Immigration Questionnaire | Oregon Occupational Medicine

Is this for you or someone you know?
- For me
- Someone I know
Are you/this person here in the US as....?
- Here on a Standard Visa
- Here as a Refugee
- DACA / Came Illegally
- Other
- I Don't Know
What kind of visa did you/this person come on?
- Tourist / Short Business Trip (B1/B2)
- Fiance / Fiancée (K1/K2)
- Student Visa (F1/F2)
- Religious Visa (R1/R2)
- Work / Company Visa (L1/L2)
- Other
Did you/this person have an exam with a Civil Surgeon before or when first entering the US?
- Yes
- No

Based on your answers
You need a Vaccine Record Review Only
Unfortunately, as of 07/20/2021, we are no longer offering this service at our clinics and apologize for the inconvenience. Please check your local listings to find a location near you that continues to offer these services. Click here to return to the main page or click here to get more information on our Immigration Physical Exams.
You Need A Full Immigration Medical Exam
- Immigration Exams are scheduled Monday through Friday, between 8am and 3pm.
- Immigration Exams are usually available within 5-7 business days
- The prices for an Immigration Exam are $500/person for 17 years and older, or $350/person for anyone under 17. A non-refundable $50 deposit is required for each exam by credit card in addition to this cost, and the remaining amount is due at the time of the appointment. This total cost includes the non-refundable deposit, Medical Exam, completion of I-693 paperwork and the USCIS-required screenings for tuberculosis, syphilis, and gonorrhea as needed. Please note that this price does NOT include any vaccines as those may or may not be needed depending on your current circumstances. ** Prices are subject to change.

Name*
Phone*
Email*
Would you like to schedule an appointment?*
- Yes
- Not now, Please email me additional information
When would like you appointment for?
(Soonest possible, on a certain day of the week, at a certain time, etc.)
Please provide the name and date of birth of each individual who needs an appointment.
Email
This field is for validation purposes and should be left unchanged.

Immigration Questionnaire: