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Immigration physical exam for Form I-693

The immigration physical exam is part of the Form I-693 medical process, along with required testing, vaccine record review, and civil surgeon documentation.

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.

More than a routine physical

The immigration physical follows USCIS and CDC requirements, so the visit is different from a regular annual checkup.

Testing can affect timing

TB screening, syphilis or gonorrhea testing, titers, or chest X-ray follow-up can change the schedule.

Records help control cost

Complete records reduce unnecessary repeat vaccines, titers, and back-and-forth.

What is reviewed during the physical exam

  • Medical history, medication list, and condition history relevant to the immigration exam.
  • Physical exam findings required by the civil surgeon workflow.
  • Tuberculosis screening results and any chest X-ray follow-up if needed.
  • Syphilis and gonorrhea testing when required by CDC instructions.
  • Vaccination status and any age-based vaccine next steps.

What to bring

  • Passport or other government-issued photo ID.
  • Any USCIS, I-485, attorney, or RFE paperwork already received.
  • Dated vaccine records and certified translations for non-English records.
  • Prior TB, chest X-ray, syphilis treatment, or relevant medical records.
  • Current medications and allergy information.

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

No. It includes a civil surgeon exam and documentation process tied to Form I-693, required testing, vaccination review, and USCIS submission rules.
CDC technical instructions require IGRA testing for applicants 2 years of age or older, unless an exception applies. A positive result or certain history can require additional review.
HIV testing is not part of the required immigration medical screening process under current CDC civil surgeon guidance.
Not everyone needs a chest X-ray. It may be required when TB screening, symptoms, history, or documentation creates a follow-up need.
You can bring outside vaccine records. The civil surgeon reviews whether the records are complete, dated, translated when needed, and acceptable for Form I-693.
No. If the packet is sealed for USCIS, do not open it before submission.

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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.