Submit with I-485 when required
USCIS requires certain adjustment applicants to submit Form I-693 with Form I-485 or risk rejection.
Form I-693
Form I-693 medical exam in NYC and Long Island
Form I-693 documents the immigration medical exam and vaccination record for many adjustment-of-status applicants. Nao Medical helps applicants prepare records, complete required testing, and finish the final civil surgeon step.
- Current Form I-693 edition and filing guidance
- Required testing and vaccine record review
- Final civil surgeon visits at Nao final sites
- Sealed-packet instructions before USCIS submission
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
When USCIS requires a sealed packet, do not open it before submission.
Form I-693 steps to plan for
- Review the current USCIS Form I-693 guidance and attorney instructions before filing.
- Schedule the medical exam with a USCIS-designated civil surgeon workflow.
- Bring ID, vaccine records, translations, and any USCIS notices or RFEs.
- Complete required tests, vaccine review, and any follow-up steps.
- Receive final packet instructions when the civil surgeon completes the form.
Current timing points
- Since December 2, 2024, USCIS requires certain applicants to submit Form I-693 with Form I-485.
- Since June 11, 2025, USCIS says Form I-693 signed on or after November 1, 2023 is valid only while the application it was submitted with remains pending.
- If the application is withdrawn or denied, a future filing generally needs a newly completed Form I-693.
- If the civil surgeon signs the form July 3, 2025 or later, USCIS accepts only the 01/20/25 edition.
Final civil surgeon locations
Final Form I-693 visits are currently coordinated at these Nao Medical sites when the case is ready.
StuyTown
Final civil surgeon site259 1st Ave, New York, NY 10003
The Manhattan location for final civil surgeon visits and city-accessible scheduling.
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Hicksville
Final civil surgeon site232 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.
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Mineola
Final civil surgeon site135 Mineola Blvd, Mineola, NY 11501
A Nassau County location for final civil surgeon visits on Long Island.
View this locationOfficial USCIS and CDC references
Current government guidance is especially important for Form I-693 rules, vaccine documentation, and civil surgeon requirements.
USCIS Form I-693
official Form I-693 resource with edition, filing, and applicant submission guidance.
USCIS Find a Civil Surgeon
Official USCIS tool for checking designated civil surgeon options by address or ZIP code.
CDC vaccination instructions
Current CDC vaccine record, age-based vaccine, titer, and sealed-envelope guidance for civil surgeons.
USCIS I-693 validity update
June 11, 2025 USCIS update on validity for forms signed on or after November 1, 2023.
Related guides
Open the care details you need next for pricing, locations, or paperwork.
Frequently asked questions
Common questions based on the visit details above.
What is Form I-693?
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.
Who submits Form I-693 to USCIS?
USCIS says the applicant, not the civil surgeon, submits Form I-693 to USCIS when required.
Do I submit Form I-693 with Form I-485?
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.
What if USCIS rejected my package and returned an opened I-693 envelope?
USCIS has specific instructions for rejected packages. Bring the rejection notice and packet documents to the clinic and ask your attorney how to refile.
Can I use an old Form I-693?
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.
What if USCIS sends an RFE for Form I-693?
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.