Comprehensive Guide to Immigration Physical Exam in San Ramon, CA – Civil Surgeons and Costs

By Symphony | December 4, 2025

Key Takeaways

  • We are a USCIS-designated Civil Surgeon for the immigration physical exam in San Ramon, including an extensive physical and mental health review and vaccination status per federal requirements.
  • Applicants should bring any required documents, including vaccination records and medical history, to avoid any delays during the exam.
  • Disease screening, including tuberculosis testing and other communicable diseases, is a vital aspect that could affect immigration status if found positive.
  • Vaccinations — Checks for proof of immunizations such as measles or chickenpox are compulsory. Applicants should verify that they satisfy all USCIS vaccination requirements to remain compliant.
  • The civil surgeon will give you your results in a sealed envelope. You cannot open this and you must hand over the sealed results with your immigration application to USCIS or face delay or rejection.
  • Medical exam results only last for a short period. Therefore, it’s important to time it correctly with your immigration application so you don’t have to pay for repeat tests.

To get a civil surgeon immigration physical exam in San Ramon for a green card or adjustment of status, you need a USCIS-approved doctor. This exam can only be administered by a USCIS-designated civil surgeon in San Ramon.

It verifies immunizations, medical history, and tests for diseases like tuberculosis through a chest X-ray or blood test. To ensure local compliance, clinics utilize the latest forms and adhere to U.S. Health standards.

More on steps and paperwork below.

The Exam Explained

The civil surgeon immigration physical exam in San Ramon is a standardized procedure crafted to comply with USCIS standards for health and safety. Each part of the process aids in verifying that applicants are not only healthy but free of select diseases and compliant with U.S. Public health requirements. This exam, which usually takes around two hours, includes medical history, immunizations, and a variety of physical and mental health screenings.

Being clear on these key ingredients makes applicants’ prep and experience much less bumpy.

1. Physical Check

A civil surgeon begins with a complete physical exam. This includes height, weight, and blood pressure checks to set a baseline for overall health. The physician will inquire regarding your history and health status. If you have pre-existing conditions, bring associated paperwork and prepare to discuss it in an open manner.

This isn’t about the flu or a cold; it’s about conditions that could impact your status for a US residency. This test aids the USCIS in determining whether there are health conditions that might pose a public safety risk or warrant additional evaluation.

2. Mental Review

Part of the test is a sanity check. The civil surgeon could inquire about your current mental well-being, prior issues, or care. Answer truthfully and provide records if you have a history of mental health treatment to detect any condition that would impact public safety or personal adjustment in the US.

Mental health is an important issue. Some untreated disorders can lead to inadmissibility, although waivers might be available in some instances.

3. Disease Screening

Screening for communicable diseases is a required step. Tests for tuberculosis (TB), syphilis, and gonorrhea are standard, with the TB test needing a follow-up visit if the first result is positive. Pregnant individuals may delay the X-ray for TB until after birth, but must complete it before status approval.

If any communicable disease is found, additional evaluations or treatment may be needed before USCIS approval can move forward. Positive results can delay or halt your application, but options such as waivers exist.

4. Vaccination Check

The civil surgeon looks at your vaccination history and verifies that you are up to date on all the necessary vaccinations such as MMR, Hepatitis B, and varicella. Once your vaccination record has gaps, the doctor can plug in any missing vaccines during your visit.

Bring all records to prevent repeat shots or postponed care. Tell the surgeon if you have waivers or medical excuses for skipping doses. Up-to-date vaccine records avoid unnecessary delays in your application.

5. Form I-693

Form I-693 records your exam results and must be submitted to USCIS. Find approved civil surgeons in San Ramon using the USCIS locator. Verify that your preferred surgeon is an immigration exam surgeon and see their reviews and credentials.

Exam fees range from $200 to $500 in this area, depending on the clinic. Book your appointment with a surgeon familiar with the USCIS process so they fill out and seal your form properly. Results are valid for six months, or three months for certain illnesses.

Find a Surgeon

Comprehensive Guide to Immigration Physical Exam in San Ramon, CA - Civil Surgeons and Costs

Comprehensive Guide to Immigration Physical Exam in San Ramon, CA – Civil Surgeons and Costs

Discover that civil surgeon San Ramon who exceeds rigid standards – the initial step for any immigrant who requires a physical exam. A civil surgeon is a special doctor authorized by USCIS to perform immigration medical exams. Not every doctor can do this; just the ones on the USCIS list.

You’ll want a surgeon with rock-solid credentials, decades of experience, and current board certifications. Research them online, read reviews, or source recommendations from local community groups or trusted sources. Be sure to check that your surgeon or clinic is still on the USCIS approved list as it can change.

If your schedule is constricted, seek out clinics with weekend or evening hours. Some offices even provide telemedicine visits for portions of the process, which can help make scheduling significantly easier for students or working professionals.

While most clinics in San Ramon will charge $200 to $500 for the exam, the total could rise if you require additional lab work or vaccinations. It is very wise to request a complete price list before you book. If you require a TB test for your child (2+), ensure the clinic is able to perform it on-site.

Not all locations are configured to perform each test, so be sure to verify in advance or risk delay. For non-native English speakers, see if they provide language assistance. This may include some translation or bilingual staff. Good communication is crucial to obtaining the right treatment and avoiding errors.

Collect all the required paperwork prior to your appointment. This encompasses a government-issued ID, your vaccination records, and any previous medical records. Having this information handy allows the appointment to proceed quickly and provides the physician with the details needed to complete the necessary USCIS paperwork.

The test itself is specific. The surgeon will check your health history, perform a physical examination, and request an X-ray and blood test for syphilis if you are 15 or older. Special attention to TB screening is given for younger patients. The clinic will check your immunizations to verify they comply with USCIS regulations.

Missing records or necessary vaccines can result in yet another appointment, so having these in order ahead of time is a time saver. Your civil surgeon’s report is only good for six months. Your doctor has to sign it within 60 days of your exam date. If you procrastinate, you might have to begin again.

Your Appointment Prep

Your civil surgeon immigration physical in San Ramon prep takes some planning, but it can really help things go a little smoother and faster. This exam is a must for adjustment of status with USCIS and taking the appropriate steps will guarantee you satisfy all federal and state regulations.

Plan for your appointment to take 30 minutes to an hour, depending on the clinic and what extra tests or paperwork may be required. Lab results from the exam are valid for six months, so take that into consideration when planning.

Medical History

The medical history form will inquire about your current and past health. You’ll want to disclose any surgeries, chronic conditions or health issues you’ve experienced.

Be sure to inform the civil surgeon of any medications, prescriptions or over-the-counter medications, as well as any allergies. Omitting information can hold up your paperwork or necessitate additional visits.

Treatment for communicable diseases or mental health issues, if applicable, can affect eligibility for immigration. If you experience new symptoms post-exam, your primary care doctor, not the civil surgeon, should be your initial call.

Vaccination Records

Collect your vaccination papers ahead of time. Verify that your record includes shots for measles, mumps, rubella, tetanus and other immunizations outlined by USCIS.

If you’re lacking some, consult with your health care professional prior to your appointment to get up to date on immunizations. Not everyone has complete records and the civil surgeon might need to provide two or three new shots if documentation is lacking.

Make sure you have a copy for your own records as well, as some subsequent forms might require it. Clinics in San Ramon can pull up California’s immunization registry, but personal copies make for a quick read.

Government ID

Government-issued photo ID is a must. Bring your US driver’s license or passport. Make sure the name on your ID matches your immigration paperwork.

The civil surgeon uses this to confirm who you actually are, so make sure it’s not expired. Store your ID safely and pull it out and prep to display upon arrival.

Payment Method

Exam prices differ from San Ramon clinic to clinic. Inquire in advance if you should bring cash, card, or check.

Certain offices provide all-in-one packages, where they include doctor’s exam, TB testing, and paperwork all together for one fee. Inquire about any additional charges for immunizations or screenings.

Insurance almost never covers the whole exam, but it is worth checking your policy before you go.

Health-Related Grounds for Inadmissibility

Certain medical findings can be found to be grounds of inadmissibility. These include infectious diseases, untreated physical or mental disorders, and absence of required vaccinations.

Your civil surgeon will highlight anything that requires follow-up. If you are worried about your health history, query your appointment! Being in the know will keep you from getting held up along the way.

Navigating Health Inadmissibility

Health inadmissibility is one of the leading barriers for immigrants to the US. The civil surgeon immigration physical exam in San Ramon is an important step. USCIS requires this screening to quarantine communicable diseases, evaluate mental and physical conditions, and examine drug use history. Any section of the exam can impact an applicant’s admissibility.

Communicable Diseases

There are some diseases such as tuberculosis, syphilis, and certain STDs that can cause health inadmissibility. The San Ramon exam will have detailed screening for these, with tests such as a chest X-ray for TB when indicated. Applicants with a history of these diseases must provide evidence of treatment or current negative status.

The civil surgeon might request previous medical records, lab work, or immunization records. If you’ve had an illness such as hepatitis B or HIV, be prepared to discuss your past treatment and current status. Sometimes waivers are possible, but they require paperwork and approval.

It’s wise to mitigate any known communicable disease before your appointment and consult your provider if you have concerns.

Physical Disorders

Physical disorders can be a factor in immigration admissibility. If you’re chronically ill such as diabetes, heart disease, or epilepsy, you must disclose this to the civil surgeon. The civil surgeon will want to know whether your condition might be a public health risk or a financial burden.

Bring any paperwork that details your diagnosis, continued treatments, or special needs. Be candid about what your condition means to daily living. If you’re in therapy or rehab, keep it ongoing, as it can demonstrate you’re managing your health responsibly.

Mental Disorders

Mental health is another area of focus. If you’re living with depression, anxiety, bipolar disorder, or another psych condition, open up about it on your exam. This assists the civil surgeon in making an equitable determination and leaves room for advocacy if you require it.

They might inquire about hospitalizations, medication, or therapy. If you have a letter from your psychiatrist or therapist, it can expedite the process and minimize any additional checks. Mental health issues by themselves do not invariably lead to inadmissibility, but a documented pattern of harmful behavior associated with a disorder might cause headaches for your application.

Substance Abuse

Substance abuse, if not dealt with up front, can be a disqualifying factor. The test will cover alcohol, prescription, and illegal drug abuse. If you’ve had issues in the past, be upfront and present evidence of rehab or continuing care.

Civil surgeons want to see that you’re taking steps toward recovery and stability. If you’re concerned about a present problem, consult a counselor or physician prior to your examination. Former use doesn’t necessarily equate to denial, but ongoing abuse or absence of rehabilitation can cause inadmissibility.

Cost Considerations

An immigration physical in San Ramon can run you $200 to $500, depending on the clinic. Rates differ, so shop local providers. Additional fees can arise for testing, vaccinations, or follow-up visits.

For instance, a TB blood test or a missed vaccine can add $50 to $150 each. Plan for these add-ons to avoid being caught off guard. A few clinics publish prices on the web, which simplifies planning.

Total fees may increase rapidly if additional paperwork, specialist reports, or waivers become necessary.

San Ramon Costs

There are all sorts of costs associated with getting an immigration physical exam in San Ramon and they can add up quickly, depending on your requirements and coverage. Most clinics charge between $200 and $500 for the primary exam, which includes the basic check-up and the forms for your USCIS application. This exam is good for two years, so you don’t need to retake it soon if your process is slow.

The cost of the medical exam itself isn’t always obvious upfront, as various clinics advertise different prices and might or might not bundle services in with that fee. Lab work is a huge chunk of the cost. Lab fees typically fall between $50 and $200. Without insurance, some clinics can ask for over $200.

For instance, if your exam calls for additional blood tests or if a chest X-ray is necessary, you will pay extra. While some clinics package routine labs with the exam cost, others invoice them as an additional line item. That is why it pays to inquire early as to what is included. If you require a copy of your records for your own files or other use, anticipate paying anywhere from $50 a duplicate in San Ramon.

Vaccines are another expense to monitor. Immigration physicals need evidence of some shots, and if you’re not current, you’ll have to get them while you’re there. All vaccines range from $20 to $150 per shot depending on the type and the clinic. For instance, a flu shot may cost $25, but MMR could be closer to $100. These costs are in addition to exam and lab fees.

Telemedicine has been more prevalent in San Ramon, with typical remote consultations priced around $120. A few clinics have discounted telemedicine rates that can lower the cost to as little as $100. Remote visits won’t cover everything, but they can assist with follow-up questions or reviewing results, saving you time and occasionally money.

When you finish the exam, you’ll receive your results in a sealed envelope. The civil surgeon will provide you with this envelope and you are not to open it. This packet travels directly to USCIS with your immigration application. If the exam discovers something that requires additional tests or follow-up, your civil surgeon will inform you if you must return for another visit or additional lab work, potentially incurring additional fees.

After Your Exam

After your civil surgeon immigration physical exam San Ramon, your next steps are crucial for timely and accurate submission to USCIS. The civil surgeon will contact you once your finalized I-693 forms are available for pick up. This paperwork, which contains your med exam results, arrives in an envelope.

The envelope must remain sealed. USCIS will not accept it otherwise! Hang onto this envelope until you’re prepared to submit it with your Form I-485 or other immigration documents. You may get one for yourself, but only the sealed original is sent to immigration officers.

In certain instances, the civil surgeon might order additional testing or evaluation based on your health condition or laboratory results. Additional visits could equate to additional fees, particularly if you have to reschedule or your application changes. Be sure to review all paperwork before you depart from the office and clear up any questions with the staff or your immigration lawyer.

The Sealed Envelope

The sealed envelope you receive from the civil surgeon is the documentation for USCIS. Don’t break the seal because that would void the document for immigration purposes. Keep this envelope in a safe spot at home until you’re ready to turn it in.

For instance, a few applicants store it in a folder along with their other immigration paperwork, out of reach of any moisture or sunlight that might harm it. When you submit your adjustment of status filing, you provide this sealed envelope with your I-485 application.

If you lose the envelope or accidentally tear it open, you’ll need to go back to the civil surgeon for a new copy, possibly incurring an additional charge. In San Ramon, civil surgeons typically give you an estimated date for the envelope pickup, normally a week or two after your exam, depending on lab and office backlog.

For complex cases or those that require additional lab work, anticipate longer waits before you can grab your paperwork.

Result Validity

Your immigration medical exam is valid for two years from the date that the civil surgeon signs your I-693. You should be aware of this timeline. If it has been more than 12 months since your last exam and you haven’t yet applied, a repeat exam may be necessary.

If it has been less than six months and you haven’t traveled internationally or had medical history changes, you typically don’t need to take the exam again. If you’re unsure, it’s good to check with your immigration attorney.

A few situations like recent travel abroad or new health issues might necessitate a re-test. As I always caution, sending in old results or covering results can slow your application, so be sure your paperwork is within the valid period before it goes off to USCIS.

Conclusion

Finding a civil surgeon for your immigration physical exam in San Ramon shouldn’t be difficult! San Ramon clinics have plain guidelines and trusted procedures. They utilize local labs, know the health codes, and assist people from all backgrounds. Just bring your shot records and past health notes to avoid confusion! Fees in San Ramon remain reasonable. Most clinics list them publicly, and the staff assist with paperwork. Once you complete your appointment, wait for your sealed report. Pass it along to your attorney or agency immediately. To schedule your next step, call a local clinic or browse their sites for booking tools. Stay prepared, inquire, and keep your green card track slick.

Frequently Asked Questions

What is a civil surgeon immigration physical exam in San Ramon?

A civil surgeon immigration physical exam is a screening mandated by USCIS. It is performed by a USCIS-approved doctor in San Ramon to get you in compliance with U.S. Health requirements for your green card application.

How do I find a USCIS-approved civil surgeon in San Ramon?

Consult the USCIS website’s Find a Doctor tool. You may check local clinics or request referrals at community health centers in San Ramon.

What documents should I bring to my immigration medical exam?

Bring a government-issued photo ID, immunization records, any previous medical records, and the USCIS I-693 form. Don’t forget to bring payment and a list of the medications you take.

How much does the immigration physical exam cost in San Ramon?

Rates differ by supplier and are $200 to $400 from many San Ramon clinics. Additional fees could incur for vaccines or lab tests.

What happens if I have a health condition during the exam?

The civil surgeon will address your review. Some health problems necessitate a follow-up or special paperwork. Most common conditions do not prevent immigration, but some infectious diseases or vaccine gaps may require attention.

How long does it take to get my exam results in San Ramon?

Results typically take one to two weeks. The civil surgeon will fill out Form I-693 and seal it for you to submit to USCIS.

What should I do after my immigration physical exam?

Go over your I-693, completed and sealed. Provide it to USCIS as directed. Retain a copy for your records and follow up with your provider as needed.

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