Your immigration medical exam, done right the first time.
Dr. Neesheet Parikh, DO is a USCIS-designated civil surgeon, now performing Form I-693 immigration medical exams at ParikhHealth in Sunnyvale. A board-certified physician handles your exam personally — clear pricing up front, vaccines on-site, and your sealed form back to you fast.
Your exam, in four steps
High-volume immigration clinics are known for long waits, surprise fees, and rushed exams. We designed our process around each of those pain points.
Book your appointment
Call or email us to schedule. We'll confirm you need a civil surgeon exam, quote your total cost, and tell you exactly what to bring.
Your exam with Dr. Parikh
A physical exam, a review of your medical history and vaccination records, and the blood work USCIS requires — including a TB blood test (IGRA).
Vaccines and results
Any missing required vaccines are given on-site. We track your lab results and follow up promptly if anything needs a second look.
Pick up your sealed form
Once your results are in, Dr. Parikh completes and signs Form I-693 and seals it in the USCIS-required envelope — ready for you to file.
What to bring
Coming prepared is the single best way to keep your visit short and your cost low.
- Government-issued photo IDA passport is preferred; a driver's license or state ID also works.
- Vaccination recordsFrom any country, in any language. Complete records mean fewer vaccines to give — and a lower total cost.
- Prior lab results, if you have themIncluding past TB tests or chest X-rays, and any proof of immunity (titers).
- Relevant medical recordsEspecially for any chronic condition, past TB treatment, or mental health or substance-use history.
- A list of your current medicationsName and dose for each.
- Your USCIS case details, if availableYour A-Number and any USCIS notice that asked for a medical exam.
You don't need to bring a blank Form I-693 — we prepare the form for you.
Visit details
Everything in one place before you call.
A physician-led exam, not a paperwork mill
Your green card case is too important for a rushed exam or a form that comes back with errors.
Designated by USCIS
Only a USCIS-designated civil surgeon can sign Form I-693. Dr. Parikh holds that designation — so your form won't be rejected over who signed it.
Your exam is with the physician
Dr. Parikh, double board-certified in Family Medicine and Sports Medicine, performs your exam himself and reviews every result before he signs.
One quoted price, no surprises
We review your records first and tell you your total — exam, lab work, and any vaccines — before you come in.
Vaccines given on-site
Missing a required vaccine? We give it the same day, so you aren't sent elsewhere and asked to come back.
Fast turnaround
We prioritize your lab results and complete your sealed form as soon as they're in — no weeks of waiting on a busy clinic's backlog.
Accuracy you can count on
Every form is checked against current USCIS and CDC requirements before it's sealed, so it isn't returned for missing or outdated information.
Make sure your doctor is actually a civil surgeon.
Not every clinic that advertises “immigration physicals” is USCIS-designated. A Form I-693 signed by a non-designated physician will be rejected — and you'll need to pay for a new exam. You can confirm any physician's status with the USCIS civil surgeon locator before you book. Dr. Parikh's designation is current, and we're glad to answer questions about it when you call.
Neesheet Parikh, DO
Dr. Neesheet Parikh is the founder and Chief Medical Officer of ParikhHealth, an independent practice in Sunnyvale offering primary care, sports medicine, and physical therapy under one roof. He is a USCIS-designated civil surgeon and personally performs every immigration medical exam at the practice.
Many of our own patients and their families have gone through the green card process. We know how much is riding on this one form, and we treat it that way.
- USCIS-designated civil surgeon — authorized to complete and sign Form I-693.
- Double board-certified — Family Medicine and Sports Medicine.
- Founder, ParikhHealth — a 100% independently owned practice. Ask us about his work as team physician for USA Cricket.
What every applicant should know
What is Form I-693?
Form I-693, Report of Immigration Medical Examination and Vaccination Record, documents that you meet the health requirements for a green card. It must be completed and signed by a physician USCIS has specifically designated as a civil surgeon — a regular doctor, even a specialist, cannot complete it.
Who needs this exam?
Most people applying to adjust status to lawful permanent resident (Form I-485) from inside the United States need a civil surgeon exam. Some applicants — for example, certain K-1 fiancé(e) visa holders examined abroad — may need only a vaccination update. If you're unsure which applies to you, call before booking and we'll help you sort it out.
When should I get the exam?
Since December 2, 2024, USCIS may reject a Form I-485 filed without the completed Form I-693. For most applicants, that means completing your exam before you file — so plan ahead and build in time for lab results.
What's included in the exam?
The exam follows the CDC's Technical Instructions for civil surgeons: a medical history and physical exam; a review of your vaccination record, with any missing required vaccines given; a tuberculosis screening using an IGRA blood test; age-appropriate blood and urine testing for certain infections; and a mental health and substance-use evaluation. Dr. Parikh documents all of this on Form I-693.
Which vaccines are required?
USCIS requires vaccines recommended by the CDC's Advisory Committee on Immunization Practices. For adults, that commonly includes Tdap or Td, MMR, polio, varicella, hepatitis A and B, and seasonal influenza when in season, plus others depending on age. The COVID-19 vaccine has not been required since January 2025. Requirements change periodically, so Dr. Parikh confirms current guidance at the time of your exam.
How long is Form I-693 valid?
Under a USCIS policy issued in June 2025, a Form I-693 is generally valid only for the specific application it's submitted with. If that application is withdrawn or denied, you'll usually need a new exam for any future filing.
How do I submit the form?
You'll receive your Form I-693 in a sealed envelope. If you're filing on paper, do not open it — include it unopened with your application. If you're filing online and USCIS allows you to upload the form, follow USCIS's current instructions and keep the original and envelope until your case is decided.
What does it cost?
Immigration medical exams are a self-pay service, and most health insurance plans don't cover them. Your total depends mainly on how many vaccines and tests you need — which is why bringing complete records saves money. Call us for current pricing; we'll give you your full quote before your visit.
Frequently asked questions
What is a civil surgeon, and why can't my regular doctor sign Form I-693?
A civil surgeon is a physician specifically designated by USCIS to perform immigration medical exams — a separate authorization from a standard medical license. USCIS won't accept a Form I-693 signed by a physician without that designation. Dr. Parikh is a USCIS-designated civil surgeon.
How quickly will I get my sealed form?
The main variable is your lab work, especially the TB blood test. We prioritize your results and complete, sign, and seal your form as soon as they're back. We'll give you a realistic timeline when you book.
Does insurance cover the immigration medical exam?
Generally no. Like most civil surgeons, we offer this as a self-pay service, and we'll tell you the total cost — including any vaccines or tests — before you're charged.
What if I don't have my vaccination records?
That's common, and it doesn't stop your exam. Dr. Parikh reviews what you have, and any missing required vaccines can be given on-site. In some cases a blood test can show immunity instead.
Will a past mental health diagnosis or substance use history affect my exam?
Every exam includes a mental health and substance-use history — it's standard, not a red flag on its own. Bring any relevant records so the exam reflects your full history accurately.
Do I have to file Form I-693 with my Form I-485?
In most cases, yes. Since December 2, 2024, USCIS may reject an I-485 filed without the completed I-693. If you've already filed or received a USCIS request for the exam, bring that notice and we'll go from there.
My previous green card application was denied or withdrawn. Can I reuse my old I-693?
Usually not. Since June 2025, a Form I-693 is generally valid only for the application it was submitted with, so a new filing typically needs a new exam.
Is the COVID-19 vaccine still required?
No. The CDC removed the COVID-19 vaccination requirement for immigration medical exams in January 2025. Other vaccine requirements still apply.
Do you perform immigration exams for children?
No. Our immigration exam service is for adult applicants age 18 and older, and we don't administer childhood vaccines. If your family includes minor applicants, the USCIS civil surgeon locator can help you find a civil surgeon who sees children.
Do I need a referral or to be a current ParikhHealth patient?
No. Anyone age 18 or older who needs a Form I-693 exam can book directly — no referral needed.
Is this the same as the visa medical exam done outside the U.S.?
No. Exams abroad are done by a Department of State panel physician. If you're applying for a green card from inside the United States, you need a civil surgeon exam like this one.
Do I need to fill out anything before my visit?
You don't need to bring a blank Form I-693 — we prepare it. Just bring your ID and the records on the checklist above. We'll review the information with you before Dr. Parikh signs.
Ready to schedule your immigration medical exam?
Call or email to book. We'll confirm what you need, quote your total, and get you on Dr. Parikh's schedule.
1299 Oakmead Parkway, Sunnyvale, CA 94085
Immigration medical exams are performed by Neesheet Parikh, DO, a USCIS-designated civil surgeon, for adult applicants age 18 and older. Information on this page is general guidance reflecting USCIS and CDC requirements as of November 2026; requirements change, and we confirm current guidance at your exam. ParikhHealth does not provide legal advice — please consult an immigration attorney for questions about your case.