Immigration Services in NYC & Resources: Information for Immigration Services

Conducted by: Doctor Mara L Pulcheri USCIS Civil Surgeon


Doctor Mara Pulcheri is a U.S. Citizenship & Immigration Services (USCIS) Authorized Civil Surgeon with over 10 years of experience in New York City. She is fluent in Portuguese & Spanish & has received multiple Top Doctor awards.

Office Location

  • Address: 20 East 46th Street, Suite 200, New York, NY 10017

  • Conveniently located in Midtown Manhattan between Madison Avenue and 5th Avenue.

  • Accessible via subway & within walking walking distance from Grand Central, Rockefeller Center, & Penn Station.

  • Parking available across the street.

Schedule an Appointment for your Immigration Services

  • Phone: 212-481-4994

  • Email: immigration@pulcherimd.com

  • Office Hours:

    • Monday to Thursday: 9 AM - 5 PM

    • Friday: 9 AM - 4 PM

  • Same-day or next-day appointments available (excluding weekends and major holidays).

What the Immigration Medical Examination Includes

  • Review of your medical and vaccination history.

  • Mandatory lab tests for tuberculosis, gonorrhea, & syphilis (depending on your age).

  • Required vaccinations determined based on age & other factors.

  • COVID-19 vaccination proof is required for applicants aged 6 months & over.

  • The process takes approximately 1 hour.

Cost of the Medical Examination

  • $350: Includes the doctor’s visit & all mandatory tests (vaccines are not included).

  • Additional costs:

    • Blood draw for immunity check (optional) - $65 (or you can use your health insurance, but coverage is not guaranteed).

Additional Information for Immigration Services

  1. Influenza Vaccine Requirement: From September through March, all patients must receive the flu vaccine.

  2. I-693 Form Reissuance Fee: $75 if the form needs to be reissued (e.g., if the sealed envelope is opened or USCIS did not receive it).

  3. No Follow-Up for Form Collection: You do not need a follow-up visit just to collect the completed I-693 form.

  4. Follow-Up Visit for Treatment: If treatment is required (e.g., for syphilis), a follow-up visit fee of $250 applies. Alternatively, you may receive treatment from your primary care physician. If we accept your insurance, we can bill the insurance.

  5. Vaccinations from Local Pharmacies: We accept vaccine records from local pharmacies or vaccination centers.

  6. Vaccination Requirements Vary by Age: Proof of vaccination can be provided through previous records or lab testing (blood titers available for adults only).

What to Bring to the Medical Examination

  • Identification: Passport or driver's license.

  • Vaccination Records (including your COVID-19 vaccination card).

  • A registration form, which can be filled out at our office.

Medical Results

  • Medical reports are usually ready within 5-10 working days after your appointment.

  • You will receive your Form I-693 in a sealed envelope, which should not be opened.

Additional FAQs

  • Fasting for Blood Tests: Not required before your appointment.

  • Using Previous Medical Exam Results: Only exams performed by a USCIS-authorized Civil Surgeon for immigration purposes are accepted.

Vaccine Costs

  • Tdap: $75

  • Prevnar-20: $250

  • Flu Vaccine: $75

  • Pneumovax-23: $130

  • Flu HD: $125

  • Hepatitis A: $125

  • Hepatitis B: $115

  • MMR: $145

  • Varicella: $300-$350 (may not be available at our office)

  • Polio: $95

  • COVID-19 Vaccine: Available at pharmacies only.

  • Note: Some children's vaccines may need to be administered by a pediatrician.

Contact Us

For further inquiries, please contact: