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Immigration Physical & Form I-693 in Middletown Township, PA

For Middletown Township applicants, the medical exam is usually the quickest green card requirement to clear — if you arrive prepared. On this page: the five-step exam process, Delaware County pricing, a document checklist, and local FAQs. For a small community like Middletown Township (population about 15,865), the practical question is usually which nearby office to choose — often in Radnor Township.

$200-$500

Base exam fee (PA typical)

30-60 min

Typical exam length

Booking lead time

1-2 weeks

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.

1

Book online

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

2

Document review

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

3

Get matched

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

Inside the appointment: what Middletown Township applicants experience

The process is the same across Pennsylvania; here is how it plays out for Middletown Township applicants, in five steps.
1

Book your visit

Schedule with a civil surgeon, or start with a virtual pre-consult if you want to prepare first.
2

Bring your documents

Photo ID, vaccination records, and any prior medical history related to required tests.
3

Physical exam

A general physical check, review of medical history, and a TB screening.
4

Vaccine review

The civil surgeon checks your immunization history and administers any missing required vaccines.
5

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.

What a green card medical exam costs near Middletown Township

The exam itself is predictably priced around Middletown Township; extras like catch-up vaccines and TB testing are where totals diverge. Factor in a short trip if your chosen office is in Radnor Township rather than Middletown Township 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.

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

Are you a USCIS civil surgeon in Middletown Township?

Join the USCISMD directory and be found by applicants booking immigration physicals around Middletown Township. Listing is free, verification runs against USCIS records, and your profile stays under your control.

Verified civil surgeons serving Middletown Township

USCIS requires that your medical exam be performed by a designated civil surgeon — not just any licensed physician in Pennsylvania. Before booking anywhere in Delaware County, verify the designation — the Pennsylvania civil surgeon directory is checked against USCIS records.

Compare price and language

Pricing near Middletown Township tracks the wider Pennsylvania norm of $200–$500 for the exam itself, before any vaccines or testing. Many providers serving Delaware County speak Spanish, Chinese, Vietnamese and Haitian Creole, so you can choose a doctor you can talk to comfortably. For many Middletown Township residents the closest designated office is in Radnor Township — a short trip that rarely adds more than a day to the process.

Start online if you are not near a doctor

The virtual pre-consult works well for busy schedules: document review happens online at your convenience, and the in-person portion near Middletown Township stays brief.

Before you book in Middletown Township: quick answers

Usually not for the exam itself — it is not considered medical treatment — but vaccine costs are sometimes covered. Ask your insurer and confirm what the office can bill.
Many providers serving Middletown Township and Delaware County speak languages beyond English, commonly including Spanish, Chinese, Vietnamese, Haitian Creole, so you can complete your exam in a language you are comfortable with.
The sealed envelope goes to USCIS with your application, or to your interview if USCIS asks you to bring it. Follow the filing instructions for your specific case — and never open it.
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.
No exam can be completed entirely online. The virtual pre-consult handles document review and preparation; the physical exam and sealed signature must happen in person.
Appointment policies differ office to office. Calling ahead is always the safer move — peak seasons can book out days in advance.