*Information for I693 Exam

Hello, thank you for contacting our office..

At our clinic, we understand the immigration journey on a personal level – our team come from multicultural immigrant backgrounds, and we take pride in helping others through this step of the immigration process. We have completed over 3,000 medical exams and are grateful for the excellent feedback we’ve received. Our goal is to make the exam quick, efficient, and cost-effective.

For additional questions & scheduling, please use the Spruce app (fast secure messaging with the team), download via this link (https://spruce.care/interstitiumhealth). 

Because we are often with patients, phone calls are difficult to answer and return. For the fastest response, we encourage you to use the secure Spruce app for messaging and scheduling.

Ready to Schedule?

Some general information about our service –

Appointments & Office Hours

  • Exams by appointment only, usually on Wednesdays & Thursdays.
  • The office is not open daily; walk-ins may miss us.
  • Processing time: 1–2 weeks, longer for complex cases.
  • Priority / Rush processing is available for urgent deadlines (extra fees apply).
  • We provide case managers and interpreters for Spanish, Mandarin, Russian, Ukrainian, and Dari at no additional cost. For other languages, patients must arrange their own interpreter.
  • At your appointment (45-60 minutes), we review your documents, health history, and perform a physical exam. Lab tests and vaccines are ordered. Once we receive all results and receipts (~1 week), we complete your packet and notify you for pickup.
  • There is no second appointment unless it is a complex case.

Communication

  • Please message us via the secure Spruce app (HIPAA-compliant, free).
  • We typically respond during weekday office hours.
  • We are often with patients and may miss calls. For the fastest response, please use the secure Spruce app for messaging and scheduling.
  • Link to join: spruce.care/interstitiumhealth

Fees

  • Clinic fee, due at the appointment:
    • Regular I-693 Exams (including Asylum, Parole, SIV): $300
    • Refugee / K1 Visa Exams: $120
    • Clinic fee not covered by insurance unfortunately. Same fee for all ages.
    • Cash preferred; card adds $10
    • We accept cash, credit cards, HSA/FSA cards
  • Lab fees: usually covered with insurance; otherwise we have a $100 discounted rate with the lab.
  • Vaccine fees: Covered with insurance typically. If no insurance, can range $50-$250 each. We have referrals for low-cost options also.
  • Chest X-ray: Only needed in special situations, such as a positive tuberculosis test. Cost is usually $50–$80 if no insurance.

After Exam

  • You’ll be notified when the file is complete.
  • You’ll get a digital copy for review.
  • Finalized forms can be:
    • Pick up usually is Saturday 9AM–12PM
    • If mailed (USPS Priority) to you or your lawyer, mailing fee is $20
    • Can also be picked up by friend or family (bring ID)

Other questions?

  • More questions & answers here (link)
  • Or message us directly in Spruce application.

Ready to Schedule?