Service Fees - Based on Patient Age:
Patient Age 15 and older: $200.00
- Physical examination & I-693 Form completion
- Blood test - RPR screening syphilis
- Tuberculosis screening (PPD test) will be given on the day of the physical. The patient will be required to return in 48 hours for the results to be determined.
- If PPD is negative, no treatment is needed.
- If PPD is positive, a chest x-ray is required and the patient must be followed up by a primary doctor or Dr. Saway for treatment of Isoniazid (INH) and lab work for 9 months. (A fee of $45 will be charged if an x-ray.)
- Vaccinatons if needed are extra as explained below.
Age 0 and to 15: $100.00
- I-693 Form completion based on a review of immunization records and a physical performed by Pediatrician within the past 6 months
- Ages 2 and over are required to have Tuberculosis screening (PPD test) (www.cdc.gov/ncidod/dq/civil.htm).
- Vaccinations if needed are extra as explained below.
Vaccination & Immunization Requirements
Patients will be required to provide a record that they have received the vaccinations shown below or blood test results demonstrating immunity.
- DTap (Boostrix)
- Influenza (flu season)
- Meningococcal conjugated
- MMR (1 or 2 doses)
- Pneumovax
- Varicella (2 doses)
Patients who do not have records will be required to be vaccinated or to go the Howard County Health Department for the immunizations shown below.
Inquiries regarding vaccination requirements for adjustment of status applicants may be sent to CDC’s Division of Global Migration and Quarantine (DGMQ) at cdcqap@cdc.gov or on their website
Additional Fees CMP Vaccine & Administration Fees
| Influenza | $25.00 |
| DTap (Boostrix) | $80.00 |
| Meningococcal (conjugated) | $150.00 |
| MMR | $80.00 |
| Pneumovax | $70.00 |
| Varicella | $135.00 |
For additional information please call 410-964-5300 and ask to speak to the clinical manager.
Summary of USCIS Requirements
Effective November 13, 2009, the U.S Citizenship and Immigration Services (USCIS), The Centers for Disease Control (CDC), and U.S. Advisory Committee on Immunization Practices (ACIP), the revised Form I-693 was re-titled as Report of Medical Examination & Vaccination Record and updated the Technical Instructions for Vaccination with new vaccination requirements. (Report of Medical Examination and Vaccination Record)
Per Recommendations of USCIS/CDC and ACIP: Any person who seeks admission to the United States as an immigrant or who seeks adjustment of visa status to that of permanent resident is required to show documentation of having received vaccinations against vaccine-preventable diseases (INA Section 212(a)(1)(A)(ii)). All persons applying for adjustment of status are required to have a medical examination and a vaccination record. Vaccination recommendation may vary with age. (Immunization Schedules)
For contraindications and precautions to specific vaccines please go to: Chart of Contraindications and Precautions to Commonly Used Vaccines
For pregnant women, contraindications and precautions please go to: Guidelines for Vaccinating Pregnant Women
