Nao Medical’s immigration concierge helps organize records and appointments. A USCIS-designated civil surgeon completes Form I-693 after required medical steps are finished. USCIS decides the immigration application; a completed exam does not guarantee approval.
Record the civil surgeon’s signature date and identify the application in which the I-693 was submitted. Forms signed on or after November 1, 2023 generally remain valid only for that associated application. A denied or withdrawn application can require a new form for a later case. Earlier signatures generally have a two-year period. Rejected filings have separate rules, including handling an envelope opened by USCIS. Review the current notice with your representative before arranging another exam or reusing old paperwork.
Your medical visit and adjustment-of-status filing have connected deadlines but separate decisions. Review the current I-485 instructions to see what medical evidence must accompany your application. Then schedule the exam early enough for labs, missing records or referrals. Tell the clinic about a USCIS deadline. Your representative can confirm the filing method and case strategy. The surgeon completes the medical evidence; the clinic cannot promise USCIS acceptance or an immigration outcome.
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.
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.
No. Form I-485 is the application to register permanent residence or adjust status. Form I-693 documents the immigration medical examination and vaccination assessment. Follow the I-485 instructions for when and how to submit the required I-693 evidence. A clinic examination does not file the application for you.
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.
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.
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.
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.
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.
No. The civil surgeon completes the medical assessment and required documentation. USCIS decides the immigration application. A completed Form I-693 is one required item, not approval of a green card. Use USCIS instructions or qualified immigration legal advice for filing and eligibility questions.
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.
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.