California · Updated November 2026
Civil surgeons in California
California processes more adjustment-of-status cases than any other state, so civil surgeon appointments in Los Angeles and the Bay Area can book out weeks in advance.
California handles more green card cases filed inside the U.S. than any other state. If you file Form I-485, you need a medical exam from a USCIS-designated civil surgeon. The results go on Form I-693. In busy areas like Los Angeles and the Bay Area, appointments can book out weeks ahead, so it helps to call early.
This page covers civil surgeons and immigration lawyers in Los Angeles, San Diego, San Jose, San Francisco and Sacramento. A lawyer is not required for a green card, but many people hire one for complex cases. Use the listings to compare offices near you.
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Green card medical exam in California: FAQs
How early should I book a civil surgeon in California?
In Los Angeles, San Francisco and San Jose, appointments can be booked weeks out, so call early. Also watch the timing rule. The civil surgeon must sign your Form I-693 no more than 60 days before you file Form I-485. Blood test results can take a few days to two weeks.
How much does the green card medical exam cost in California?
USCIS does not set the price. Each civil surgeon sets their own fee. Total cost commonly runs about $200 to $500 or more, depending on your city, lab tests and how many vaccines you need. Health insurance often does not cover it, so ask about the fee when you call.
Do I need an immigration lawyer in California?
No. A lawyer is not required for a green card. Many people still hire one for complex cases, like past visa problems, criminal records, prior denials or removal proceedings. If your case is simple, a civil surgeon may be all you need. For legal questions, talk to a licensed attorney.
Looking for immigration lawyers instead? See immigration lawyers in California.