SERVICE FEE: $400.00
Completion of I-693 form
Lab work required (age based): TB, Syphilis and Gonorrhea
Cash or Card payments accepted
Process takes about 5-7 days to complete if lab work is normal and Vaccinations are up to date
Children under 5 yrs old
Service Fee is $350
We will NOT draw blood on children less than 5 yrs old
You will need to schedule a lab draw at a Quest Diagnostic Site or other location to draw a "TB Gold"
*Complete the "Patient Questionnaire" before your appointment
*Do Not fill out or print the Form I-693
The form will be filled out electronically by our staff and printed for your convenience.
Children under 14 yrs old will need a "preparer"
The "Preparer" can be a parent and must provide their information on the "Patient Questionnaire" and sign the forms at the appointment.
Please click on the link below and fill out the form.
Immigration requires a series of 3 tetanus vaccinations (Doses 1-2 needs to be at least 1-2 month apart, Doses 2-3 need to be 6-12 months apart).
If you do not have all 3 tetanus vaccinations, a current tetanus vaccination within 1 month of the Exam will be sufficient.
If you have had the Chicken Pox as a child, you do not need the Varicella vaccine.
Vaccinations may be completed after the exam but may delay the completion of the I-693 form.
If you do not have documentation of vaccination records and do not have immunity on labs, you will be required to obtain new vaccinations to complete the form.
We typically carry the Tetanus and MMR vaccines in- house
We do not accept insurance.
Patients 2 yrs old and above will require Blood work.
Again: we will NOT draw blood on children < 5 yo (May be done at a Quest Lab site)
We may obtain Hep B, MMR, and Varicella Titers if you have had them in the past but cannot provide records
If you would like to add on other 'non-required' labs, view our "Services" page at the top right and low-cost labs may be drawn at the same time.