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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.

USCIS requires Form I-693 exams completed in the United States to be handled by a USCIS-designated civil surgeon. CDC technical instructions guide the required testing, vaccination review, and follow-up documentation.

Nao Medical's core immigration medical exam package starts at $350 self-pay. Vaccines, titers, chest X-rays, expedited review, or extra follow-up can add cost only when records, age, results, or case-specific requirements make them necessary.

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Bring records before the final signature Complete vaccine records, translations, prior TB or treatment paperwork, and USCIS notices help the civil surgeon decide what can be documented and what still needs follow-up.

What matters before the I-693 exam

The strongest appointment starts with the right records, the correct civil surgeon workflow, and a clear plan for required testing, vaccines, cost, and final packet handling.

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  • If the application is withdrawn or denied, a future filing generally needs a newly completed Form I-693.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.

Cost, timing, and records planning

A first visit can often start quickly, but final I-693 completion depends on records, required labs, vaccine documentation, any follow-up results, and civil surgeon availability.

Bring a passport or government-issued photo ID, vaccine records with dates, certified English translations for non-English documents, USCIS notices or attorney instructions, and prior TB, chest X-ray, syphilis, gonorrhea, or treatment records if they apply.

Nao Medical does not decide immigration eligibility. The civil surgeon completes the medical exam and Form I-693 documentation; USCIS decides the application after reviewing the full filing.

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 workflow, $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.

200,000+ 5-star reviews

What patients say about Nao Medical

Verified Patient
(4.9)

The team explained which records mattered before the final civil surgeon visit.

Verified Patient
(4.9)

I knew the starting price, what could add cost, and what to bring before scheduling.

Verified Patient
(4.9)

They helped me organize vaccine records and translations so I did not waste a visit.

Verified Patient
(4.9)

The staff made the I-693 steps clearer than trying to piece everything together alone.

Verified Patient
(4.9)

I started close to home and knew where the final civil surgeon appointment would happen.

Verified Patient
(4.9)

The sealed packet instructions were clear, and the visit felt organized.