Home › All States › California

Immigration Physical & Form I-693 in Joshua, TX

If you live in or around Joshua and need a green card medical exam, this page is for you. Everything below is practical: costs in the Dallas-Fort Worth Metroplex, documents, booking windows, and what actually happens at the appointment. With around 7,891 residents, Joshua itself may not host a designated office, but several serve the area from Keene and beyond.

$200-$500

Base exam fee (TX 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.

Your exam near Joshua, step by step

From first call to sealed envelope — here is the five-step path Joshua applicants follow.
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.

Immigration physical costs in Joshua

What you pay near Joshua splits into two parts: a base exam fee, and per-item charges tied to your vaccination and testing history.
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 Joshua we cover

Civil surgeons in this directory serve applicants across Joshua and these 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

Designated civil surgeons: get found in Joshua

Reach the green card applicants already searching for civil surgeons near Joshua. You control your profile, hours, languages and pricing.

Finding the right civil surgeon near Joshua

Form I-693 can only be completed by a doctor USCIS has specifically designated as a civil surgeon. Before booking anywhere in Johnson County, verify the designation — the Texas civil surgeon directory is checked against USCIS records.

Compare price and language

Base fees near Joshua generally sit in the $200–$500 band typical for Texas; vaccines, titers, and TB testing add to that. Language support across Johnson County commonly includes Spanish, Vietnamese, Korean and Urdu. Applicants in Joshua often travel a short distance to Arlington for their exam.

Start online if you are not near a doctor

You can shorten the in-person visit by starting with a virtual pre-consult: your ID, vaccination records, and USCIS paperwork get checked online, and you arrive prepared.

Common questions from Joshua applicants

A sealed Form I-693 is valid for a set window from the signing date under current USCIS policy. Because these rules get updated, verify the latest guidance for your case.
TB screening is usually a simple blood draw (an IGRA test). If it comes back positive, the civil surgeon orders follow-up such as a chest X-ray before finalizing your form.
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.
Follow-up items such as TB confirmation are recorded on the form, and the doctor explains what happens next. Sealing waits until everything required is complete.
Yes, this is handled routinely: titer blood tests can confirm immunity, or the required vaccines can be repeated. Tell the office in advance — it changes how they schedule you.
You may bring a translator, and it is worth asking about in-house language support: several practices serving Johnson County have multilingual teams.