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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
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.
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