The $350 core package includes the civil surgeon exam and the core immigration
lab work used in the I-693 process. Vaccines, titers, chest X-rays, and confirmatory follow-up testing are
priced separately if your case requires them.
Yes. Expedited processing is available in select cases for an additional $150.
Timing still depends on your records, vaccine needs, and any follow-up testing, but expedited review can help
move the process faster.
Nao Medical coordinates the required immigration lab work and vaccine review
through its own process so the records match your I-693 documentation. You can receive vaccines through Nao
Medical at standard self-pay pricing or bring records if you already received them elsewhere.
Bring a photo ID, any USCIS or attorney paperwork you already have, vaccine records, prior chest X-ray or TB
documentation if applicable, and any prior treatment records that may affect your exam.
Bring a reliable English translation and certification for non-English vaccine records. Clear translated
records with exact month, day, and year are the best way to avoid repeat vaccine work.
Nao Medical coordinates final I-693 completion with civil surgeons including Dr. Sandeep Jain, Dr. Priti
Jain, and Dr. Laurie Costello. Final scheduling depends on the location and provider availability tied to
your case.
Nao Medical currently coordinates final civil surgeon visits at three locations: Stuytown in Manhattan,
Hicksville, and Mineola. Patients can begin the process at other Nao locations and complete the final step at
the best-fit civil surgeon site.
USCIS updated this guidance on June 11, 2025. For forms signed on or after November 1, 2023, Form I-693 is
only valid while the application it was submitted with remains pending. If that application is withdrawn or
denied, a later filing generally needs a newly completed Form I-693.
Timing depends on your records, testing, and vaccine needs, but many patients complete the process in around
two weeks. Expedited processing is available in select cases if you need a faster timeline.
Not always. In some cases, patients can proceed after the first required dose if the next dose is scheduled
later. USCIS makes the final determination, so our team explains the options and documents the case
accordingly.
Immigration medical exams at Nao Medical are typically self-pay. We explain the core package price, expedited
fee if selected, and any additional vaccine or follow-up costs before those services are added.
Bring the records with you. If they are complete, dated, and translated when needed, Nao Medical can use them
to determine what else, if anything, is still required for your I-693 process.
Bring whatever records you have. Partial records can still help reduce repeat work, and the team can explain
whether titers, vaccines, or another follow-up step is still needed.
If screening points to another required step, such as a chest X-ray or confirmatory follow-up, Nao Medical
explains the next step clearly and keeps the I-693 process coordinated.
Yes. Nao Medical supports multilingual patients and can help make scheduling, records review, and next steps
easier to follow across the process.
Your immigration concierge helps organize records, explains the next appointment, and coordinates follow-up with the care team. The civil surgeon reviews the medical requirements and completes Form I-693 when the required steps are finished.
The civil surgeon gives you the signed Form I-693 in a sealed envelope. For a mailed Form I-485 application, submit the original sealed envelope. If you are eligible to file Form I-485 online, USCIS instructs you to open the envelope and upload the completed Form I-693. Keep the original form and envelope until USCIS makes a final decision. Check the current USCIS instructions for your filing method before opening or submitting it.
Keep the full USCIS notice and contact the immigration medical team so they can review the medical-document request and explain the next step. Your attorney can advise on the response deadline and filing requirements. A request may involve additional documentation, a correction, or a new examination depending on the notice and current rules.