Immigration Medical Examinations


Medical exams required by the US Immigration Service.

Mechanicville Family Medicine offers the exams 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 only 20 minutes from Albany.

At your first appointment, we need a photo ID, your immunization records in English, and payment of $ 350 for an adult and $ 300 for children under 15 years of age.

This fee is not covered by insurance. If you have documentation for any of these tests, bring it with you. The visit includes the following elements:

  • Initial visit to the nurse
  • Syphilis test (RPR)
  • Physical exam

As of October 1, 2018, additional outside lab requirements & costs: 

  • A blood test to TB (IGRA or T Spot), that could be done at LabCorp for $ 227 or you can go to another lab. This test is required for all persons older than 2.
  • Urine gonorrhea test and blood syphilis test are 29.90 each one, if done in our office (the lab will bill you directly) or you could go to any lab. These tests are required for all people older than 14

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

Remember, immunizations required by immigration are not included in the $ 350 fee. After your first visit, you will know what additional immunizations you may need. Call your health insurer to see if these vaccines are covered; if you do not have insurance, you will be responsible for the full cost. We strongly recommend that you obtain your vaccination records from your country; it can save you some money. We may be able to administer some of the vaccines on the spot. But you may need to go elsewhere. Also remember, this is not a one-step process, it may take up to 3 visits. The length of the process may depend on your health and your individual circumstances.