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Green card medical exam in NYC and Long Island

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.

Your immigration concierge helps organize records, explains the next appointment, and coordinates follow-up with the care team. The civil surgeon reviews the medical requirements and completes Form I-693 when the required steps are finished.

Core package starts at $350 self-pay. The civil surgeon exam and core immigration labs are included; vaccines, titers, imaging, and other case-specific services may cost extra.

Personal guidance for your green card medical exam You bring the records you have. We help identify what is missing, explain the medical steps, and coordinate your next appointment.

Confirm who will sign Form I-693

Use USCIS’s civil-surgeon directory to check the actual examiner. A clinic offering labs or intake is not automatically the place where a designated surgeon signs your form. Nao lists intake at 11 clinics and final civil-surgeon visits at StuyTown, Hicksville or Mineola. Ask which clinician will examine you, where the final visit occurs and what must be finished first. Check the actual examiner in USCIS’s directory.

Plan a same-day start without assuming same-day completion

Ask whether intake is available today and when the final civil-surgeon appointment can occur. Bring your records to reduce avoidable delays. Some cases still need laboratory results, vaccine documentation, imaging or public-health follow-up before the form is complete. Request a realistic sequence and estimated timing for each step. A same-day appointment does not mean the sealed or uploaded medical evidence will be ready that day.

Immigration medical examination and I-693

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.

Eligibility: Immigration medical examination and I-693

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.

What to expect: Immigration medical examination and I-693

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.

Preparing for your appointment

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.

Risks and when to seek help

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.

Follow-up and treatment review

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.

Appointments, costs and coverage

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.

Questions about your care

Where can I get a green card medical exam near me?

Do not assume the nearest Nao intake site completes the final I-693 signature. The immigration examination and form require the appropriate USCIS-designated civil surgeon. Ask immigration intake for the exact civil-surgeon name, final examination/signature site, appointment date and any separate locations used for initial records, labs or vaccinations. Check the surgeon through USCIS's directory before travel. A general clinic listing or preliminary visit does not establish that every site can complete the final form.

How much does the green card medical exam cost?

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.

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.

Is the green card medical exam billed to insurance?

Have your insurance card ready when booking. Share member details through the clinic’s confirmed secure intake process. Check with the clinic and your insurer that the exact plan covers the clinician and requested service. Ask about visit charges, any separately billed tests or medicines, and any referral or authorization requirement. Coverage and your copay or deductible depend on the plan; request a written estimate if paying yourself.

Who can complete Form I-693?

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.

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.

Can I submit the I-693 with my I-485?

Use the current USCIS instructions for your application category and filing method rather than assuming everyone should wait for a request for evidence. Share any existing USCIS notice with the civil surgeon. The applicant or authorized legal representative handles filing. The clinic provides medical documentation. Confirm submission timing and the correct destination through USCIS or your legal representative.

How long does the process take?

Expedited immigration-medical support, if offered, can help organize intake, records and appointments. It cannot speed up USCIS adjudication or remove required tests. Ask the clinic what its expedited option includes, what it costs and when the designated civil surgeon can finish the form. Laboratory, vaccination or public-health follow-up may still cause delays. Confirm a case-specific completion estimate before choosing expedited support.

How does the immigration concierge help?

Confirm whether Nao offers a concierge for this immigration service and what it actually handles: appointments, missing records, laboratory status, vaccination documentation and the final examiner visit. Concierge support is not immigration legal advice and does not approve an application. Ask for the named contact and next action. Use USCIS or qualified legal advice for eligibility and filing strategy.

When will my Form I-693 be ready?

Ask whether intake is available today and when the final civil-surgeon appointment can occur. Bring your records to reduce avoidable delays. Some cases still need laboratory results, vaccine documentation, imaging or public-health follow-up before the form is complete. Request a realistic sequence and estimated timing for each step. A same-day appointment does not mean the sealed or uploaded medical evidence will be ready that day.

Should I open the sealed I-693 envelope?

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.

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.

What if USCIS asks for medical clarification after my exam?

Send the civil surgeon the exact USCIS request or the possible name/date error. Do not alter a signed form or assume an older record can be reused. The surgeon reviews whether corrected documentation, additional testing or a new properly executed form is required. Completion depends on results and case requirements; a collected form is not USCIS acceptance.

Can I open the sealed I-693 envelope?

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.

Can I reuse a form from an earlier application?

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.

Medical sources

Nao Medical clinic and service information

The core immigration medical exam package starts at $350 self-pay and includes the civil surgeon exam and core immigration lab work. Vaccines, titers, chest X-rays, confirmatory tests, and selected expedited review cost extra when needed or requested. We explain those items before they are added.

Immigration exam locations across New York

Hicksville immigration medical exam location

Long Island

Hicksville

232 W Old Country Rd, Hicksville, NY 11801

A Nassau County location where patients can start the process and, in many cases, complete the final civil surgeon visit. Final civil surgeon visits are coordinated here.

View immigration exam location Get directions

Related immigration exam resources

Immigration exam overview

Review the full USCIS medical exam service, civil surgeon medical exam, $350 starting price, and final visit options.

I-693 cost guide

Understand the $350 core package, optional expedited review, and case-specific add-ons.

What to bring

Prepare ID, vaccine records, translations, USCIS notices, and prior medical documentation before the visit.

Vaccines for Form I-693

Review age-based vaccine documentation, missing records, titers, and current COVID-19 vaccine guidance.

Official USCIS and CDC references

USCIS Form I-693

Current form edition, filing instructions, and sealed-envelope guidance from USCIS.

Immigration medical exams information by location