Saturday and Sunday appointments available

Google Reviews: CLICK HERE

Official USCIS Civil Surgeon, Dr. David Ores, with over 25 years of USCIS 693 exam experience.

NEW 2024 USCIS 693 UPDATES:

1. As of May 1, 2024, proof of childhood POLIO VAX complete series is required. If there is no proof, a POLIO booster vaccine (iPOL) is required. There is no useful blood test for polio immunity.

2. USCIS 693 applications now require the 2025 Covid Vaccine REGARDLESS of the number of previous doses. If possible, please get this vaccination in adavance. Free at many locations:

https://vaccinefinder.nyc.gov/

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PLEASE pre- register CLICK HERE  

TO MAKE AN APPOINTMENT for the USCIS-693 exam   Text 917 723 4206 or  e-mail:   drdave.lesm@gmail.com

*** Saturday and Sunday appointments available ***

Dr. David Ores will:

  • Provide your USCIS 693 medical exam efficiently and correctly. 25+ years experience.

  • FREE or low cost vaccines if needed are possible. 

  • Complete your exam in the shortest amount of time at the LOWEST possible cost (office fee $275.00).

  • Answer any questions you may have.

  • Coordinate any testing or chest x ray only IF needed.

  • Complete and sign your USCIS 693 envelope in a timely and professional manner

  • Dr. Ores also uses text, e-mail, fax and all the most modern and efficient communications for your convenience.

USCIS 693 Exam Doctor's office fee: $275.00 (cash, check or credit card) You will receive an official MD receipt for your insurance upon request.

IMPORTANT: To avoid any misunderstanding: You and /or your insurance company are 100% responsible for any lab test, chest x-ray or any vaccine. Those costs are NOT part of the 275.00 office fee.

Note: You can possibly save $300.00 to $400.00 dollars because some vaccines can be FREE or low cost ( IF any are required in your case). Wait until after your test results are complete to organize vaccines. This is faster and less complicated.

First Visit

  • Please PRE register on line

  • Please provide any prior lab results or vaccines records. Any additional records can be faxed to me: Fax: 646-349-5328. Or by email at: drdave.lesm@gmail.com

  • We will collect a blood sample (and a urine sample IF you are between 18 - 25 years of age).

  • Test results after 4 or 5 days.

We will then discuss your test results. After you complete vaccines, and chest x- ray (if needed), you sign the 693 form and receive your official, sealed envelope.

FAQs:

1. You do not need a second MMR vaccine to complete the USCIS paperwork.

2. You do not need to bring a copy of a blank USCIS 693 form.

3. You may receive a bill/invoice from Sunrise Labs or another lab if you do or do not have insurance. This LAB bill is 100% YOUR responsibility.

4. SUNRISE laboratory test SELF PAY prices are: 

Varicella antibodies $9.00 

Syphilis test  $20.49 

TB blood test $93.72

Hepatitis B $16.00

MMR $51.22

NOTE: These prices may change at anytime.

QUEST laboratory test SELF PAY prices are: 

Varicella antibodies $15.90 

Syphilis test  $9.00 

TB blood test $65.00.

Hepatitis B $13.36. MMR $46.78.

NOTE: These prices may change at anytime.

5. IF you are 18 -25 years old, USCIS requires a GC URINE sample at the time of your visit. Not required for persons over 25 years of age.

6. USCIS now requires the newest 2025 Covid vaccination for the USCIS-693 application. Regardless of prior vaccines. And a POLIO booster if you do not have childhood record of the complete series. This is a RECENT requirement.

7. Can I have my labs done in advance and ordered by another doctor? No. The USCIS requires that a Civil Surgeon (me) takes the blood sample and orders all lab tests.

8. It is recommended that you do not get any vaccinations before we have all your test results.

VACCINE EXPLANATIONS:

Each vaccine has a different story. To complete the 693 process, ADULTS need proof of immunity OR vaccination for MMR, TDAP, Varicella, Hepatitis B, FLU vaccine (only during flu season), Polio and the 2025 COVID. Children need to complete all vaccinations for their age.

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New! The Polio story: There are 2 ways to satisfy the 693 Polio requirement. Proof of having had the complete Polio series as child (4 or 5 doses) Or a new Polio vaccine (iPOL) booster dose.

*You do not need the complete the full Polio series to complete your 693 form. ONE new Polio (iPOL) vaccination is adequate to complete the 693 process.

The MMR story: Measles, Mumps, Rubella. This vaccine is three vaccinations in one dose. There are 3 ways to satisfy the MMR requirement. Immunity to all three viruses by a blood test, proof of having had two (2) of these vaccines in your past or one new MMR vaccine dose.

*You do not need the complete MMR series to complete your 693 form. ONE new MMR vaccination (or serum immunity) is adequate to complete the 693.

The Varicella story: Varicella or “chickenpox” is also a virus. Usually of childhood. There are 3 ways to satisfy the 693 Varicella requirement. Immunity to Varicella by a blood test (serum immunity), proof of having had 2 of these vaccines in your past OR one new Varicella vaccine booster dose.

You do not need the complete Varicella series to complete your 693 form. ONE vaccination of Varivax (or serum immunity) is adequate to complete the 693 process.

Hepatitis B: This is a virus that infects and damages the liver. It is contagious by blood to blood via: infected transfusion, infected needles, sexual contact or infected tissue transplants. There are 3 ways to satisfy the 693 Hepatitis B requirement. Immunity to Hepatitis B proven by a blood test (serum immunity), proof of 2 Hep B vaccines or one new Hepatitis B vaccine booster.

You do not need the complete series of Hepatitis B to complete your 693 form. ONE new Hepatitis vaccination (or serum immunity) is adequate to complete the 693.

The Flu Vaccine story: USCIS requires the yearly FLU vaccine from October 1st until March 31st. In other months, the FLU vaccine is NOT required.

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AFTER you receive your sealed envelope advice / tips:

- use only FEDEX to mail your envelope to your lawyer or USCIS

- OR use USPS certified, signature required.

- OR hand deliver to your lawyer

- DO NOT use regular, plain USPS for you envelope.

- USCIS RFE letters have a NAME of an agent at the bottom. Send your envelope to that person via FEDEX by their name, if you have a name of an actual USCIS agent.

NOTE: Certain 693 lab tests are only valid for 60 days. If / when you submit your 693 envelope to USCIS, it is supposed to be valid for 2 years. This rule can change. So check with USCIS webpage or your lawyer. But, do not hold on to your 693 envelope for more than 60 days. Submit the envelope to the USCIS.

Office Location:

189A East Second STREET (not avenue) NYC, NY 10009

Between Avenue A & Avenue B. Lower East Side of Manhattan.

Please text me at 917-723-4206 or e-mail me directly (drdave.lesm@gmail.com) to make an appointment or if you have any questions.

Again, please complete the pre visit registration : CLICK HERE  

Thank you.

DAVID J. ORES, MD

Official Civil Surgeon & Provider of the USCIS-693 Medical Exam