Confirme que el médico que firmará su Formulario I-693 esté designado por USCIS. Lleve identificación, registros de vacunas, medicamentos y cualquier aviso de USCIS. Pregunte dónde será la visita final, qué pruebas faltan y cuál será el costo completo. Para una solicitud I-485 enviada por correo, entregue el sobre original sellado. Para una solicitud I-485 que pueda presentar en línea, USCIS indica abrir el sobre, cargar el I-693 completo y conservar el formulario original y el sobre hasta la decisión final. Confirme su método de presentación antes de abrirlo.
An immigration medical examination checks the medical documentation needed for your immigration case. For many applicants adjusting status in the United States, a USCIS-designated civil surgeon completes Form I-693 after reviewing the examination, required screening and vaccine records. The exam does not grant immigration status. Your USCIS instructions and case category determine whether you need a full examination, vaccination documentation or another process.
The civil surgeon follows CDC Technical Instructions rather than treating an ordinary annual physical as a substitute. Screening depends on age and clinical findings. For example, the immigration TB pathway requires an IGRA blood test for applicants age two and older, with chest imaging and public-health referral when indicated. A positive TB screening result needs interpretation and follow-up; it does not by itself prove active contagious TB.
Confirm that the clinician who will sign your form is a designated civil surgeon. A clinic network name or a general medical license does not establish that designation. Bring the USCIS notice if your case already contains a medical request. Refugees and some applicants with an overseas examination may have different documentation requirements, so check your case instructions before paying for a duplicate examination.
First, share your case deadline and the records you have. Next, the team reviews identity documents, vaccination history and the tests your case requires. Complete any ordered tests, missing vaccine documentation or referrals. The civil surgeon then reviews the completed medical information, signs the appropriate form and gives you the original in a sealed envelope. Ask for a personal copy and check names and dates before submitting the original.
Bring photo identification, vaccine records, a medication list, relevant treatment records and any USCIS medical notice. Ask whether records need a translation and whether an interpreter can attend. Do not sign the applicant certification until the civil surgeon instructs you. For a new signature today, USCIS accepts the 01/20/25 edition. Keep every page from the same edition. Vaccine requirements depend on age and the CDC instructions; COVID-19 vaccination is no longer a civil-surgeon vaccination requirement.
Tell the clinician about symptoms, current treatment, pregnancy, vaccine reactions and conditions affecting vaccination or testing. Do not skip prescribed medicines or conceal medical history to try to finish faster. A finding may require treatment, records or a referral before the form can be completed. If a vaccine is not appropriate, the civil surgeon documents the applicable medical assessment under the Technical Instructions rather than promising a blanket exemption.
Handle the envelope according to your filing method. For a mailed I-485, submit the original sealed envelope. For an eligible online I-485, USCIS instructs you to open that envelope, upload the completed I-693 and retain the original form and envelope until the final decision. Forms signed on or after November 1, 2023 generally remain valid only for the application with which they were submitted. Earlier signatures generally have a two-year evidentiary period. A rejected, withdrawn or denied filing needs case-specific review.
Nao lists intake across 11 clinics, with final civil-surgeon visits at StuyTown, Hicksville or Mineola. The published core self-pay package starts at $350 and includes the civil-surgeon exam and core immigration labs; vaccines, titers, imaging and other case-specific items may cost extra. Confirm the examiner, final-visit site, complete price and appointment steps before travel. Same-day intake does not promise a completed form or a USCIS decision that day.
For a mailed I-485, send the original sealed envelope. For an eligible online I-485, USCIS tells you to open it, upload the completed I-693 and retain the original form and envelope until the final decision. Confirm your filing method before handling the original.
Do not assume that you can. For signatures on or after November 1, 2023, validity is generally tied to the application with which the form was submitted. Denied, withdrawn and rejected applications have different consequences. Review the signature date and current case instructions with your representative.
COVID-19 vaccination is no longer part of the current civil-surgeon vaccination requirement. The surgeon still reviews other age-appropriate requirements, records and medical contraindications under CDC instructions. A general vaccine recommendation and an immigration requirement are different questions.
That depends on the required results, records, vaccines and any referral. A same-day intake visit does not promise a completed signed form. Ask what is included in the price, where your final civil-surgeon visit occurs and how the team handles incomplete records.
Address: 37-15 23rd Ave, Astoria, NY 11105
Address: 30-07 36th Ave, Astoria, NY 11106
Address: 308 Graham Ave, Brooklyn, NY 11211
Address: 341 Eastern Pkwy, Brooklyn, NY 11216
Address: 80-10 Northern Blvd, Jackson Heights, NY 11372
Address: 90-18 Sutphin Blvd, Jamaica, NY 11435
Address: 259 1st Ave, New York, NY 10003
Address: 2063A Bartow Ave, Bronx, NY 10475
Address: 232 W Old Country Rd, Hicksville, NY 11801
Address: 135 Mineola Blvd, Mineola, NY 11501
Address: 932 E 174th St, Bronx, NY 10460
Official resources: Find a Civil Surgeon and Form I-693 instructions, plus the USCIS June 11, 2025 validity update.
The core immigration package is $350, with an optional $150 expedited fee. Additional vaccine, titer, chest X-ray, or confirmatory testing costs are explained before they are added.
Patients who want to confirm the current public listing tied to their final visit can also use USCIS's Find a Civil Surgeon tool.
Official references: I-693 instructions and CDC vaccination guidance for civil surgeons.
Get clear details on the medical exam for green card applications, including the $350 self-pay visit fee, vaccine record review, required testing, final civil surgeon visits, and sealed Form I-693 handoff.
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Arrange an evaluation to discuss suitable care, preparation and follow-up with a clinician.
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