Why Asking Questions Matters

Choosing a civil surgeon is one of the most important decisions in your immigration process. The quality of the Form I-693 completion directly affects your case timeline and the risk of a USCIS Request for Evidence (RFE).

A reputable civil surgeon's office should be able to answer all of these questions clearly and confidently. Vague, evasive, or incomplete answers are a signal to look elsewhere.

The 10 Key Questions to Ask

Ask each of these questions before scheduling your appointment.

• 1. What is the total price, and does it include all required lab tests and vaccines?
• 2. Are vaccines billed separately, or are they included in the flat fee?
• 3. Are laboratory tests (TB, syphilis, gonorrhea) included in the quoted price?
• 4. How many immigration medical exams do you perform per month?
• 5. What is your RFE rate for completed Form I-693 submissions?
• 6. What is your standard turnaround time for Form I-693?
• 7. Which edition of Form I-693 are you currently using?
• 8. How is the completed Form I-693 delivered — in person, by mail, or electronically?
• 9. Do you offer expedited processing, and what does it cost?
• 10. How do you handle abnormal lab results or findings that require follow-up?

What Good Answers Look Like

A high-quality civil surgeon's office will answer pricing questions with a specific, all-inclusive number. They will know their monthly exam volume and RFE rate. They will confirm they are using the current USCIS-required form edition. They will have a clear process for handling abnormal results.

These answers reflect a provider who takes their role seriously and has the systems in place to protect your immigration case.

What Concerning Answers Look Like

Be cautious if a clinic cannot answer these questions, gives vague responses, or seems unfamiliar with terms like "RFE rate" or "form edition." These are signs that immigration medical exams may not be a core part of their practice.

• Cannot provide a clear total price
• Does not know their RFE rate or dismisses the question
• Cannot confirm the current form edition
• Has no clear process for abnormal results
• Cannot state a standard turnaround time

Additional Questions for Specific Situations

If you have specific circumstances, consider asking these additional questions.

• Do you have experience with applicants who have complex medical histories?
• Can you communicate directly with my immigration attorney?
• Do you have on-site laboratory and vaccine services?
• Do you offer priority scheduling for urgent cases?
• What is your process if I need a follow-up appointment?