Certified USCIS Civil Surgeon and Immigration Physicals in Stoughton, MA

An immigration medical examination completed in the United States for adjustment-of-status purposes must be performed by a physician designated by U.S. Citizenship and Immigration Services (USCIS). Civil surgeons are responsible for examining according to CDC Technical Instructions and properly documenting the findings on Form I-693, Report of Immigration Medical Examination and Vaccination Record.

A USCIS-designated civil surgeon evaluates the applicant for health-related requirements established for the immigration process. This may involve reviewing medical and vaccination history, performing the required physical examination, ordering applicable laboratory testing, and determining whether additional evaluation or vaccinations are necessary. Using a designated civil surgeon helps ensure that the examination and documentation meet USCIS requirements.

At Centered Primary Care, we help applicants complete their immigration physicals with careful attention to required documentation and medical guidelines. Our clinic strives to make each step understandable and organized while helping patients prepare the necessary medical information for their immigration application.

Preparing your records before an immigration medical examination can help the civil surgeon accurately review your medical and vaccination history. USCIS advises applicants to bring Form I-693, government-issued identification, and available medical and vaccination records. The civil surgeon reviews vaccination documentation to determine whether the applicant has evidence of receiving required age-appropriate vaccines.

Depending on your circumstances, helpful items may include:

• Government-issued photo identification, such as a valid passport or other accepted ID
• Form I-693, using the current edition required by USCIS
• Vaccination and immunization records, including records from outside the United States
• Relevant medical records concerning significant medical conditions or previous treatment
• Documentation of previous tuberculosis testing or treatment, when applicable
• Records of prior treatment for conditions relevant to the immigration medical examination
• USCIS specifically recommends bringing available medical records, including vaccination records, to the appointment.

At Centered Primary Care, our professional team can review the records you bring and explain whether additional documentation, vaccination, testing, or follow-up may be required. Bringing as much reliable medical information as possible can help our clinic complete the immigration physical accurately and efficiently.

A USCIS immigration physical involves more than a routine wellness examination. The civil surgeon reviews the applicant’s medical history, performs a physical examination, evaluates vaccination requirements, and completes medical screening required under current CDC Technical Instructions. The exact testing can vary according to factors such as age, medical history, examination findings, and applicable immigration requirements.

Screening may include:

• Tuberculosis screening: Applicants age 2 and older generally require an interferon-gamma release assay (IGRA). A chest X-ray may be required when specified by CDC criteria, such as following a positive IGRA or when certain symptoms or medical circumstances are present.

• Syphilis screening: CDC currently requires testing for applicants ages 18 through 44, with testing for other ages when there is reason to suspect infection.

• Gonorrhea screening: Applicants ages 18 through 24 are routinely tested, while applicants outside that age range may require testing when clinically indicated under CDC instructions.

• Vaccination review: Existing records are reviewed to determine whether required, age-appropriate vaccines have been completed.

• Medical history and physical examination: The civil surgeon evaluates relevant physical and mental health history as required for the immigration medical examination.

At Centered Primary Care in Stoughton, MA, Dr. Roberto Amado, MD, MHA, and our team provide immigration physicals based on current USCIS and CDC requirements. We can explain which screenings apply to your individual situation and guide you through any additional steps needed before your medical documentation can be completed.

After all required portions of the immigration medical examination are completed, the civil surgeon completes and signs Form I-693. USCIS requires the civil surgeon to place the completed documentation in a sealed envelope when providing it to the applicant. The applicant should not open the sealed envelope, because USCIS may reject an I-693 that does not meet its submission requirements.

As of USCIS guidance updated July 24, 2026, applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, must also submit Form I-693 when required with that filing. Applicants should follow the instructions applicable to their particular immigration case and use the current editions of USCIS forms.

At Centered Primary Care, Dr. Roberto Amado, MD, MHA, and our team carefully prepare the medical portion of the immigration documentation after all applicable examination requirements have been satisfied. We help patients understand how their completed Form I-693 is provided to them so they can follow USCIS submission instructions appropriately.

Board-Certified Dr. Roberto Amado, MD, MHA provides immigration physicals with careful attention to USCIS medical requirements and each patient’s individual health history. He reviews medical and vaccination records, completes the required examination, and helps patients understand any additional steps that may be needed before their immigration medical documentation can be finalized. His patient-focused approach helps make the process clear, organized, and comfortable.

At Centered Primary Care in Stoughton, MA, Dr. Amado works closely with our skilled team to support patients throughout the immigration physical process. We focus on accurate documentation, clear communication, and personalized guidance so patients can complete this important requirement with confidence and receive attentive medical care at every stage.

For more information, contact us today or schedule an appointment online. We are conveniently located at 966 Park Street, Suite B6, Stoughton, MA 02072. We serve patients from Stoughton MA, Avon MA, Canton MA, Walpole MA, Easton MA, Abington MA, and surrounding areas.