Immigration Physicals

At Tepeyac, we offer Immigration Medical Exams that include all aspects of the medical exam according to the US Department of Health and Human Services' regulations. We will complete all the requirements of Form I-693 for those seeking to adjust their resident status.

What is an immigration medical exam?

An immigration medical exam, or immigration physical, is a special type of exam that can only be performed by a physician designated by USCIS. These types of immigration doctors are known as “civil surgeons” and are the only physicians qualified to conduct the exam. The civil surgeon is required to test for conditions listed by USCIS. Tepeyac Community Health Center performs the I-693 medical exam for those seeking to adjust their resident status. Immigration physicals are only available for established Tepeyac patients. Establish care today by calling 303-458-5302.

What to bring to your exam:

Please be aware this visit is not covered by insurance and payment of cash or credit card is accepted. For all patients, the visit will be $500 for the paperwork plus any additional visit co-pays for testing and treatment adhering to Tepeyac’s normal billing procedures.

Please bring the following three items to your appointment:

    1. Valid Government Issued ID.

    2. Your immunization/shot records.

    3. Proof of COVID vaccination.

    4. If you do not have your COVID vaccine or do not have proof of being up to date on all required immunizations, please call 303-458-5302 to schedule a vaccine appointment in the clinic prior to your immigration medical exam appointment.

What to expect for your exam:

  • First visit:

    • Visit with medical assistant to review vaccines records.

    • Complete required blood draws:

      • Syphilis (Blood draw) for patients age 18-44

      • Tuberculosis (TB) blood draw for patients age 2 years and older

      • Gonorrhea (urine test) for patents age 18-24

  • Second visit:

    • Detailed history and physical exam with a civil surgeon.

    • Meet with civil surgeon to review all lab results.

    • Receive any missing vaccines and physical exam.

    • Sign an review the form (payment is due at time of appt)

What happens after your exam:

  • You will receive a sealed envelope containing the USCIS I-693 form and a copy of the USCIS I-693 form and lab test results for your records after confirmation of full payment.

A Resource Guide for Immigrant and Refugee Care at Tepeyac Community Health Center

New and proposed changes to U.S. immigration policy have led to questions from immigrant and refugee patients about their rights and protections at Tepeyac Community Health Center. We aim to inform patients about how Tepeyac handles protected health information (PHI), and offers guidance on non-health care related legal questions about immigrant rights.

Immigration law and policy is complex and can be subject to rapid change. Tepeyac does not offer legal advice or act as a substitute for legal counsel. A separate resource provided by the City of Denver can be found online and addresses legal questions that fall outside our focus as health care providers.

With respect to the Trump Administration's intent to end the Deferred Action for Childhood Arrivals (DACA) policy, patients can find that specific information at the Department of Homeland Security website.

While we are specifically mentioning “immigrant patient rights” in this information, these rights apply to all patients at Tepeyac.

Immigrant and Refugee Patient Rights at Tepeyac

  • Tepeyac is a safe place for patients and we protect all patient information. Personal information is protected by patient privacy laws and not shared with local police or Immigration and Customs Enforcement (ICE) unless legally required by valid court order or warrant.

  • Law enforcement officials may be in patient treatment areas. However, health centers, including Tepeyac, are considered ‘sensitive locations’ where immigration enforcement activities are generally avoided.

  • Routine medical care is important for health conditions, such as high blood pressure, diabetes and anxiety or stress-related issues. It is important for patient health and for the health of patient families to stay on schedule with prescription refills, vaccines and checkups. If patients jeopardize their health, they could be putting the safety and protection of their families at risk.

  • Seeking emergency medical care is extremely important for severe injuries, such as broken bones, chest pain or sudden severe pain. Left untreated, injuries could quickly become life threatening. If patients jeopardize their health, they could be putting the safety and protection of their families at risk.

  • All immigrants have the right to be treated for medical emergencies. Emergency rooms offer care to patients regardless of their immigration status. Uninsured individuals, unauthorized immigrants and those with non-immigrant visas have the same rights to care as non-immigrants. Anyone with an emergency medical condition has the right to an ambulance (emergency medical transportation) regardless of immigration status. If an ambulance is needed, dial 911.

  • For all questions involving legal issues unrelated to health care, this contact information provided by the City of Denver will direct patients to the right resources to answer these questions. Remember, Tepeyac staff can not provide non-medical advice concerning immigrant rights.

Frequently Asked Questions From Immigrant and Refugee Patients:

  • What information am I required to provide to be seen at Tepeyac?
    Basic requirements:

    • Full name

    • Date of birth

    • Current photo identification (required for new patients; if valid ID previously scanned, not required)

    • Proof of insurance

  • If I do not have a social security card, will I be required to provide one?
    No. You may be asked to include a social security number for your medical records, but neither a card nor number is required for patient care.

  • Will I be required to share information about my immigration status with my health care provider?
    No. Tepeyac does not need this information to provide you care.

  • Will the emergency room report me to Immigration and Customs Enforcement?
    No. Immigration officials are not alerted when a patient uses medical care.

  • Does Tepeyac share my information with police or Immigration and Customs Enforcement?
    Tepeyac does not share your health information with law enforcement officials without authorization from you, or a warrant or court order.

  • If I’m not able to come to my child’s appointment, can my child still be seen? Can someone else take him or her to the appointment?
    Yes. If you sign a “Power of Attorney for Treatment of a Minor” form, another friend or family member can take your child to their medical appointment. Such forms are provided at the clinic and must be filled out and signed.

  • Can I be deported if I’m pulled over on my way to receive medical care?
    We cannot answer legal questions that do not involve your health care. Please contact an immigrant rights lawyer or immigrant rights organization to have your questions answered.

  • Can a hospital deny me or my child care if I’m an unauthorized immigrant?
    No. Hospitals are legally mandated to care for all patients who need emergency treatment, regardless of citizenship status. Tepeyac Community Health Center is always open for all patients regardless of immigration status.

  • Will my government-funded health care impact the adjustment of my legal status?
    At present, the answer is “No.” However, it is impossible to predict how changes in federal law or policy may impact a person’s status. Please contact an immigrant rights lawyer or immigrant rights organization to have your questions answered (details included).

  • I'm in the country legally as a DACA permit holder. Will my information be shared by the hospital to authorities after the six-month grace period?
    A patient's health care information is not shared with law enforcement without consent, or a warrant or court order.

For questions about access to health care and insurance, or specific immigrant or immigration legal questions, contact:

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