Immigration Medical Examinations

Medical examinations required by U.S. Immigration Service.

Family Medicine of Mechanicville provides examinations required by the U.S. Immigration Service and is conveniently located in the Capital Region, close to Halfmoon, Clifton Park, Malta, Troy, Cohoes, Latham, Stillwater, and just 20 minutes from Albany.

At your first appointment, we need a photo ID, your vaccination records in English, and payment of $350 for an adult and $300 for children younger than 15.
This fee is not covered by insurance. If you have documentation for any of these tests, please bring it. The visit includes the following items:

  • initial nurse visit.
  • syphilis test (RPR).
  • physical examination.

From October 1, 2018 additional outside lab requirements & costs:

  • a blood test to TB (IGRA or T Spot), cost is $85  if done in our office or you could go to any lab. This test is required for all persons older than 2.
  • urine gonorrhea test, cost is $28 if done in our office ( the lab will bill you directly) or you could go to any lab.This test is required for all persons older than 14. 

Please go to and print out this required form and bring it with you for your visit; otherwise, we can print it out for you in our office at no additional charge. For information on how to fill out this form, go to: USCIS Form I-693 Instructions for Report of Medical Examination and Vaccination Record

Remember, the vaccines required by immigration are not included in the $350 charge. After your first visit you will know what extra vaccines you may need. Please call your health insurer to see if these vaccines are covered; if you lack insurance, you will be responsible for the full cost. We strongly encourage you to obtain your vaccination records from your country; it may save you some money. We may be able to give some of the vaccinations on site. But you may need to go elsewhere. Also remember, this is not a one-step process, you may need up to 3 visits. The length of the process may depend on your health, and your individual circumstances.