Immigration & Travel Health

International medicine, handled close to home.

Foundations Direct Care supports a range of international medical services for the OKC community — from USCIS-required immigration medical exams to pre-travel vaccine planning for any destination on the CDC list. Two threads, often shared by the same patient, both handled in our office without referrals or third-party clinics.

Pick a tab below to see what's involved, what to bring, and how to schedule.

USCIS Form I-693 Immigration Medical Exam

The Form I-693, Report of Immigration Medical Examination and Vaccination Record, must be completed by a USCIS-designated Civil Surgeon. The exam covers the components USCIS requires for Adjustment of Status applications:

  • Medical history review and physical examination
  • Tuberculosis screening — IGRA blood test (preferred) or chest X-ray when indicated
  • Syphilis and gonorrhea screening per current USCIS requirements
  • Required vaccinations reviewed against your records and administered as needed
  • Mental health, substance use, and physical-exam components per the USCIS Technical Instructions
  • Sealed I-693 envelope returned to you for submission with your application
Timeline. Plan on 60–90 minutes for the appointment itself. If labs or chest imaging are needed, the sealed Form I-693 packet is typically ready within 7–10 business days of completion. Per USCIS, the signed I-693 is generally valid for two years from the date the Civil Surgeon signs it — schedule with your filing window in mind.

Pricing

The USCIS exam is generally not covered by health insurance — it's an immigration service, not a medical-necessity visit. We offer transparent cash pricing for the exam itself, vaccinations, and any required lab work. Foundations members receive a discounted rate. Email us for current pricing.

Appointment checklist

What to bring (and when).

Tick these off as you go — the more you bring, the smoother the appointment runs and the fewer follow-up visits you'll need.

Before the appointment

Gather these

At the appointment

Plan for this

After the appointment

Final steps

Common questions

How long is the signed Form I-693 valid?

USCIS currently treats a signed I-693 as valid for two years from the date the Civil Surgeon signs Part 7 of the form. Plan to time your exam so it lands inside the window when USCIS will adjudicate your application.

What if I'm missing some vaccination records?

We work with what's documented and complete the gaps in-office. The most common missing items are MMR, Td/Tdap, and varicella — if there's no record, we can either administer the vaccine or run titers (blood tests) to confirm immunity. Both options satisfy USCIS.

Are HSA / FSA dollars eligible for the exam?

The USCIS I-693 immigration exam is generally not considered a qualified medical expense, since it's required for an immigration application rather than for medical treatment. Confirm with your plan administrator before paying with HSA/FSA funds.

Look up your destination

Pick a country and we'll send you straight to the official CDC travel-health page for that destination — vaccines recommended, health notices in effect, food & water guidance, and traveler advice. Bring what you find to your consultation and we'll build a plan around it.

View CDC recommendations →

Don't see your destination? Search the full CDC destinations list — every country with a travel-health page is there.

What a consult includes

A travel plan, not just a vaccine schedule.

The CDC page tells you what's recommended; we make it work for your specific trip and medical history.

Destination risk assessment

We review CDC and WHO advisories for your country and itinerary — urban vs. rural, dry vs. rainy season, food/water risk, insect-borne illness, altitude.

Vaccine planning

Typhoid, Hepatitis A and B, yellow fever (referral if not in stock), rabies pre-exposure, Japanese encephalitis, meningococcal, and routine immunization catch-up.

Prescription prophylaxis

Antimalarial selection (chloroquine vs. atovaquone-proguanil vs. doxycycline based on destination resistance), traveler's diarrhea standby, altitude, motion sickness.

Practical travel advice

Safe food and water, insect repellent strategy, sun and heat, jet lag, basic first-aid kit, what to do if you get sick abroad.

Documentation

International Certificate of Vaccination (yellow card) where required, immunization records for your trip file, and prescriptions you can fill before departure.

Follow-up access

If you get sick on the trip, members can text or video us from anywhere with a signal. We can talk you through what's likely going on and whether you need local care.

Schedule 4–6 weeks before departure. Some travel vaccines (Hepatitis A/B, rabies pre-exposure, Japanese encephalitis) are multi-dose series that need time to complete. Yellow fever requires a one-time visit to a designated yellow-fever provider. If your trip is sooner, schedule anyway — we'll prioritize what's protective and possible in the time available.

Authoritative travel-health resources

CDC Travelers' Health The hub. Country pages, current health notices, and the Yellow Book guidance for U.S. travelers. CDC Travel Health Notices Current outbreaks and advisories — Levels 1 through 4. Check this before booking. CDC: Before You Travel The pre-trip checklist, packing the medical kit, and what to do at the airport. WHO International Travel and Health The World Health Organization's parallel guidance, useful for cross-checking CDC. U.S. Department of State — Travel Advisories Safety and security advisories complementing the health side. Worth a look for any country.

Ready to schedule?

Email newpatients@renovo.care with a brief note about which service you need (Immigration or Travel) and the timeframe. We'll confirm an appointment within one business day.

Call 405-563-7200
…or send us a note and we'll reach out.