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Form I-693: What to Prepare Before Your Medical Exam

From records review to the signed medical form, your concierge helps coordinate the details and explain what comes next.

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.

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Get your Form I-693 completed with clear guidance You bring the records you have. We help identify what is missing, explain the medical steps, and coordinate your next appointment.

Prepare your records before the appointment

Bring government-issued photo ID, vaccination records, current medications and relevant medical or treatment records. Share any USCIS notice or instructions from your immigration representative. The civil surgeon determines which tests and vaccine steps apply to your age, history and current requirements.

Ask the team about the current form edition, when to sign and the correct document handoff for your filing method. Follow current USCIS instructions and keep the clinic’s personal copy for your records.

Book your I-693 medical exam · Current USCIS Form I-693 instructions

Prepare the medical documentation

Know the purpose of your visit before you arrive. Your concierge and clinical team help you understand the records, medical requirements, and appointments needed for your I-693.

Submit with I-485 when required

USCIS requires certain adjustment applicants to submit Form I-693 with Form I-485 or risk rejection.

Use the current edition

USCIS form edition rules can change, so applicants should follow the current Form I-693 guidance and instructions.

Keep the envelope sealed

Check your filing method: mailed I-485 applications require the original sealed envelope; eligible online filings require opening and uploading the completed form. See the current USCIS instructions below.

  • Bring ID, vaccine records, relevant medical history, and USCIS or attorney instructions.
  • The team reviews required testing and vaccination documentation under the civil surgeon instructions.
  • Follow the clinician’s instructions for completing and signing your part of the form.
  • The civil surgeon signs after the required exam, records, results, and follow-up are complete.

Plan your filing handoff

  • Confirm your filing method before handling the sealed envelope.
  • Mailed I-485 filings generally require the original sealed I-693 envelope.
  • Eligible online I-485 filers must open the envelope, upload the completed form, and retain the original form and envelope.
  • If USCIS returns or requests medical paperwork, bring the full notice to the team and follow current USCIS instructions.

Clear costs and a realistic completion plan

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.

Your final appointment depends on complete records, required test results, vaccine documentation, any follow-up, and civil surgeon availability. Tell the team your deadline when you book so they can explain the steps and available appointments for your case.

Nao Medical handles the medical exam and Form I-693 documentation. USCIS decides immigration eligibility and application outcomes. Your attorney can advise on filing timing and notices.

Immigration exam locations across New York

Start records review, labs, and vaccine planning near home. Final civil surgeon visits are currently coordinated at StuyTown, Hicksville, and Mineola when the file is ready.

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

More I-693 resources

Related immigration exam options

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

These are the public government references behind the I-693 edition, civil surgeon, vaccine, COVID-19, and validity guidance used in the details copy.

USCIS Form I-693

Official details for current edition, filing, applicant submission, and sealed-envelope guidance.

Questions about immigration medical exams

Form I-693 is the Report of Immigration Medical Examination and Vaccination Record used by USCIS to document the medical exam and vaccination review for many adjustment-of-status applicants.
USCIS says the applicant, not the civil surgeon, submits Form I-693 to USCIS when required.
USCIS announced on December 2, 2024 that certain applicants must submit Form I-693 with Form I-485 or the I-485 may otherwise be rejected.
USCIS has specific instructions for rejected packages. Bring the rejection notice and packet documents to the clinic and ask your attorney how to refile.
USCIS changed validity guidance on June 11, 2025. A form signed on or after November 1, 2023 is only valid while the application it was submitted with remains pending.
Bring the RFE, prior medical records, vaccine records, and translations. The team can explain the medical steps needed for a current Form I-693 response.
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.
Your final appointment depends on complete records, required test results, vaccine documentation, any follow-up, and civil surgeon availability. Tell the team your deadline when you book so they can explain the steps and available appointments for your case.
The civil surgeon gives you the signed Form I-693 in a sealed envelope. For a mailed Form I-485 application, submit the original sealed envelope. If you are eligible to file Form I-485 online, USCIS instructs you to open the envelope and upload the completed Form I-693. Keep the original form and envelope until USCIS makes a final decision. Check the current USCIS instructions for your filing method before opening or submitting it.
Keep the full USCIS notice and contact the immigration medical team so they can review the medical-document request and explain the next step. Your attorney can advise on the response deadline and filing requirements. A request may involve additional documentation, a correction, or a new examination depending on the notice and current rules.

Envelope instructions checked September 10, 2026. Read current USCIS Form I-693 instructions and Form I-485 filing instructions before submission. USCIS has separate instructions for certain returned or rejected filings.