INS Examinations

 

Welcome to Alliance Occupational Medicine!

 

To obtain entry and/or residency to the United States, a thorough medical examination and review of current immunizations is required by the federal government. A physician who has been certified by the government as a civil surgeon must conduct INS examinations.  A medical examination is required for persons of all ages. The examination will last between 1-2 hours. The results are recorded on federally designated forms. The examination requirements are determined by the age of the applicant and the completeness of his/her immunization record.

 

An adult examination (15 years or older) typically consists of the following:

• A physical examination
• A tuberculin skin test (TST) is required for all persons 2 years or older to check for current or prior tuberculosis (TB) infection. After the skin test is applied you must return to clinic in 48-72 hours for it to be read. (Tests cannot be done on Thursdays.)  All applicants with abnormal (“positive”) skin test results will need to have a chest x-ray performed at our clinic. Similarly, a chest x-ray will be required if you have a history of prior TB infection or a history of a positive TB skin test. Many applicants have received BCG vaccination in their home country, but a skin test and/or chest X-ray will still required. Any applicant identified as possibly having active TB will, per health department regulations, be referred to the Santa Clara County Department of Health and Human Services at 2220 Moorpark Avenue, San Jose, CA 95128. Telephone: 408 885-4231.
• A blood test for HIV (the virus that causes AIDS)
• A blood test for syphilis (RPR).
• If not reliably documented, adults will need vaccination for chickenpox (varicella), measles, mumps& rubella (MMR), and tetanus-diphtheria (Td). You cannot receive MMR or chickenpox vaccine if you are pregnant or plan to get pregnant in the next month.  In the event you need vaccination, we can test you for pregnancy and provide you with almost immediate results.

A pediatric examination (children 14 years of age or younger) does not require blood testing and typically consists of the following:

• A physical examination
• A TB skin test (see above)
• A review and update of routine pediatric immunizations.

 

Please bring the following items with you on the day of your examination for each applicant:

• Passport (we will make a copy, and immediately return the original to you)
• INS Form I-693 (please complete the top section of all forms)
• Supplemental Form To I-693 (Adjustment of Status Applicant's Documentation of Immunization)
• A list of current medications
• Immunization records for each family member seeking entry. This is especially important for pre-school and school-age children.  You may not have these for each family member, but a more complete record means fewer vaccinations.

The following are not mandatory but may save you time and money:

• Any prior blood test results for: AIDS (HIV titers), syphilis (RPR test), or measles (rubeola), rubella (German measles), mumps, or varicella (chickenpox).
• Any TB skin test results or chest x-ray reports

All expenses must be paid at the time of your exam. We accept cash, personal checks, Visa and MasterCard.

PLEASE:  DO NOT CALL US FOR YOUR RESULTS SOONER THAN 2 WEEKS AFTER YOUR MEDICAL EXAMINATION.

Typically, you will be notified of the results of your lab work (and chest x-ray, if done) within 7 - 10 days. Your results will be documented on INS Form I-693 and placed in a sealed and signed envelope.  You must give this to your attorney or directly to the INS. If you have a health condition that requires 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 established by the INS.

 

Pricing at Alliance Occupational Medicine is as follows

INS Exam	$85.00
TB skin test	$15.00
One View Chest X-ray	$45.00	Required if you have positive TB skin test
MMR Vaccine	$75.00	(Measles, Mumps, Rubella vaccine)
Varicella Vaccine (per injection)	$110.00	Series of 2 shots if over 13, 2nd shot in 1 month
Tetanus Vaccination	$25.00
Polio Vaccination	$50.00
Hib Vaccination for children	$45.00	Hemophilus Influenza B (childhood illness)
Pneumonia Vaccination	$45.00
Hepatitis B Vaccination (per injection)	$70.00	Series of 3 shots over 6 months
Influenza Vaccination	$25.00	Check for availability and seasonal need
Lab test for Hepatitis B antibodies	$65.00	Checks for immunity to hepatitis B
Lab test for Varicella antibodies	$48.00	Checks for immunity to chicken pox (varicella)
Lab test for Syphilis (RPR test)	$34.00	Checks for presence of syphilis
Lab test for HIV 1 antibodies	$37.05	Checks for infection with AIDS virus
Lab test for MMR	$125.00	Checks immunity for Measles, Mumps, & Rubella
Pregnancy Test (Quick test in clinic)	$16.25	To ensure it is safe for you to receive MMR or Varicella vaccines

 

INS Forms and Vaccine Requirements Table:

        I-693

        I-693 Supplemental Form

        INS Vaccine Requirements Table

Thank you for choosing Alliance Occupational Medicine.  Please refer us to your friends.