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Immigration14 min read

Immigration Medical Exam Florida: Your 2026 I-693 Guide

For those navigating the U.S. immigration process in Florida, the mandatory immigration medical exam is a crucial step. This guide for 2026 details the I-693 process, including how to find a USCIS-approved civil surgeon in Naples and what medical evaluations to expect. We cover document requirements, estimated timelines, and potential costs, highlighting common mistakes to avoid. Understanding these aspects is vital for a smooth application for adjustment of status or a visa. Florida Immigration Lawyers offers expert assistance to ensure your medical exam and overall immigration application are handled correctly, providing peace of mind.

Vasquez Law FirmPublished on February 24, 2026
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Immigration Medical Exam Florida: Your 2026 I-693 Guide

The immigration medical exam is a mandatory part of the U.S. immigration process, ensuring applicants meet health requirements. Conducted by a USCIS-designated civil surgeon in Florida, it includes a physical, mental health evaluation, vaccinations, and tests for specific diseases. The results are submitted on Form I-693, Report of Medical Examination and Vaccination Record, and are crucial for your adjustment of status or visa application.

  • Mandatory for most U.S. immigration applicants.
  • Conducted by a USCIS-approved civil surgeon.
  • Includes physical exam, vaccinations, and disease screening.
  • Results documented on Form I-693.
  • Crucial for adjustment of status and visa applications.

Embarking on your immigration journey in Florida can be an exciting yet complex process. As you work towards building a new life in the Sunshine State, one crucial step often required is the immigration medical exam. This examination, formally documented on Form I-693, is a vital component for many seeking adjustment of status to permanent resident, also known as a Green Card, or certain visa applications. It ensures that applicants meet specific health-related standards set by U.S. immigration law.

Understanding the requirements, finding a qualified civil surgeon in Florida, and knowing what to expect can significantly ease your experience. This comprehensive guide will walk you through every aspect of the immigration medical exam for 2026, focusing on the process in Florida, particularly for residents in and around Naples. We will cover everything from locating an approved doctor to preparing your documents and understanding potential costs.

Do not navigate this critical step alone. The complexities of immigration law, combined with medical requirements, can be overwhelming. For personalized guidance and to ensure your application is handled correctly, call Florida Immigration Lawyers at 1-844-967-3536 for a free consultation today. Our experienced team is here to help you through every stage of your immigration process.

Understanding the Immigration Medical Exam in Florida: A 2026 Overview

The immigration medical exam is a standardized health assessment required by U.S. Citizenship and Immigration Services (USCIS) for most individuals applying for adjustment of status to become lawful permanent residents. This exam is designed to identify certain health-related conditions that could make an applicant inadmissible to the United States under Section 212(a) of the Immigration and Nationality Act (INA), found at 8 U.S.C. § 1182(a). The goal is to protect public health and ensure applicants do not pose a risk to the U.S. population.

Who Needs an Immigration Medical Exam?

Generally, if you are applying for a Green Card from within the United States (adjustment of status), you will need to undergo an immigration medical exam. Certain visa applicants abroad also require this exam. However, some exceptions exist, such as for K-1 fiancé(e) visa applicants who completed an exam overseas and are adjusting status within one year, or specific refugees and asylees who had an exam upon entry. It is always best to confirm your specific requirements with USCIS or an attorney.

What Do Civil Surgeons Check During Your Medical Exam?

The civil surgeon performing your medical examination will conduct a thorough review of your health. This includes a physical examination, a mental health evaluation, a review of your medical history, and specific tests. They will check for communicable diseases of public health significance, such as active tuberculosis (TB), syphilis, gonorrhea, and Hansen's disease (lepra). Drug abuse or addiction, and certain physical or mental disorders with associated harmful behavior, are also assessed. The civil surgeon will also verify that you have received all required vaccinations or are eligible for a waiver. This comprehensive assessment ensures compliance with U.S. public health regulations. The results are recorded on Form I-693.

Step-by-Step Guide to Your I-693 Exam in Naples, Florida

Navigating the I-693 medical exam process in Florida, especially in areas like Naples, requires careful planning. Here is a detailed step-by-step guide to help you prepare and successfully complete your immigration medical exam.

  1. Find a USCIS-Designated Civil Surgeon in Florida: This is the crucial first step. You cannot use just any doctor. USCIS designates specific physicians, known as civil surgeons, who are authorized to perform these examinations. You can find a list of approved civil surgeons near you by visiting the official USCIS Find a Civil Surgeon tool. When searching for a civil surgeon in Naples, Florida, ensure the doctor is currently designated by USCIS. Many clinics in Southwest Florida offer these specialized services.
  2. Schedule Your Appointment: Once you locate a civil surgeon, schedule your appointment. Be sure to inform the clinic that you need an immigration medical exam for USCIS (Form I-693). Ask about what to bring, their fees, and how long the appointment will take. Confirm if they offer required vaccinations on-site or if you need to get them elsewhere.
  3. Gather Required Documents and Medical Records: Before your appointment, collect all necessary documents. This includes your passport or government-issued photo identification, your vaccination records, and any past medical records related to serious illnesses, hospitalizations, or treatments for mental health conditions. Having these ready will streamline your exam.
  4. Attend Your Medical Examination: During the exam, the civil surgeon will review your medical history, perform a physical examination, and conduct the necessary tests. This typically involves blood tests for syphilis and gonorrhea, and a TB skin test (or chest X-ray if the skin test is positive). Be honest and thorough when answering questions about your health.
  5. Complete All Required Vaccinations: The civil surgeon will assess your vaccination status. You must be vaccinated against mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, Haemophilus influenzae type B, hepatitis B, and any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices (ACIP). If you are missing any, the civil surgeon will administer them or refer you to a facility that can.
  6. Review and Seal Your Form I-693: After all tests and vaccinations are complete, the civil surgeon will fill out Form I-693. Do not sign the form until instructed by the civil surgeon. They will provide you with the sealed envelope containing the completed Form I-693 and all supporting documents. It is absolutely critical that this envelope remains sealed. USCIS will not accept an opened envelope. You will also receive a copy for your records.
  7. Submit Form I-693 to USCIS: You will submit the sealed Form I-693 along with your adjustment of status application (Form I-485) or when USCIS requests it. Be mindful of the validity period for the I-693, which is generally two years from the civil surgeon's signature date, provided it was signed no more than 60 days before you filed your underlying application.

Required Documents for Your Medical Examination

Preparing the right documents is essential for a smooth immigration medical exam experience. Missing documents can cause delays in your application.

  • Valid Photo Identification: A government-issued photo ID such as your passport, driver's license, or state ID.
  • Form I-693, Report of Medical Examination and Vaccination Record: You can download this form from the USCIS website. The civil surgeon will complete it.
  • Vaccination Records: Official records of all past vaccinations. If you do not have them, the civil surgeon can perform blood tests to check for immunity or administer new vaccines.
  • Medical Records: Any records pertaining to serious illnesses, hospitalizations, surgeries, or ongoing medical conditions. This includes any mental health treatment records.
  • List of Medications: A list of all current medications, including dosages.
  • Payment for the Exam: Be prepared to pay the civil surgeon's fees at the time of your appointment.
  • Insurance Information (if applicable): While most immigration medical exams are not covered by health insurance, it's good to have your information available.
Step-by-step process infographic
Step-by-Step Process Guide

Timeline and Processing Expectations for Your I-693

Understanding the timeline for your immigration medical exam involves several stages, from scheduling to submitting the completed Form I-693.

Appointment and Exam Duration

Scheduling an appointment with a civil surgeon in Florida typically takes a few days to a few weeks, depending on the clinic's availability. The actual examination usually lasts between 30 minutes to an hour. However, additional time may be needed for blood tests, X-rays, or vaccinations, which might require a follow-up visit. Receiving test results and the sealed I-693 envelope can take anywhere from a few days to two weeks.

Validity Period of Form I-693

The validity of your completed Form I-693 is critical. According to USCIS policy, the form is valid for two years from the date the civil surgeon signs it. However, it must also be signed by the civil surgeon no more than 60 days before you file your underlying application (e.g., Form I-485). If you submit an I-693 that was signed more than 60 days before you filed your adjustment of status application, USCIS may reject it or issue a Request for Evidence (RFE). Always check the latest USCIS policy manual for the most current rules.

Cost Factors and Fee Breakdown for the Medical Exam

The cost of an immigration medical exam can vary significantly across different clinics and regions in Florida. There is no standard fee set by USCIS, so it is essential to inquire about costs when you schedule your appointment.

What Influences the Overall Cost?

Several factors contribute to the total cost of your medical examination:

  • Civil Surgeon's Fee: This is the primary charge for the physical exam, review of medical history, and completion of Form I-693. Fees vary widely, often ranging from $200 to $500 in Florida, particularly in areas like Naples.
  • Lab Test Fees: Blood tests for syphilis and gonorrhea, and TB testing, are additional costs. These can range from $50 to $150 or more, depending on the lab and the specific tests required.
  • Vaccination Costs: If you need additional vaccinations, these will add to your total expense. Each vaccine can cost between $50 and $200 or more. Some clinics may offer package deals for common immigration vaccines.
  • X-ray Fees: If your TB skin test is positive, a chest X-ray will be required, incurring an additional cost, typically $50 to $100.

It's important to ask for a detailed breakdown of all potential costs when you call clinics. Some clinics offer "package deals" for the entire immigration medical exam, which may be more cost-effective. Remember, these costs are separate from USCIS filing fees for your immigration application.

Key statistics and data
Key Statistics & Data

Completing your immigration medical exam correctly is paramount to your immigration success. A single error or oversight can lead to delays or even a denial of your application. Do not navigate this complex process alone. Contact Florida Immigration Lawyers today for expert guidance and peace of mind. Our dedicated team is ready to assist you.

  1. Using an Unauthorized Doctor: Only a USCIS-designated civil surgeon can perform the immigration medical exam. Using a regular doctor will result in your Form I-693 being rejected, causing significant delays and requiring you to redo the entire process.
  2. Opening the Sealed Envelope: The completed Form I-693 must remain in a sealed envelope provided by the civil surgeon. If the envelope is opened, USCIS will not accept it, and you will need to get a new sealed envelope, potentially requiring another visit and fee to the civil surgeon.
  3. Not Bringing Vaccination Records: Failing to bring your vaccination history means the civil surgeon will likely require you to get all necessary vaccines again or undergo blood tests to prove immunity, adding extra cost and time to your exam.
  4. Delaying the Exam: Waiting too long to schedule your medical exam can cause issues with the I-693's validity period, especially if it expires before USCIS processes your application. Plan ahead to ensure timely submission.
  5. Being Dishonest About Medical History: Providing false or incomplete information about your medical or mental health history can have severe consequences, including accusations of misrepresentation, which can lead to application denial and future immigration bars.
  6. Ignoring a Positive TB Test: A positive TB skin test requires a follow-up chest X-ray. Failing to complete this step will leave your medical exam incomplete and your I-693 invalid for submission.
  7. Not Understanding Vaccination Waivers: While vaccinations are generally required, there are limited waivers available for religious or moral objections, or if a vaccine is not medically appropriate. Not understanding these options or failing to apply for one when eligible can cause issues.
  8. Not Following Up on Test Results: It is your responsibility to ensure all lab tests are completed and results are provided to the civil surgeon. Delays in test results can delay the completion of your I-693.
  9. Submitting an Expired I-693: The I-693 has a specific validity period. Submitting an expired form will result in an RFE or rejection, forcing you to undergo another exam and incurring additional costs and delays.
  10. Not Accounting for All Costs: Assuming a single fee covers everything can be a mistake. Always clarify all potential costs, including lab work, vaccinations, and X-rays, to avoid unexpected expenses.

When to Call a Lawyer

While the immigration medical exam process might seem straightforward, specific situations warrant the expertise of an immigration attorney. Florida Immigration Lawyers is here to provide the support you need.

You should consider contacting us if:

  • You have a complex medical history: If you have a history of serious illnesses, mental health conditions, or have been treated for diseases of public health significance, an attorney can help prepare you for the exam and address potential inadmissibility issues.
  • You are concerned about inadmissibility: If you believe you might be medically inadmissible to the U.S. under INA § 212(a), our team can explore potential waivers (e.g., Form I-601, Application for Waiver of Grounds of Inadmissibility) and strategize your application.
  • You have received a Request for Evidence (RFE) related to your I-693: An RFE indicates USCIS needs more information or clarification. We can help you understand the RFE and prepare a comprehensive response.
  • You need a vaccination waiver: If you are seeking a waiver for vaccinations based on religious or moral convictions, or medical contraindications, an attorney can guide you through the specific requirements and documentation.
  • You have questions about the I-693 validity period: Ensuring your I-693 is valid at the time of submission can be tricky. We can review your timeline and advise on the best course of action.
  • You simply want peace of mind: For many, the entire immigration process is stressful. Having an experienced immigration lawyer by your side can alleviate anxiety and ensure all steps, including the medical exam, are handled properly.

Our attorneys at Florida Immigration Lawyers are well-versed in all aspects of U.S. immigration law and can provide invaluable assistance with your adjustment of status, family-based immigration, business immigration, and citizenship applications. We serve clients throughout Florida, including Naples, and are dedicated to your success.

About Florida Immigration Lawyers

Florida Immigration Lawyers is a leading law firm dedicated to providing comprehensive and compassionate immigration legal services across the entire state of Florida. Our mission is to empower individuals and families to achieve their American dreams through expert legal representation and personalized guidance.

Our Services:

We specialize in a wide range of immigration matters, including adjustment of status, family-based petitions, employment visas, deportation defense, asylum claims, naturalization, and more. We understand the nuances of the immigration medical exam and how it integrates into your overall application.

Why Choose Us:

  • Experienced Attorneys: Our team possesses extensive knowledge of U.S. immigration law and procedures.
  • Client-Centered Approach: We prioritize your needs, offering clear communication and empathetic support.
  • Bilingual Services: We proudly offer services in both English and Spanish to better serve Florida's diverse communities.
  • Accessible Support: We are available 24/7 and offer free consultations to discuss your case.

Let us be your trusted partner in your immigration journey.
Call us today at 1-844-967-3536 or visit our website at https://www.floridaimmigrationlawyers.net to schedule your free consultation. We are here to help you achieve your immigration goals in Florida.

Sources and References

Your immigration medical exam is a critical step towards securing your future in Florida. Ensure it's handled with precision and care. Don't leave your immigration journey to chance. Contact Florida Immigration Lawyers today at 1-844-967-3536 for a free, confidential consultation. Our experienced team is ready to provide the expert legal guidance you deserve. Se Habla Español - Estamos aquí para ayudarle.

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Florida Immigration Lawyers

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Our experienced attorneys at Florida Immigration Lawyers have been serving clients across Florida for over 20 years. We specialize in immigration, personal injury, criminal defense, workers compensation, and family law.

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