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Protect your I-693 paperwork through the handoff
Keep your original medical form sealed for a mailed submission. Use the separate copy to check your records and discuss questions with the team.
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.
Updated October 7, 2026
Form I-485 is the application to adjust status to permanent residence in the United States. Form I-693 documents the immigration medical examination and vaccination record. Check your filing category and current USCIS instructions, including any exception that applies to your circumstances, with your immigration representative.
Current USCIS guidance requires certain I-485 applicants to submit the required I-693 with the application. Do not plan to wait for a request for evidence simply because older advice says the medical form can always be sent later. Allow time for records review, laboratory results and any additional steps the civil surgeon identifies.
Prepare government-issued photo ID, vaccination records, current medications and relevant medical or prior immigration examination records. Share any USCIS notice and filing instructions from your representative. Use the preparation checklist for details, and ask the team about missing records before your appointment.
The civil surgeon applies current CDC technical instructions to your age, history and examination. Laboratory screening, vaccination review, additional records or referral can affect completion timing. A positive screening result needs clinical interpretation and does not, by itself, establish the final immigration decision.
Nao’s core immigration package starts at $350 self-pay and includes the civil surgeon exam and core immigration labs. Vaccines, titers, imaging and other case-specific services may cost extra. Ask for the applicable quote, what is included and the cost of any additional item before it is provided. Check possible insurance benefits for separate services without assuming coverage.
Ask when the required medical work is complete and how to collect the signed documentation and your personal copy. For an eligible online I-485 filing, USCIS instructs you to open the civil surgeon’s envelope and upload the completed I-693. Keep the original form and envelope until USCIS makes a final decision. For a mailed I-485 filing, submit the original envelope sealed. Confirm your filing method and current USCIS instructions before handling the original.
Share the exact USCIS notice with your immigration representative and the medical team. Confirm what is requested, the response deadline and where the response must go. A clinic can address medical documentation questions; legal filing strategy and application eligibility require qualified immigration advice.
USCIS changed I-693 validity guidance in June 2025. Forms signed on or after November 1, 2023 are generally tied to the application with which they are submitted, rather than permanently reusable for later applications. Check current USCIS policy and your case details before relying on an old medical form.
No. I-485 is the adjustment-of-status application. I-693 records the medical examination and vaccination information.
The examination generally requires a USCIS-designated civil surgeon for adjustment of status. Confirm designation and any applicable exception.
No. Certain applicants must submit the required I-693 with I-485 under current instructions. Confirm your category and filing requirements before deciding timing.
Timing depends on records, results and required follow-up. Ask the team for a realistic completion plan. No fixed turnaround is guaranteed.
The $350 core self-pay package includes the civil surgeon exam and core immigration labs. Case-specific vaccines, titers, imaging and other services may cost extra.
Bring it and discuss it with the civil surgeon and your representative. Whether it can be used depends on your circumstances and current rules.
No. USCIS decides the application. The medical team completes the documentation after required medical steps are ready.
The concierge helps coordinate medical records and appointments. Ask a qualified immigration representative about legal eligibility and filing strategy.
Keep your original medical form sealed for a mailed submission. Use the separate copy to check your records and discuss questions with the team.
Ask the concierge about records, costs and the medical steps before your filing deadline.