Immigration Physical Exams

physical exams

Town and Country offers Immigration Physical Exams.  Dr. Jackson has been designated to be a civil surgeon to examine applicants seeking immigration physicals from his office at 10497 Town and Country Way, Suite 360 ~ Houston, TX 77024.

EXPLANATION OF PRICES as of February 2022

Immigration Physical Exams Fee
(Includes return visit to review results and pick up certified forms)

Venipuncture Fee (for drawing of blood)

Syphilis Test (results available in 48 – 72 hours typically)

Chlamydia / Gonorrhea  

QuantiFERON Gold TB Test

Total for Basic Physical Exam and Lab Work

The following list of additional tests and vaccines may be required during the Immigration Physical Exams, based on the patient’s age and documented vaccination history. Those tests and vaccines that can be administered by us on site.

Chest X-ray (2 view) 

MMR Titer
(if required) (results available in 7 days)    

Varicella Titer (if required) (results available in 7 days)    

Vaccine Administration Fee (1st and any additional vaccines)

Influenza Vaccine, age >65 years

Influenza Vaccine, age <65 years 
$40.00 – $80.00   

Pneumonia Vaccine (Adult)

Previnar13 Vaccine (Pedi)

MMR Vaccine




Td (Tetanus-Diphtheria)

IPV (Polio)

TB/PPD (Tuberculosis) 


Hepatitis B (Per dose) (Adult)

Hepatitis B (Per dose) (Adolescent) 


Meningococcal (Meningitis)


Hepatitis A (Per dose) (Adult)

Hepatitis A (Per dose) (Pedi)

Vaccines that would need to be administered by an area Health Department. Proof of vaccination will need to be provided to this office before your final paperwork can be forwarded to the US Immigration Service. Cost can be obtained from the Health Department directly.


Q: Does Town & Country Family Physicians perform medical exams for immigrants from other states?
Our US Immigration Service certified Civil Surgeon physician is Dr. Henry Jackson and he can perform physical exams for immigrants for all states from his office at 10497 Town and Country Way, Suite 360 Houston, TX 77024.

Q: Will my insurance cover the cost of the immigration physical exam?
No. We ask you to pay in full at the time you check in for the exam.

Q: How much does the immigration physical cost?
The cost of the basic immigration medical exam is $415.00. This includes blood work (test for syphilis, chlamydia, gonorrhea), physical exam, and follow up consultation to pick up results and certified forms. If you need a chest x-ray, blood titers for immunizations, or other testing there would be an additional charge (see attached sheet for general pricing). There will also be an additional charge if a confirmation syphilis test is needed and/or other testing as required by the US Immigration Service. All fees must be paid at your time of service. You will be required to pay a non-refundable fee of $100.00 at the time you make the appointment. If you cancel your appointment with less than 48-hour notice or do not show for your appointment your $100.00 deposit is non-refundable. You will be required to pay an additional non-refundable deposit of $100.00 deposit to reschedule another appointment.

Q: How long will it take before the results and documents are ready?
Your forms will be ready in 3 to 5 business days depending on results from laboratory testing. Laboratory test results usually return within 2 to 3 business days (Monday thru Friday). The tuberculosis test must be read between 48 to 72 hours from original test. Our medical staff are the only ones that can read the test. If the tuberculosis test is positive, a chest x-ray is required, which can add another a few days to the process. Chest x-rays are administered at an additional cost, see fee schedule for general pricing. You will be required to return to our office to review your results and pick up your certified forms.

Q: Can I get my chest x-ray and blood work done somewhere else and bring the results with me to my medical exam?
We prefer that your chest x-ray be done at Houston Medical Imaging (HMI).

Q: Are immunizations included in the price for my immigration medical exam?
No. The cost of immunizations and their administration cost extra. Depending on which immunizations you are required to have based on age, gender, and condition, will determine which must be completed before your immigration exam can be completed. Immunizations can be obtained from Town & Country Family Physicians at the time of your exam. See the attached list for pricing on vaccines that we can complete for you, for an additional cost. Immunizations and their administration must be paid for at the time of service.

Q: Are other laboratory testing required and included in the price for my immigration exam?
Yes. The US Immigration Service recently announced changes to the Tuberculosis Component of the exam and now requires the Quanti-FERON Gold TB blood test. This test is drawn here and sent to an outside reference lab.

Q: Is there a waiver available for applicants who cannot afford the required vaccinations?
No. The US Immigration Service determines which are required and there are no exceptions.

Q: When receiving immunizations from a health department does our physician have to sign Part 6 of the Form I-693, or can the health department immunization physician/staff sign it?
The signature in Part 6 must be the physician at the health department if the immunizations are administered there. It may be an original or stamped signature. The health department nurse or other health care professional may, but is not required to, co-sign the vaccination supplement. Part 6 will be completed for those applicants who are filing based on refugee status.

Q: Does our physician have to complete both the Vaccination Table and the Results section to properly complete the vaccination portion of the Form I-693?
Yes. US Immigration Services requires our physician to completely fill out the vaccination table and the Results section. Our physician must note in the vaccination table the complete vaccination history, date(s) of vaccinations given by us, and any waiver requests.

Q: How can I contact the US Immigration Service for more information?
Applicants for adjustment of status may call the US Immigration Service National Customer Service Center at 1 (800) 375-5283, TTY 1 (800) 767-1833.  You can also visit the U.S. Citizens and Immigration Services website by clicking here.

Town and Country Family Physicians is pleased to offer immigration physical exam services. Dr. Henry Jackson is a licensed US Civil Surgeon who has been authorized by the US Immigration Service to conduct immigration physicals for the Department of Homeland Security. Individuals applying for citizenship or seeking Permanent Residency or a Green Card are required to obtain an immigration physical performed by a designated Civil Surgeon prior to approval of their application. The exam results will be recorded on Form I-693 for the applicant to return to the US Immigration Service. The exam process generally takes 3 to 5 business days, depending on tests or vaccinations required.

Call Town and Country Family Physicians today to schedule an appointment:  (713) 341-2100 Opt. 2.

See the attached Fact Sheet for the answer to general questions. The attached fee schedule also has a detailed breakdown of fees for the exam, other testing, and immunizations.

What to bring to your medical exam?

1. Valid, government issued picture ID such as a valid passport (preferred), driver’s license, green card, or military ID.
2. Medical records (translated to English by an official translator, if necessary), including proof of prior treatment for tuberculosis or other infectious disease and prior chest x-ray reports.
3. Immunization records (translated to English by an official translator, if necessary).
4. Any mental health records (translated to English by an official translator, if necessary).
5. An immigration physical Form I-693 (form version dated September 13, 2021), type or print in black ink your information. Use CAPITAL LETTERS. Please make sure this form is up to date and the most current form available from the US Immigration Service.
6. Please allow at least 2 to 3 hours for this process on the first day and a total of 1 to 4 business days depending on the necessity of additional testing (Friday exams may take longer for labs to process). Additional labs may be needed at an additional expense and may require up to 1 to 2 weeks for a result, depending on the test.
7. If you do not speak fluent English, you must bring a translator with you. The cost of your translator is at your expense and you will not be reimbursed by Town and Country Family Physicians.

After the Exam:

Once the immigration medical examination is completed and all immunizations and/or lab tests have been performed, we will provide you with a certified form I-693 in a sealed envelope to present to the Department of Homeland Security and US Immigration Service. DO NOT OPEN THE SEALED ENVELOPE. Turn in the sealed envelope with your immigration application. A copy of the blood tests results and exam will be provided to you to keep after results have been discussed with the doctor. The medical

examination will only be valid up to a year after the immigration exam date. Our physician will not certify or sign your I-693 until all medical exam and additional testing fees have been paid. Fees are required to be paid at the time of service.

Typically, you will be notified of the results of your lab work (and chest x-ray, if done) within 7 to 10 days. If you have a health condition requiring medical follow-up clearance will not be granted until follow-up is completed. You will be responsible for the cost of any additional medical examinations or treatments required to fulfill the federal health requirements of the US Immigration Service.

It is your responsibility to bring a translator and have all your necessary immunization and medical records translated into English by an official translator to expedite your exam process.

Physical exams for immigration. To schedule your initial medical exam, you are required to pay a $100 non-refundable deposit. All remaining expenses must be paid at the time you check in for your exam. If you cancel your appointment with less than 48-hour notice or do not show for your appointment your $100.00 deposit is non-refundable. You will be required to pay an additional non-refundable deposit of $100.00 to reschedule another appointment. We accept cash, American Express, Visa, MasterCard, or Discover credit cards. Checks are not excepted for these services.  Click here for location and phone numbers to schedule your Immigration Physical Exams appointment.