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Plan your I-485 medical exam with clear guidance
Your immigration medical appointment and your adjustment-of-status filing are connected, but they are different steps. Plan the medical paperwork before your filing deadline.
Nao Medical’s immigration team can help with medical documentation and collection questions. Your immigration representative can confirm how the completed form fits your application, filing method and any USCIS notice.
Updated October 7, 2026
Confirm that required results, vaccination documentation and any follow-up are ready for the civil surgeon’s review. Ask about pickup arrangements and the separate personal copy. Raise a name, date or records concern with the clinic before sending the original.
USCIS instructions require the civil surgeon’s completed form in a sealed envelope. Do not open or alter that envelope. Keep the copy the clinic provides for your own records. Your representative should confirm the filing address, required accompanying documents and current application instructions.
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.
Read the notice with your representative. Share the part concerning medical documentation with the clinic and confirm the requested material and deadline. Keep a copy of the notice. Whether a correction, new examination or another response is needed depends on what USCIS requests.
If you opened an envelope intended for a mailed filing, contact the clinic before sending it. Explain what happened or which information needs review. Do not edit the clinician’s completed form or reseal an opened envelope yourself. If USCIS returned a rejected filing with the envelope opened, check USCIS’s separate rejection guidance with your representative.
Check the signature date, the application with which the form was submitted and the current USCIS validity rules. The June 2025 policy generally limits newer forms to the pending application with which they were submitted. A denied or withdrawn application can require a new form for a subsequent filing; rejected applications have separate guidance.
Retain your personal copy, relevant USCIS notices and the clinic’s collection instructions. Ask your representative how to document submission and monitor your case. The clinic’s completion of medical paperwork is separate from USCIS receipt, acceptance and the immigration decision.
No. Use the separate copy provided for your records and keep the original envelope sealed for a mailed submission.
Contact the clinic before submitting it and ask about the appropriate replacement process. Do not reseal it yourself.
No. It is for your records. Follow the current USCIS instructions for the required medical submission.
Ask the clinic to review the issue. Do not alter the completed clinician documentation yourself.
Share the notice with your representative and the clinic so they can review exactly what USCIS requests and the deadline.
No. Check current USCIS validity policy and your case. Do not assume that a previously completed form can be reused permanently.
Your immigration representative and current USCIS filing instructions determine those details. The clinic handles the medical documentation.
No. Collection, submission, USCIS receipt and adjudication are separate steps. Check official case communications.
Your immigration medical appointment and your adjustment-of-status filing are connected, but they are different steps. Plan the medical paperwork before your filing deadline.
Ask the concierge about records, costs and the medical steps before your filing deadline.