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Immigration Physicals

Dr. Darla Edinger is a designated Civil Surgeon for the U.S. Department of


Schedule an Appointment

For appointments and further information, please contact us at 605-995-5701 or

Clinic Hours

Monday-Friday 8:00 a.m. – 4:30 p.m.

How to Find Us

 Homeland Security, U.S. Citizenship and Immigration Service (USCIS). By this designation, she is authorized to perform medical examinations and provide necessary immunizations for aliens applying for adjustment of status or Permanent Resident Status (Green Card). She also performs examinations for citizenship.

A medical examination is necessary as a part of the application process for an alien applying for adjustment of status. The purpose of the medical examination is to evaluate the applicant’s health status and to determine if they have any conditions that might preclude a change in status. The results of the examination will be provided to an Immigration officer and may also be shared with health departments and other public health or cooperating medical authorities.

Examination Requirements

The following tests are required by the US Citizenship and Immigration Service (formerly the Immigration & Naturalization Service). For more imformation about the USCIS, visit
The physical examination is required for persons of all ages. The examination requirements are determined by your age and your immunization record.

An adult examination (15 years or older) typically consists of the following:

  • A Physical Examination
  • A test for Tuberculosis
  • A blood test for Syphilis (RPR)
  • Immunizations are dependent on age, medical history

A pediatric examination (children 14 years of age or younger) does not usually require blood testing and typically consists of the following:

  • A physical examination
  • A test for Tuberculosis
  • A review and update of the pediatric immunizations

A tuberculin skin test will be performed at your first visit. You must return in two to three days for a check of the test. If you have had a positive tuberculosis skin test, you will need to have a chest x-ray to make sure you do not have active tuberculosis, this can be done at the clinic for an additional charge. If the TB test is negative, your medical examination can continue.


Certain immunizations are required by the USCIS. If you are not able to produce acceptable proof that you have had the immunizations or the diseases themselves, you may have the immunizations administered by your personal physician, your health department or Avera Occupational Medicine. 

Adult Immunizations may include:

  • Measles, Mumps, Rubella vaccine
  • Tetanus, Diptheria, Pertussis vaccine
  • Varicella (Chicken Pox) vaccine
  • Hepatitis B vaccine.
  • Seasonal Influenza (during flu season for certain individuals)

Childhood Immunizations, depending on age, may include:

  • Rotavirus vaccine
  • Measles, Mumps, Rubella vaccine
  • Tetanus, Diptheria, Pertussis vaccine
  • Polio vaccine
  • Haemophilus Influenzae Type b vaccine
  • Hepatitis B vaccine
  • Hepatitis A vaccine
  • Pneumococcal vaccine

What To Bring With You 

  • Government issued picture identification, such as an unexpired passport or drivers license or ID. School ID's are not acceptable.
  • For applicatnts under 14 years of age, USCIS will accept other proof of identity that shows name, date and place of birth, parents' full names, and any other identifying information about the applicant.  Acceptable documents include birth certificates (with translations, if necessary) or affidavits. 
  • Your medical records for any chronic or serious medical problem(s).
  • Your immunization records, including childhood records, if available (with translation, if necessary) or an affidavits.
  • A-Number.  This is your Alien Registration number if you have one.
  • I-693 medical form if you have one, otherwise we will provide it. Please use the most recent copy of the form.  The most recent form is available on the internet by following this link:

Translator if Needed

If medical records are not in English please have them translated before presenting for Medical visit. Applicants who do not speak English will be provided with a translation service at an additional cost. Please let us know if this is required when the appointment is booked.

Cost of Exams

The base fee for examination is $185.00 per applicant.  (This includes adults and children.)  TB skin test, blood test for Syphilis, Chest X-rays, immunizations, other blood tests, other medical testing and translation services are all at an additional charge. 

We accept VISA, MasterCard, American Express and Debit Cards as well as cash, money order and checks. All expenses in connection with the examination must be paid by you at the time of the examination.