Only a medical professional designated by USCIS as a Civil Surgeon can complete and sign Form I-693 for adjustment of status applicants. A regular primary care doctor, urgent care clinician, or insurance clinic cannot sign the form unless they hold that Civil Surgeon designation. Dr. Shilpa Paradkar Singh is a USCIS-designated Civil Surgeon, and Atrium Medical is listed in the official USCIS Civil Surgeon Locator for ZIP code 10022.

Atrium Medical charges a $350 administrative processing fee. That covers Atrium's Civil Surgeon workflow, exam coordination, vaccine record review, form completion, sealed packet preparation, and personal copy preparation. Required labs, vaccines, titers, or X-rays may be covered by insurance in some cases. If an extra test or vaccine is required and insurance does not cover it, that cost goes directly to the lab or vaccine provider, not to Atrium Medical.

Typical turnaround is 3 to 5 business days after the exam and required lab collection. If your deadline is urgent, tell us when booking. We can help expedite in some circumstances, although lab processing, positive findings, missing records, translations, or required follow-up testing can affect timing.

Current USCIS guidance generally requires applicants who must submit Form I-693, or a partial Form I-693 such as the vaccination record, to submit it with Form I-485 when filing for adjustment of status. Your immigration attorney should confirm your exact filing strategy, but the old habit of waiting for an RFE is no longer the clean default for many applicants.

The current rule is more specific than the old two-year or indefinite-validity language. For a Form I-693 signed on or after Nov. 1, 2023, USCIS generally treats the form as valid while the immigration benefit application it was submitted with remains pending. If the related application is withdrawn or denied, a new Form I-693 may be needed for a later filing.

No. USCIS no longer requires adjustment of status applicants to provide documentation of COVID-19 vaccination. Other vaccine requirements still apply, so bring your vaccine records even if you do not have COVID-19 vaccine documentationapplicants.

Do not panic and do not assume you must restart every vaccine series. Bring whatever records you have. If records are missing, Atrium Medical can review whether antibody titers are appropriate for certain vaccines, including MMR and varicella. If titers show immunity, they may satisfy the requirement and avoid unnecessary repeat vaccination.

International vaccine records can be acceptable if they clearly show vaccine names and dates. If the records are not in English, bring a certified English translation. Dr. Singh reviews the records against current CDC and USCIS requirements to determine what can be credited and what is still missing.

Many applicants received BCG vaccination in childhood. The old TB skin test can produce false positives after BCG. The immigration medical exam uses IGRA blood testing, which is more specific and does not cross-react with BCG in the same way. If your IGRA is positive, a chest X-ray may be needed to rule out active TB disease.

A positive TB blood test does not mean your application is denied. It usually means prior exposure or latent infection. To satisfy USCIS and CDC public health requirements, a chest X-ray may be required to rule out active pulmonary disease. Once active disease is ruled out and the form is documented correctly, the application can often proceed.

Pregnancy does not automatically stop the immigration medical exam. Certain live vaccines, such as MMR and varicella, are generally contraindicated during pregnancy and can be documented as not medically appropriate when applicable. If chest imaging is required after a positive TB blood test, we coordinate the safest pathway and can work with your OB-GYN when needed.

For required immigration screening, outside testing usually cannot be substituted if it was not ordered by the Civil Surgeon as part of the I-693 medical exam. CDC technical instructions require required tests to be ordered by the Civil Surgeon at the time of the immigration medical examination. Atrium collects the required blood and urine samples in the office and sends them to LabQuest or the applicable diagnosticlaboratory partner.

A chronic condition such as diabetes, hypertension, asthma, thyroid disease, or autoimmune disease does not automatically create an immigration medical problem. The exam focuses on communicable diseases of public health significance, vaccination requirements, and certain physical or mental health conditions relevant under federal rules. Bring your medication list and any recent specialist notes so Dr. Singh can document your condition accurately.

You may bring a trusted family member, friend, legal interpreter, or professional interpreter to help with communication. Clear medical history and accurate form completion matter, so please tell us in advance if language assistance would make the visit smoother.

No. Do not open the sealed Form I-693 envelope. If the seal is broken before USCIS receives it, the packet may be rejected. Atrium gives you a personal copy of the completed materials for your records so you can see what is inside without opening the official envelope.

After the exam and required lab collection, our team tracks the results, Dr. Singh reviews the form, and we prepare the sealed Form I-693 packet once the file is complete. Typical turnaround is 3 to 5 business days. You pick up the sealed packet and your personal copy at our Midtown East office.