Immigration Physical & Form I-693 in Columbia, PA

The immigration physical is a required stop on the green card path, and Columbia applicants have several ways to get it done. This guide walks through the appointment step by step: what to bring, typical fees in Lancaster County, and how quickly your Form I-693 can be sealed. Columbia is a quiet community of about 10,381 people, so your nearest designated office may be in Silver Spring Township or another nearby city — we list those below.

$200-$500

Base exam fee (PA typical)

30-60 min

Typical exam length

Booking lead time

1-2 weeks

Common languages:

NEW

Virtual immigration physical pre-consult

Not near a civil surgeon yet, or want to prepare before your appointment? Start online with Dapinder Kaur, FNP. Your virtual pre-consult walks you through the Form I-693 process, reviews your documents and vaccination records, and gets you ready — in English, Hindi, or Punjabi — so your in-person visit to seal the form is quick and stress-free.

A civil surgeon must still examine you in person and physically sign Form I-693. The virtual pre-consult prepares you; it does not replace the required exam.

Book online

Pick a time that suits you, from anywhere in California.

Document review

We check your ID, vaccination records, and USCIS paperwork.

Get matched

We point you to a civil surgeon to seal your Form I-693.

What happens during your immigration physical near Columbia

The process is the same across Pennsylvania; here is how it plays out for Columbia applicants, in five steps.

Book your visit

Schedule with a civil surgeon, or start with a virtual pre-consult if you want to prepare first.

Bring your documents

Photo ID, vaccination records, and any prior medical history related to required tests.

Physical exam

A general physical check, review of medical history, and a TB screening.

Vaccine review

The civil surgeon checks your immunization history and administers any missing required vaccines.

Receive Form I-693

Your civil surgeon seals the completed form. Do not open it — submit it sealed with your application.

What to bring to your appointment

Bringing the right documents is the difference between finishing in one visit and coming back a second time.

✓

Government photo ID

A passport, driver license or state ID.

✓

Prior medical records

Relevant history, especially for TB or chronic conditions.

✓

Payment method

Confirm what the practice accepts when you book.

✓

Vaccination records

Any immunization history you already have.

✓

Your USCIS notices

Any Form I-693 pages or case details you were given.

✓

Glasses or hearing aids

Bring anything you use day to day.

Immigration physical costs in Columbia

Across Lancaster County the base fee moves within a narrow band — your vaccination history is what really drives the final total. Factor in a short trip if your chosen office is in Silver Spring Township rather than Columbia itself.

ITEM

TYPICAL COST

Civil surgeon exam fee

$337 – $437

TB (tuberculosis) blood test

$50 – $150

Missing vaccines, per dose

$30 – $120

Vaccination record retrieval, if needed

$0 – $50

Reissued sealed Form I-693, if lost

Varies by practice

Most applicants pay $337–$437 for the base exam plus $0–$300+ in vaccines and testing depending on their immunization history. Confirm exact pricing with the practice before booking.

Areas of Columbia we cover

Civil surgeons in this directory serve applicants across Columbia and these neighborhoods.

NEIGHBORHOODS

Appointment availability & timing

What to expect for booking and getting your results.

1–2 weeks

Typical booking lead time

Availability tightens in spring and early fall when filing volume rises nationally. Book as soon as your application is ready.

Same day

When your form is usually sealed

If no follow-up vaccines or lab work are needed, most civil surgeons complete and seal Form I-693 the same visit.

1–2 visits

If catch-up vaccines are needed

A second, shorter visit may be required to complete a vaccine series or review follow-up lab results.

FOR PHYSICIANS

Serve green card applicants in Columbia?

Get listed in the USCISMD directory and reach green card applicants searching for an immigration physical in Columbia and across Lancaster County. Claim your free listing and keep your hours, languages, and pricing up to date yourself.

Where Columbia applicants book their exam

The medical exam is a mandatory green card step for Columbia applicants, and only a USCIS-designated civil surgeon can complete it. Before booking anywhere in Lancaster County, verify the designation — the Pennsylvania civil surgeon directory is checked against USCIS records.

Compare price and language

Pricing near Columbia tracks the wider Pennsylvania norm of $200–$500 for the exam itself, before any vaccines or testing. If English is not your first language, note that offices serving Lancaster County frequently offer Spanish, Nepali and Arabic. Applicants in Columbia often travel a short distance to Silver Spring Township for their exam.

Start online if you are not near a doctor

If the nearest civil surgeon to Columbia is a drive away, begin with a virtual pre-consult to get your documents in order first, then visit in person only to complete and seal the form.

Before you book in Columbia: quick answers

How is tuberculosis tested during the exam?

Applicants generally take an IGRA blood test for tuberculosis. A positive result leads to follow-up, typically a chest X-ray, before the form can be completed.

Is non-English support available around Columbia?

Many providers serving Columbia and Lancaster County speak languages beyond English, commonly including Spanish, Nepali, Arabic, so you can complete your exam in a language you are comfortable with.

Can I do a virtual green card medical exam in Columbia?

You can start with a virtual pre-consult to prepare your documents and understand the process, but a designated civil surgeon must still examine you in person and physically sign Form I-693.

What does the green card medical exam cost near Columbia?

Budget $200 to $500 for the base exam near Columbia. Your final total depends mostly on which vaccines and tests you still need — that can add $300 or more.

Do my kids need their own immigration physical?

Yes, each family member applying needs an individual exam and form. Offices commonly book families together in one block, so ask for consecutive slots.

Where do I send the sealed Form I-693?

Keep the envelope sealed and submit it according to your case instructions — with the application package or at the interview. An opened envelope is rejected.