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The initial I693 exam consists of one video visit and one in person office visit, 5-7 days apart on average. There are three steps to completing the I693 form process with us.

Step 1:  Schedule your I693 Exam

• SIMPLY CLICK THE BUTTON TO SCHEDULE ONLINE ON OUR MAIN PAGE TO SCHEDULE.  Alternatively, you may call or text 513-462-6773 to schedule an exam, but online scheduling is most efficient.  You may also email us at info@midwesthealthgroup.org if unable to  schedule online or need to ask questions.  
• After scheduling, you will receive emails with all of the information you need to proceed, including your invitation to the video visit, medical intake forms, and consent forms to sign. 
• Create a patient portal account here on our site after completing your forms.  We will use it later.
• On the day of your video, you will click the emailed link to join the video visit when it is time for the video visit. 

Step 2:  The video visit process

• During the video visit, the civil surgeon will obtain medical history, review vaccine/medical records and answer questions about the I693 process. 
• The civil surgeon will discuss and  order any necessary tests and vaccines  during the video visit.  
• The applicant will then be scheduled for the necessary blood and urine  testing, as well as vaccines, all  during the video visit.
•  The in-person visit is scheduled during the video visit and will take place typically  5-7 days after the video visit.  

Step 3:  The in-person office visit

• The applicant will come into the office after having completed the video visit,  all obligatory tests and vaccines.
• A   physical examination will be performed.
• The I693 form will be completed and the  sealed original I693 form will be given to the applicant at the conclusion of the in-office visit.
• The applicant will be given a copy of all test results and an unsealed photocopy of the completed I693 form for their personal records.  

THE PROCESS IS COMPLETE AFTER STEP 3 and the entire process takes one week or less.

The cost of the civil surgeon portion of the exam is $310.65  This cost does not include the cost of tests and vaccines, and will not be billed to health insurance.

 If the applicant has health insurance, the health insurance will be billed for the lab tests and any needed vaccines. The cost of the civil surgeon service will not be billed to the health insurance company, but a detailed invoice can be submitted by the patient to their insurance company to request reimbursement.  The cost is an out of pocket expense that can be paid with HSA/FSA cards, credit/debit cards, or cash.

If the applicant does not have health insurance, the applicant will be responsible for the costs of the civil surgeon services, the lab test costs, as well as any additional testing needed for abnormal results (for example, a chest X-ray is needed if the initial tuberculosis blood test is abnormal), and vaccine costs.  Typically, the out of pocket fees for those uninsured does not exceed $600, but will vary based on each applicant's health profile, test abnormalities, vaccine and treatment needs.
Ready to schedule?  

TEXT MESSAGE THE OFFICE, SEE TEST RESULTS AND APPOINTMENTS, RECEIVE IMPORTANT COMMUNICATIONS FROM THE OFFICE, REQUEST MEDICATION REFILLS  ALL THROUGH THE PATIENT PORTAL.  LOG IN OR CREATE A PATIENT PORTAL ACCOUNT BY CLICKING THE BUTTON BELOW.

1.  Why am I encouraged to schedule online? 

 It is efficient as it incorporates registration, scheduling, billing, and form completion all in one step.  Misspelling of names and errors in demographic information like phone number and dates of birth are minimized when the patient enters this information directly instead of operators entering the information.

2.  How long will it take to complete the immigration medical exam process?  

The rate limiting step in the I693/green card process is the lab testing.  USCIS requires the civil surgeon completing the form to order and review the testing needed.  The test turnaround time is 5 days on average, but sometimes can be delayed longer if the lab makes errors or has an unexpected high volume of tests.  We make every effort to work around problems to meet deadlines, but it is best to schedule the video visit portion of this exam asap if you are in a hurry.  

3.  Is the cost of vaccines and lab testing included in the price for the immigration or other exams?

No.  The price for services is for physician time only.  Medical insurance can be used to bill for testing or you can pay out of pocket for testing at a very affordable price.

4.  What are the qualifying conditions for medical marijuana in Ohio?

Visit Ohio's Medical Marijuana Control Program website for more information.  

5.  How long after a medical marijuana visit will I be able to get my card and start the medicine?

The recommendation is made during the visit as long as the proof of a qualifying condition is received.  This means you can go to a dispensary after your appointment is over and you pay your registration fee with the state online.  The state's fee is $50 and will be paid directly to the state after your appointment.  

READY TO SCHEDULE?