Plan a same-day start without assuming same-day completion
Ask whether intake is available today and when the final civil-surgeon appointment can occur. Bring your records to reduce avoidable delays. Some cases still need laboratory results, vaccine documentation, imaging or public-health follow-up before the form is complete. Request a realistic sequence and estimated timing for each step. A same-day appointment does not mean the sealed or uploaded medical evidence will be ready that day.
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.
Do you offer expedited processing? How long does the process usually take?
Expedited immigration-medical support, if offered, can help organize intake, records and appointments. It cannot speed up USCIS adjudication or remove required tests. Ask the clinic what its expedited option includes, what it costs and when the designated civil surgeon can finish the form. Laboratory, vaccination or public-health follow-up may still cause delays. Confirm a case-specific completion estimate before choosing expedited support.
Do I need to complete my immigration labs and vaccines through Nao Medical? What happens if I already completed vaccines somewhere else?
Send the civil surgeon the dated vaccination records and complete laboratory reports before booking extra tests. The surgeon decides which outside records meet the immigration Technical Instructions and which testing must follow the designated examination process. Outside vaccination documentation may be usable. Do not assume an ordinary outside laboratory panel replaces the required immigration testing.
What should I bring to my immigration medical exam? What if I do not have complete vaccine records yet?
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.
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 my records are not in English?
Send legible vaccination records with exact dates and ask the civil-surgeon service what English translation it requires. Translation and interpretation at the visit are different needs. Do not rewrite dates or infer missing doses yourself. The surgeon reviews whether the records are acceptable and which gaps require vaccination or other documentation.
Which civil surgeons complete final I-693 visits? Where are the final civil surgeon visits done?
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.
How long is Form I-693 valid under current USCIS rules? Should I open the sealed I-693 envelope?
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.
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.
Do I need every vaccine dose before my civil surgeon visit?
No. The civil surgeon reviews documented doses, age-appropriate requirements and any contraindications. CDC immigration instructions generally require at least one age-appropriate dose of each required vaccine when you are not up to date. A series that cannot be finished during the examination can receive the applicable insufficient-time-interval notation. The examiner determines the exact requirement and any waiver reason. Bring dated records and do not assume a titer replaces every vaccine or that every product must be given.
Do you accept insurance for immigration medical 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.
What happens if TB screening or another required test needs follow-up?
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.
Can Nao Medical help patients who prefer a language other than English?
Tell intake your preferred language before booking and ask whether the exact visit offers interpretation or allows an interpreter. Also ask how non-English vaccination and medical records should be translated. Interpretation, translated records and the final civil-surgeon assessment are separate arrangements. None is confirmed by the clinic address alone.
How does the immigration concierge help?
Confirm whether Nao offers a concierge for this immigration service and what it actually handles: appointments, missing records, laboratory status, vaccination documentation and the final examiner visit. Concierge support is not immigration legal advice and does not approve an application. Ask for the named contact and next action. Use USCIS or qualified legal advice for eligibility and filing strategy.
What if USCIS asks for medical clarification after my exam?
Send the civil surgeon the exact USCIS request or the possible name/date error. Do not alter a signed form or assume an older record can be reused. The surgeon reviews whether corrected documentation, additional testing or a new properly executed form is required. Completion depends on results and case requirements; a collected form is not USCIS acceptance.
Medical sources
Nao Medical clinic and service information
