IMMIGRATION MEDICAL EXAMS
(also known as the 693 medical exam)
HOME / IMMIGRATION MEDICAL EXAMS
Personalized
Same / Next Day Care
Compassionate
Affordable
Trusted, Bilingual, and Stress-Free Care for Your Immigration Journey
USCIS I-693 Immigration Medical Exams with Dr. Cynthia Villacis in Florence, KY. Quick appointments. Respectful care. Se habla español.
Trusted, Bilingual, and Stress-Free Care for Your Immigration Journey
At Health Connections Direct Primary Care, we are proud to be a USCIS-designated civil surgeon and offer complete I-693 immigration medical exams in a welcoming and respectful setting.
Whether you’re applying for a green card or adjusting your immigration status, we make the process smooth, affordable, and easy to understand.
Full Medical Exam
By Dr. Cynthia Villacis, a USCIS-designated civil surgeon
Review
We'll review your history, vaccine records, and address any questions
Vaccines
On-site - billed to your insurance or discounted for uninsured
Labs
Drawn On-Site for adults: TB (Quantiferon), Syphilis, Gonorrhea, and antibody testing. Billed to insurance or discounted for uninsured
I-693 Form
Accurately completed and sealed for USCIS - and a copy for your records
One Stop
Most labs and vaccines handled in-office
Why Choose Us?
We speak Spanish and English Fluently, and provide phone interpreting for other languages - You'll feel welcome and understood
Quick appointments - usually within a week
Affordable pricing - transparent, especially important for uninsured patients
Saturday hours - for your convenience - for our immigration patients only
Over 1,000 families helped with respectful, friendly care
Have questions? You’re not alone.
We’ve helped hundreds of people through the immigration exam process—here are answers to the questions we hear most often
FREQUENTLY ASKED QUESTIONS
What if I don’t have all my vaccine records?
No problem! We’ll review any records you have and help determine what’s missing. In many cases, we can order a blood test to check for immunity or help you get the vaccines you need.
How much does the exam cost?
We offer clear, upfront pricing—no surprise fees. Your total depends on what labs or vaccines you need, and we keep costs low, especially for uninsured patients.
Can I fail the immigration medical exam?
This exam isn’t about “passing or failing.” It’s about documenting your health status for USCIS.
Health conditions are grouped into two categories:
Class A conditions require treatment or waiting before your application can move forward. These include things like untreated syphilis, active tuberculosis, or current drug addiction.
Class B conditions are very common—like diabetes, high blood pressure, or a past surgery. These don’t stop your application. I just document them accurately.
We’ll go over everything clearly and review your paperwork together to make sure it’s complete. The most important thing is to be honest about your health—USCIS is more concerned about incomplete or misleading information than about most medical conditions.
Will I be treated respectfully if I don’t speak English well?
Yes. We are a bilingual, multicultural office that welcomes patients from all backgrounds. Se habla español. We’ve helped over a thousand immigrants through this process with kindness and professionalism. All of us have friends or family who are immigrants. This service is personal as well as professional.
Do I have to go to other places for labs or vaccines?
Usually not. We do most required labs and vaccines in our office. If you need to go somewhere else, we will come up with a plan before you leave the office. Our goal is to make this as simple as possible.
How long does it take to get the completed I-693 form?
After your appointment, most forms are ready within 3–7 business days. We’ll seal the I-693 form as required by USCIS and let you know when it’s ready.
Pricing
IMMIGRATION MEDICAL EXAMS
Vaccines
$0 - 19.90
-Insurance may cover this as a preventative benefit. If you are are uninsured and are 19 years old or older, you may qualify to get vaccines we have from the state.
-Most adults are able to get their vaccines in our office - but you may get them elsewhere if you want.
-Adults need up to 6 vaccines.
-If children are in school and their shots are up to date then they usually only need 1 vaccine.
-COVID vaccine is no longer required.
Immigration Exam with Physician
$325
per person
-If you have a K-Visa or are a refugee and only need the vaccine section done, the fee is usually $150.
-Insurance does NOT cover this. Ever.
-This includes any needed visits until the form is completed.
Lab Tests
$0-155
per person
-Insurance may cover this as a preventative benefit
-These are usually drawn in office for adults, children go to LabCorp to get labs drawn
-You do NOT need to be fasting
What to Bring to your appointment:
Passport or government-issued photo ID
Vaccine Records (if available)
Letters from USCIS, Prior Medical History, Medication bottles
Visa/Mastercard, Insurance card (if applicable)
"Dr. Villacis and her staff are very professional and courteous. They pay attention to details and are willing to help anyway they can. They are also very knowledgeable on immigration physicals as well. Recommended for anyone."
-Zhuorui, Google Review
"I had one of the best experiences with Dr. Cynthia. She was so nice, kind and helpful the whole time. I needed Medical Exam for USCIS and I was looking for affordable options around Cincinnati and North KY. I called a bunch of clinics and hospitals and nobody was nearly nice and helpful as Dr. Cynthia's clinic. I highly recommend!"
-Burte, Google Review
"Excelente servicio y asesoría de parte de la Doctora Villacis y su equipo.
Aparte de muy profesional y cordial, para los latinos que estamos en los primeros pasos del idioma inglés, con ella no se necesita un intérprete.
Ya que habla muy bien el español y por ende existe una excelente comunicación a la hora de la consulta.
Muy agradecido por sus servicios."
-Alexis, Google Review
Ready to get Started?
We're here to make your immigration medical exam smooth, stress-free, and affordable.
Our Physician and Team
Dr. Cynthia Villacis, MD
Bilingual Family Physician, Civil Surgeon and Life Coach
I’m Dr. Cynthia Villacis, a family doctor with over 20 years of experience — and someone who’s walked many of the same health journeys as my patients. I’ve faced struggles with weight, blood sugar, stress, and sleep, and I know how frustrating it is to feel like you’re doing everything right and still not getting answers.
That’s why I created Health Connections DPC — to offer care that’s personal, judgment-free, and focused on the whole you. I take time to listen, look at root causes, and help you build a plan that fits your life. I also proudly serve a diverse, inclusive community — including immigrants, LGBTQ+ individuals, and Spanish-speaking families — with compassion and respect.
I completed my residency in Family Medicine in 2002 — the same year my second child was born — and I’ve spent over two decades helping people manage chronic conditions like diabetes, hypertension, and obesity through a root-cause approach grounded in lifestyle medicine. I’m also board certified in addiction medicine and have a special interest in mental health, women’s health, and immigrant health.
For many years, I worked in a busy community health center. But I found that 10-15 minute visits weren’t enough to make the kind of meaningful impact I wanted — especially for patients dealing with stress, mood struggles, weight gain, or hormonal changes. That’s why I opened my own practice in 2017, offering longer visits, easier access, and more time to actually connect and care.
My practice is fully bilingual in English and Spanish. I learned Spanish while living in Ecuador as an exchange student in 1988 — where I also met my future husband. I’ve had a passion for working with immigrant families ever since, and I’m also a designated civil surgeon, providing USCIS I-693 immigration medical exams in a compassionate, low-stress environment.
Outside the office, I’m a proud mom of two grown kids, wife of 30+ years, and outdoor enthusiast. I enjoy kayaking, yoga, hiking, scuba diving, and exploring new places — and I strongly believe that joyful movement and adventure are possible at any size. I’ve been on my own journey with weight, metabolic health, and self-compassion, which fuels the care I offer my patients.
If you’re looking for a doctor who sees the full picture — body, mind, and lifestyle — and who truly takes the time to listen, I’d love to welcome you to Health Connections DPC.
🎓 Education & Training
Medical School: Wright State University School of Medicine (1999)
Residency: St. Elizabeth Family Medicine, Edgewood, KY (2002)
Undergraduate: Oberlin College, BA in Biology
High School: Sycamore High School, Montgomery, OH + Colegio Ambato, Ecuador (exchange year)
📜 Certifications
-Board Certified in Family Medicine
-Board Certified in Lifestyle Medicine
-Board Certified in Addiction Medicine
-Certified Life Coach (The Life Coach School) and additional training through WellCoaches
👥 Memberships
American Academy of Family Physicians
American College of Lifestyle Medicine
American Society of Addiction Medicine
Northern Kentucky Medical Society
👩💼 Meet Gisselle
Bilingual Medical Assistant & Office Manager
I first joined Health Connections DPC in 2023 and returned in the fall of 2024 after completing my Associate’s Degree in Business. It’s an honor to now serve as both a medical assistant and the office manager, supporting our patients and keeping things running smoothly behind the scenes.
Originally from Puerto Rico, I moved to Kentucky in 2017 and have been dedicated ever since to helping people from all backgrounds feel cared for and understood. As a bilingual team member, I take pride in bridging language and cultural gaps — ensuring that both English and Spanish-speaking patients receive the clear, compassionate care they deserve.
I love learning and am always looking for ways to grow in my role and serve our community even better. Outside of work, I enjoy reading, knitting, and spending quality time with my family — the people who keep me grounded and inspired.
👋 Meet Paula
Bilingual Medical Assistant | Patient Care Coordinator
I joined Health Connections DPC in the spring of 2024, bringing with me a deep appreciation for cultural diversity and compassionate care. As an immigrant and a native Spanish and English speaker, I’ve seen firsthand how important it is to feel truly understood—especially in healthcare. My background allows me to connect with patients from all walks of life, and I’m passionate about creating a space where every person feels heard, respected, and supported.
My own journey has taught me the power of empathy and clear communication—especially when navigating complex medical systems or unfamiliar territory. Whether I’m helping with appointments, answering questions, or simply offering a friendly face, I strive to be a steady, caring presence for each person who walks through our doors.
Outside the clinic, I love to travel and explore new cultures. Every trip reminds me how much there is to learn from others. I also treasure time with my family, who are my foundation and my biggest inspiration.
At Health Connections, I’m proud to be part of a team that treats people like people—not just patients.
We proudly welcome LGBTQ+ individuals, immigrants, and people of all sizes, colors, and faiths. Se habla Español.
🕊️ Kind, professional care. Clear answers. We’re here to guide you through it—start to finish.
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