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USCIS Immigration Physicals (Form I-693) in Lincoln & Crete, Nebraska
Dr. Josué Gutiérrez, MD, FAAFP is a USCIS-designated civil surgeon. He completes the Form I-693 medical examination required for U.S. permanent residence (green card) applicants — in English or Spanish, at either ICHI clinic.
Request an appointmentCall (402) 826-3222
What the I-693 immigration medical exam includes
The USCIS immigration physical is a specific exam required by U.S. Citizenship and Immigration Services. It is not the same as an annual physical. Only a USCIS-designated civil surgeon can complete Form I-693. At your visit, Dr. Gutiérrez performs and documents:
- Medical history and physical examination — review of past medical conditions, current medications, and a head-to-toe exam.
- Communicable disease screening — includes tuberculosis screening (interferon gamma release assay for applicants two years and older), syphilis testing for applicants 18 and older, and gonorrhea testing where required.
- Vaccination assessment — the civil surgeon reviews your immunization records against the current USCIS-required schedule and administers any missing doses at the visit or documents contraindications.
- Mental health, drug and alcohol history review — as required by USCIS to screen for conditions listed under the immigration medical standards.
- Completion and signature of Form I-693 — placed in a sealed envelope with the civil surgeon's stamp, per USCIS instructions.
What to bring to your immigration physical
- A government-issued photo ID or your passport
- All available vaccination records, in any language — bring the physical copies, not photos on your phone
- Any past TB test results (skin test or blood test) with dates
- A complete list of current medications with doses
- Records for any chronic medical or mental health conditions
- Your USCIS Request for Evidence letter, if you received one
- Payment — USCIS immigration physicals are not billable to insurance
Immigration physical pricing
The cost of your I-693 depends on which vaccines you already have documented and which lab tests are required based on your history. Because pricing varies, we quote it individually — call (402) 826-3222 for a current quote before your visit. Payment is collected at the time of the appointment.
Which ICHI location performs immigration physicals
Immigration physicals in Crete, NE
Families in Crete, Wilber, Dorchester, Friend, and the rest of Saline County no longer need to drive to Lincoln or Omaha for a USCIS medical exam. Dr. Gutiérrez completes Form I-693 at Saline Medical Specialties in Crete — with evening hours until 7 PM on Monday and Wednesday and Saturday mornings — as well as at Lancaster Family Medicine in north Lincoln.
How the process works
- Call for a quote and appointment — (402) 826-3222. Tell us which vaccine records you have.
- Visit 1: exam, labs, and vaccines — history, physical exam, blood draw for TB (IGRA) and syphilis, and any missing vaccines.
- Results review — lab results usually return within a few days. If anything needs follow-up, we explain next steps.
- Pick up your sealed I-693 — signed by the civil surgeon and sealed per USCIS instructions, ready for your I-485 filing or interview.
For immigration attorneys and paralegals
We work with immigration law offices across Lincoln and southeast Nebraska. Refer clients by phone at (402) 826-3222 or send them to this page. Exams are conducted in English or Spanish, and we can accommodate family groups at one visit when the schedule allows.
Bilingual immigration exam — Spanish
Dr. Gutiérrez is fluent in Spanish. Your entire I-693 exam — history, physical, counseling on vaccines, and instructions for submitting the sealed envelope to USCIS — can be conducted in Spanish. Patient forms and consent documents are available in Spanish as well. See our página en español.
Frequently asked questions
Is Dr. Gutiérrez a USCIS civil surgeon?
Yes. Dr. Josué Gutiérrez, MD, FAAFP is a USCIS-designated civil surgeon and is authorized to complete Form I-693 for green card applicants.
Do I need an I-693 for every immigration case?
Form I-693 is required for most adjustment-of-status applications (Form I-485) filed inside the United States. It is not required for consular processing outside the U.S., which uses a separate exam conducted by a panel physician abroad. Your immigration attorney can confirm which applies to your case.
How long is the I-693 valid?
Under current USCIS policy, a properly completed and signed I-693 is valid indefinitely as long as it was properly signed no more than 60 days before filing the Form I-485. If your I-485 has already been filed, the I-693 remains valid through adjudication. USCIS policy can change — verify with your attorney before scheduling.
What if I don't have my old vaccine records?
If records cannot be obtained, the civil surgeon can order blood titers to check immunity for certain vaccine-preventable diseases (measles, mumps, rubella, varicella, hepatitis B) or provide the missing vaccines at your visit. We will explain your options at the appointment.
Is there a civil surgeon in Crete, Nebraska?
Yes. Dr. Josué Gutiérrez, MD, FAAFP performs USCIS immigration medical exams at Saline Medical Specialties, 830 East 1st Street, Suite 200, Crete, NE 68333.
Can you do the whole family at one appointment?
In most cases, yes. Tell us how many family members need exams when you call so we can reserve enough time.
Do you offer same-week appointments?
Yes, when the schedule allows. Call (402) 826-3222 or request an appointment online.
Other ICHI services you may need
- DOT and CDL physicals — for commercial drivers
- Spanish-speaking family doctor — for full family primary care in Spanish
- All ICHI services