day slots are usually available โ€” 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 ยท Speak with our team during business hours
๐Ÿ“  Fax
740‑472‑8527
740-IQ-ATLAS ยท For attorneys, USCIS, & medical records