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Immigration medical examination and I-693

An immigration medical examination checks the medical documentation needed for your immigration case. For many applicants adjusting status in the United States, a USCIS-designated civil surgeon completes Form I-693 after reviewing the examination, required screening and vaccine records. The exam does not grant immigration status. Your USCIS instructions and case category determine whether you need a full examination, vaccination documentation or another process.

Eligibility: Immigration medical examination and I-693

Confirm that the clinician who will sign your form is a designated civil surgeon. A clinic network name or a general medical license does not establish that designation. Bring the USCIS notice if your case already contains a medical request. Refugees and some applicants with an overseas examination may have different documentation requirements, so check your case instructions before paying for a duplicate examination.

What to expect: Immigration medical examination and I-693

First, share your case deadline and the records you have. Next, the team reviews identity documents, vaccination history and the tests your case requires. Complete any ordered tests, missing vaccine documentation or referrals. The civil surgeon then reviews the completed medical information, signs the appropriate form and gives you the original in a sealed envelope. Ask for a personal copy and check names and dates before submitting the original.

Preparing for your appointment

Bring photo identification, vaccine records, a medication list, relevant treatment records and any USCIS medical notice. Ask whether records need a translation and whether an interpreter can attend. Do not sign the applicant certification until the civil surgeon instructs you. For a new signature today, USCIS accepts the 01/20/25 edition. Keep every page from the same edition. Vaccine requirements depend on age and the CDC instructions; COVID-19 vaccination is no longer a civil-surgeon vaccination requirement.

Risks and when to seek help

Tell the clinician about symptoms, current treatment, pregnancy, vaccine reactions and conditions affecting vaccination or testing. Do not skip prescribed medicines or conceal medical history to try to finish faster. A finding may require treatment, records or a referral before the form can be completed. If a vaccine is not appropriate, the civil surgeon documents the applicable medical assessment under the Technical Instructions rather than promising a blanket exemption.

Follow-up and treatment review

Handle the envelope according to your filing method. For a mailed I-485, submit the original sealed envelope. For an eligible online I-485, USCIS instructs you to open that envelope, upload the completed I-693 and retain the original form and envelope until the final decision. Forms signed on or after November 1, 2023 generally remain valid only for the application with which they were submitted. Earlier signatures generally have a two-year evidentiary period. A rejected, withdrawn or denied filing needs case-specific review.

Appointments, costs and coverage

Nao lists intake across 11 clinics, with final civil-surgeon visits at StuyTown, Hicksville or Mineola. The published core self-pay package starts at $350 and includes the civil-surgeon exam and core immigration labs; vaccines, titers, imaging and other case-specific items may cost extra. Confirm the examiner, final-visit site, complete price and appointment steps before travel. Same-day intake does not promise a completed form or a USCIS decision that day.

Questions about your care

What does the $350 immigration service package include?

Nao lists intake across 11 clinics, with final civil-surgeon visits at StuyTown, Hicksville or Mineola. The published core self-pay package starts at $350 and includes the civil-surgeon exam and core immigration labs; vaccines, titers, imaging and other case-specific items may cost extra. Confirm the examiner, final-visit site, complete price and appointment steps before travel. Same-day intake does not promise a completed form or a USCIS decision that day.

First, share your case deadline and the records you have. Next, the team reviews identity documents, vaccination history and the tests your case requires. Complete any ordered tests, missing vaccine documentation or referrals. The civil surgeon then reviews the completed medical information, signs the appropriate form and gives you the original in a sealed envelope. Ask for a personal copy and check names and dates before submitting the original.

What if I need additional tests or titers? What is the vaccination process? What tests are performed during a USCIS medical exam? Are vaccinations required for immigration exams?

The civil surgeon follows CDC Technical Instructions rather than treating an ordinary annual physical as a substitute. Screening depends on age and clinical findings. For example, the immigration TB pathway requires an IGRA blood test for applicants age two and older, with chest imaging and public-health referral when indicated. A positive TB screening result needs interpretation and follow-up; it does not by itself prove active contagious TB.

Bring photo identification, vaccine records, a medication list, relevant treatment records and any USCIS medical notice. Ask whether records need a translation and whether an interpreter can attend. Do not sign the applicant certification until the civil surgeon instructs you. For a new signature today, USCIS accepts the 01/20/25 edition. Keep every page from the same edition. Vaccine requirements depend on age and the CDC instructions; COVID-19 vaccination is no longer a civil-surgeon vaccination requirement.

Tell the clinician about symptoms, current treatment, pregnancy, vaccine reactions and conditions affecting vaccination or testing. Do not skip prescribed medicines or conceal medical history to try to finish faster. A finding may require treatment, records or a referral before the form can be completed. If a vaccine is not appropriate, the civil surgeon documents the applicable medical assessment under the Technical Instructions rather than promising a blanket exemption.

What is the purpose of an immigration medical exam?

An immigration medical examination checks the medical documentation needed for your immigration case. For many applicants adjusting status in the United States, a USCIS-designated civil surgeon completes Form I-693 after reviewing the examination, required screening and vaccine records. The exam does not grant immigration status. Your USCIS instructions and case category determine whether you need a full examination, vaccination documentation or another process.

First, share your case deadline and the records you have. Next, the team reviews identity documents, vaccination history and the tests your case requires. Complete any ordered tests, missing vaccine documentation or referrals. The civil surgeon then reviews the completed medical information, signs the appropriate form and gives you the original in a sealed envelope. Ask for a personal copy and check names and dates before submitting the original.

Nao lists intake across 11 clinics, with final civil-surgeon visits at StuyTown, Hicksville or Mineola. The published core self-pay package starts at $350 and includes the civil-surgeon exam and core immigration labs; vaccines, titers, imaging and other case-specific items may cost extra. Confirm the examiner, final-visit site, complete price and appointment steps before travel. Same-day intake does not promise a completed form or a USCIS decision that day.

Who can conduct an immigration medical exam?

Confirm that the clinician who will sign your form is a designated civil surgeon. A clinic network name or a general medical license does not establish that designation. Bring the USCIS notice if your case already contains a medical request. Refugees and some applicants with an overseas examination may have different documentation requirements, so check your case instructions before paying for a duplicate examination.

First, share your case deadline and the records you have. Next, the team reviews identity documents, vaccination history and the tests your case requires. Complete any ordered tests, missing vaccine documentation or referrals. The civil surgeon then reviews the completed medical information, signs the appropriate form and gives you the original in a sealed envelope. Ask for a personal copy and check names and dates before submitting the original.

Nao lists intake across 11 clinics, with final civil-surgeon visits at StuyTown, Hicksville or Mineola. The published core self-pay package starts at $350 and includes the civil-surgeon exam and core immigration labs; vaccines, titers, imaging and other case-specific items may cost extra. Confirm the examiner, final-visit site, complete price and appointment steps before travel. Same-day intake does not promise a completed form or a USCIS decision that day.

Can I get my I-693 form signed at Nao Medical?

Do not assume the nearest Nao intake site completes the final I-693 signature. The immigration examination and form require the appropriate USCIS-designated civil surgeon. Ask immigration intake for the exact civil-surgeon name, final examination/signature site, appointment date and any separate locations used for initial records, labs or vaccinations. Check the surgeon through USCIS's directory before travel. A general clinic listing or preliminary visit does not establish that every site can complete the final form.

Does Nao Medical accept insurance for immigration exams?

Have your insurance card ready when booking. Share member details through the clinic’s confirmed secure intake process. Check with the clinic and your insurer that the exact plan covers the clinician and requested service. Ask about visit charges, any separately billed tests or medicines, and any referral or authorization requirement. Coverage and your copay or deductible depend on the plan; request a written estimate if paying yourself.

Can I open the sealed I-693 envelope?

For a mailed I-485, send the original sealed envelope. For an eligible online I-485, USCIS tells you to open it, upload the completed I-693 and retain the original form and envelope until the final decision. Confirm your filing method before handling the original.

Can I reuse a form from an earlier application?

Do not assume that you can. For signatures on or after November 1, 2023, validity is generally tied to the application with which the form was submitted. Denied, withdrawn and rejected applications have different consequences. Review the signature date and current case instructions with your representative.

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Astoria
  • (917) 985-9186
  • 37-15 23rd Ave, Astoria, NY 11105, United States
Long Island
  • (917) 985-9186
  • 30-07 36th Ave, Astoria, NY 11106
Williamsburg
  • (917) 985-9186
  • 308 Graham Ave, Brooklyn, NY 11211
Crown height
  • (917) 985-9186
  • 341 Eastern Pkwy, Brooklyn, NY 11216
Jackson heights
  • (917) 985-9186
  • 80-10 Northern Blvd, Jackson Heights, NY 11372
Jamaica
  • (917) 985-9186
  • 90-18 Sutphin Blvd, Jamaica, NY 11435
StuyTown
  • (917) 985-9186
  • 259 1st Ave, New York, NY 10003
Bartow mall
  • (917) 985-9186
  • 2063A Bartow Ave, Bronx, NY 10475
Hicksville
  • (917) 985-9186
  • 232 W Old Country Rd, Hicksville, NY 11801
Mineola
  • (917) 985-9186
  • 135 Mineola Blvd, Mineola, NY 11501
174th Street
  • (917) 985-9186
  • 932 E 174th St, Bronx, NY 10460
Nao Icon
Fixed-price
‍
immigration service
package at $350
Immigration Service
Pricing Includes
Step 1
Civil Surgeon Medical Examination
A comprehensive medical examination conducted by a USCIS-designated civil surgeon, fulfilling the requirements for immigration purposes.
Step 2
Essential Laboratory Tests
The published immigration medical-exam visit fee is $350. Required tests, vaccines or other services may have separate charges. Ask for an itemized estimate for your case before testing or vaccination.
Vaccination Services for Immigration Exam
Vaccines from Our Inventory
Vaccines from Our Inventory
We will administer vaccines from our current stock at our standard self-pay prices
Referrals to Local Pharmacies
Referrals to Local Pharmacies
Once our vaccine supply is depleted, we will refer you to trusted local pharmacies, such as CVS, to complete your vaccination requirements
14 years
2 million
300+ team members
Local NYC Urgent Care

Address: 37-15 23rd Ave, Astoria, NY 11105

Address: 30-07 36th Ave, Astoria, NY 11106

Address: 308 Graham Ave, Brooklyn, NY 11211

Address: 341 Eastern Pkwy, Brooklyn, NY 11216

Address: 80-10 Northern Blvd, Jackson Heights, NY 11372

Address: 90-18 Sutphin Blvd, Jamaica, NY 11435

Address: 259 1st Ave, New York, NY 10003

Address: 2063A Bartow Ave, Bronx, NY 10475

Address: 232 W Old Country Rd, Hicksville, NY 11801

Address: 135 Mineola Blvd, Mineola, NY 11501

Address: 932 E 174th St, Bronx, NY 10460

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Tuberculosis (TB) Testing
Vaccination Requirements
Blood Tests for USCIS Clearance
Physical Exam for Immigration
I-693 Form Completion

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