Why Red Flags Matter

Choosing the wrong civil surgeon can result in errors on Form I-693, USCIS Requests for Evidence, case delays, and additional costs. Knowing what to watch for helps you avoid providers who may not have the experience or systems to complete your exam accurately.

These red flags are not necessarily disqualifying on their own, but they warrant further investigation before you commit to scheduling.

Pricing Red Flags

Pricing practices are often the first indicator of a clinic's overall approach.

• Unusually low advertised price (under $200) that likely excludes labs and vaccines
• Inability to provide a clear total price when asked directly
• Separate charges for each vaccine at retail rates
• Separate charges for lab tests not disclosed upfront
• Surprise fees for Form I-693 completion or sealing

Experience and Quality Red Flags

These signals suggest limited experience with immigration medical exams.

• Cannot state their monthly immigration exam volume
• Cannot answer questions about their RFE rate
• Unfamiliar with the current required edition of Form I-693
• No clear process for handling abnormal lab results
• Staff who seem unfamiliar with USCIS requirements

Operational Red Flags

Operational issues can affect the quality and timeliness of your exam.

• No on-site laboratory — specimens sent to outside labs with uncertain turnaround times
• No on-site vaccine administration — requires separate appointments elsewhere
• Standard turnaround time longer than 5 business days
• No expedited processing option for urgent cases
• Difficulty reaching the office by phone or email

Communication Red Flags

Poor communication before your appointment often predicts poor communication throughout the process.

• Inability to answer basic questions about the exam process
• No clear process for communicating with your immigration attorney
• Unwillingness to provide written price estimates
• Vague or inconsistent answers to direct questions
• No follow-up process for abnormal results or RFEs