USCIS Immigration Medical Exams (Form I-693)

What to Expect:

If you are applying for adjustment of status to become a lawful permanent resident (Green Card), United States Citizenship and Immigration Services (USCIS) requires a comprehensive medical examination completed by a designated Civil Surgeon.

At Monroeville Direct Primary Care, Dr. Johnson provides unhurried, transparently priced, and respectful care. Dr. Kristina Johnson is a board-certified family physician who ensures your paperwork is completed accurately and efficiently to avoid unnecessary delays.

How it Works:

  1. Initial Visit: Dr. Johnson reviews your medical history, vaccination records, and performs the required physical examination.

  2. Testing and Vaccines: You will visit a local Labcorp location for your required blood and urine collections. If needed, Xrays will be performed through Monroeville Imaging Center. Vaccines can be obtained through the Allegheny County Health Department or a local pharmacy.

  3. Return Visit: Once results are back, you return to Dr. Johnson’s office to review the findings and pick up your certified, sealed Form I-693 envelope.

How to Schedule:

  1. Enroll in SigmaMD here: Create Account

  2. After creating your account, check your email for a six digit code from SigmaMD.

  3. Download the iOS or Android app using the link(s) in the email.

  4. Verify your email then schedule an appointment with Dr. Johnson in the app.

If you are unable to schedule an appointment using SigmaMD, you can call 412-203-5140 and leave a message with your name and callback number OR email admin@monroevilledirectprimarycare.com. Calls and emails for I-693 scheduling will be returned within 5 business days.

Required General Fee
Physical Exam Fee Includes medical interpretation if needed, and return visit to review results and pick up certified forms. Adult: $250.00
Child: $200.00
Most Common Lab Testing (Blood & urine collected at a Labcorp location)
Blood Draw Fee $3.00
Quantiferon Gold TB Test $55.25
Syphilis Test * $2.60
Gonorrhea and Chlamydia Test $26.00

* An abnormal syphilis test will result in a confirmatory test for an additional charge of $9.49.

Additional Tests & Imaging (Required based on age and immunization history)
Chest X-Ray Done through Monroeville Imaging Center. Cost subject to change; payment made directly to imaging center. $75.00
MMR Titer (Labcorp) $23.41
Varicella Titer (Labcorp) $13.00
Hepatitis B Titer (Labcorp) $7.48
Polio Titer (Labcorp) $149.83
Need Immunizations? If required, vaccines can be purchased through the Allegheny County Health Department or your local pharmacy.

What to Bring to Your Appointment

To ensure a smooth visit, please bring the following items your appointment:

  • Valid Government-Issued Photo ID (such as a valid passport)

  • All Prior Immunization Records (translated into English, if applicable)

  • A Printed Copy of Form I-693 with your personal information filled out in black ink (do not sign the form until instructed by Dr. Johnson)

  • A comprehensive list of your current medications and medical history