Female Patient Being Reassured By Doctor during immigration physicals

Fast, Affordable Immigration Physicals in Orange County

United State Customs and Immigration Services (USCIS) requires a medical exam performed by designated physicians (also known as Civil Surgeons) in order to complete the immigration process. We have 3 Civil Surgeons to conduct your examination:

Gail Silver, MD

Gail Silver, MD

Bernard Elpedes, DO

Jonathan Tsao, MD

Jonathan Tsao, MD

Our team is here to answer any questions you have about immigration physicals. We’ll make this process as fast and easy as possible, and we are happy to honor any current immunizations you’ve already received.

It is important that you finish this specific, multistep process before submitting to USCIS. In an effort to make this particular hurdle as painless and clear as possible, we have put together a list of FAQ.

Frequently Asked Questions

What should I bring?
You should bring the following to your exam:

  • Vaccine records and any lab results
  • Government-issued photo ID
  • Interpreter if needed
Will you accept immunizations I have already received?
Yes. If you have received any immunizations at another medical clinic, Saddleback Family and Urgent Care will accept them. We will perform your examination and administer only the vaccinations currently needed.
What happens during an immigration exam?

After checking in, we will:

  • Have you fill out page 1 of form I-693
  • Review your medical history
  • Perform a physical exam
  • Review your immunizations and labs
  • A routine blood test
  • Patients (15 years and older) require RPR for syphilis screening, urine gonorrhea screening and a QuantiFERON TB blood test. Results for these tests are typically ready in 48 hours. *These tests will be ordered at the time of the exam. Patients and then go to Primex Labs to have tests run this will be billed separately by Primex Labs. 
What will the exam cost and how long will it last?

The cost of an immigration physical varies according to the needs of the patient, but a physical starts at $185 and can go up from there. The final cost depends on which vaccine(s) you already have, and whether you need a QuantiFERON TB blood test, (RPR) syphilis screening, gonorrhea urine test, or chest X-ray. The exam typically lasts 1-2 hours. QuantiFERON TB blood test, (RPR) syphilis screening, gonorrhea urine test are all done at Primex Labs and are billed separate from the physical.

When will I receive my completed documents?
As soon as all the required information is available – including lab results, TB test results (CXR if required), and immunization information – we will have you come in to the clinic to review and sign the forms. We will then provide you with a sealed packet of forms for immigration services, as well as a copy for your own records.
What immunizations are required to pass an immigration physical?
  • MMR (two lifetime doses)
  • Tdap (within the past 10 years)
  • Influenza (required for physicals done from 10/1-3/31. Must be the current year’s vaccine)
  • COVID-19 (age 6 months and older must have completed the primary immunization series only- 2 doses of everything except J and J vaccine which is only one dose. Boosters are not required at this time)
  • Varicella (required from 12 months+, unless the patient had the Chicken Pox infection)
  • Pneumococcal (age 65 and older)
  • Hepatitis B

Children must be up to date on their vaccines for age, including the meningitis vaccine for teens.

If you have already received any of the above immunizations, please bring your immunization records or have them faxed to us at (949) 770-2815 and we will honor them.


Saddleback Family & Urgent Care has been serving the Orange County community for over 30 years and is happy to be your choice for immigration physicals. If you have any questions regarding the process or to set up an appointment, give us a call at (949) 452-7699.

Call us today to schedule your Immigration Physical: (949) 452-7699

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23962 Alicia Parkway, Suite I-1
Mission Viejo, CA 92691
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Phone: (949) 452-7699

M-F 8am - 7pm
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