The Immigration Clinic will provide the necessary medical documentation for you to provide to the U.S. Citizenship and Immigration Service for a change in your immigration status. The documentation requires at a minimum:
- Review and update of "age appropriate" immunizations
- Blood test for tuberculosis, if older than two years of age
- Blood test for syphilis, if older than 15 years of age
- Review of past and current health issues
- Physical examination
Please note that the process for obtaining this documentation can take one to two months.
The fastest way to get the I-693 documentation you need is to complete the tuberculosis and syphilis blood testing before the clinic visit. After you have obtained a Carle medical record number, we can order the lab tests for you. With those results in hand, if both normal, we may be able to complete the I-693 form at one visit, including the examination and necessary vaccinations.
Steps You Will Need to Follow
- Prior to scheduling your appointment, we must receive the following:
- Any immunization records and tuberculosis and syphilis testing records if done previously. Also, please let us know if you had the disease chicken pox (varicella virus) and at what age. Having had the disease removes the varicella vaccine requirement. Please note that all records must be translated into English and signed off on by a doctor.
- Completed Part 1 of form I-693 as required by the USCIS.
- Please send all five pages of the form, but only complete Part 1 and the name section at the top of the following four pages.
- PLEASE DO NOT SIGN THE FORM UNTIL DIRECTED TO DO SO AT YOUR APPOINTMENT.
- A copy of your insurance card (front and back).
- You can mail, fax or deliver in person the above material to:
Carle Physician Group
Attn: Immigration Clinic, South Clinic Second Floor
611 W. Park Street, Urbana, IL 61801
Phone (217) 383-1554
Fax (217) 383-4451
- Schedule an appointment. Once we review your paperwork, we will contact you (at the phone number you provided on form I-693) to schedule your appointment. Please wear loose fitting clothing to your appointment, appropriate for an examination.
- You are not required to have your immunizations or testing done at Carle, but you must provide written documentation of testing done elsewhere prior to scheduling your appointment. If you choose to have your immunization(s) done at Carle, we will limit immunization to a maximum of three at one visit. Vaccines are available at several local pharmacies.
- At the completion of the process we will provide you with the completed, original I-693 form in a sealed envelope. Do not open or tamper with the sealed envelope. It is your responsibility to deliver the sealed envelope to the USCIS. We will provide you with a photocopy of the form and we will keep a copy for our records. If you lose the original we will provide you a replacement for a fee of fifty dollars.
- Pre-payment for your exam will be collected at your appointment. Charges incurred for any additional testing including, but not limited to, blood tests, x-rays and immunizations are your responsibility and will also need to be paid at time of service.
- Prior Immunization Records - Please look at the Vaccines for Age chart to determine what immunizations are necessary for your age. For example, if you are 35 years old and have had a diphtheria-tetanus booster immunization within the prior ten years, you will need to provide documentation of that immunization or you will be required to be re-immunized. If you have received prior immunizations please provide written documentation of them for our review.
- You will be contacted prior to your appointment to review your insurance benefits and provide you with the amount you will be required to pay at the time of your appointment. Payments can be made with cash, check or major credit card (VISA, Mastercard, or Discover).
- Please plan ahead when scheduling your appointment to ensure you receive your exam in time for the citizenship process. We will provide service to people in the order requested. There is no guarantee for the time this process will take for each individual.
- Some immunizations may be waived if an applicant is pregnant, breastfeeding or allergic to components of the vaccine.
- If interpreter services are needed, please let us know when you schedule your appointment. The interpreter must be a Carle approved medical interpreter. Family members are not permitted in the exam room to interpret. Children are examined with parent(s) present.
- For more information on federal requirements, please visit U.S. Citizenship and Immigration Services.
What to Bring
- Photo ID Required
- Please bring a government issued photo ID (driver's license, passport, or state issued identification) with you each time you visit the Immigration Clinic. Children without a photo ID can use a birth certificate, along with a photo ID of one parent whose name is on the birth certificate.
- Payment for exam and vaccination
- Payment may be made by credit card in the office or check or cash in Patient Financial Services.
- Comfortable clothing
- Please wear loose fitting clothing to your appointment, appropriate for an examination.
What to Expect
- Tuberculosis testing
- All applicants older than two years of age must be tested for tuberculosis. This is done as a blood test. Anyone with a positive test, reflecting prior exposure to tuberculosis, must have a chest X-ray done. If testing is done outside of Carle, written documentation with date, test type and result must be provided.
- Syphilis testing
- All applicants 15 years of age and older must be tested for syphilis, which is done with a blood test. If done outside of Carle, written documentation with date, test type and result must be provided.
- All applicants, regardless of age, must undergo a review of personal and family medical history. Particular attention is paid to prior hospitalizations and issues of substance abuse. All applicants undergo a physical examination. This must be done by a designated Civil Surgeon.