After all the steps in the medical examination are complete, the applicant is required to sign form I-693 in presence of the civil surgeon. A small section of the I 693 form has to be completed by the applicant.
The I-693 applicant section can be completed prior to the appointment or in the office.
The I-693 form can be found here Español Englsih
The civil surgeon will certify the results on the appropriate forms (I-693 form for medical exam and vaccination supplement form) including chest X-ray report if a chest X-ray examination was performed. The civil surgeon will place all the I 693 related paperwork in a sealed envelope. DO NOT OPEN THE SEALED ENVELOPE. You are required to submit the envelope with your immigration application.
Fee: $400 — Required laboratory testing included
Not included: Required vaccinations and chest X-rays, when applicable, are charged separately.
Our comprehensive N-648 evaluation includes:
* Physician consultation and medical evaluation
* Review of medical history and available medical records
* Assessment of the medical, developmental, or mental health condition related to the requested disability exception
* Cognitive and functional assessment when clinically appropriate
* Completion and physician certification of USCIS Form N-648, Medical Certification for Disability Exceptions
Please bring all available medical records, medication lists, previous evaluations, and other documentation related to your medical condition.

Currently in two locations: Phoenix and Mesa, our clinics are staffed by Dr. Luz A. López, specializing in Family Medicine and Immigration Medical Exams.