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August 18, 2021 Testing

 

What is the I-693 medical examination?

An I-693  immigration medical examinationis a required part of the application process to become a permanent resident of the United States. The exam is also called a green card medical exam or an I-693 medical exam. 

 

These medical exams are completed by a specially authorized doctor, also called a civil surgeon, who is authorized by the U.S. Citizenship and Immigration Services (USCIS).

 

These exams consist of a physical and mental evaluation, drug and alcohol screening, a review of an applicant for Adjustment of Status medical history and vaccination requirements, and tests for several communicable diseases. The tests may involve a blood test and a chest x-ray. 

 

The purpose of the exam is to determine if an applicant for Adjustment of Status has any medical conditions or exhibit harmful behaviors that are grounds of inadmissibility for your immigrant visa for entrance to the United States. Please read more details about the I-693 medical exam here.

 

Successfully completing an Adjustment of Status application towards permanent residence can be a confusing process, but here at Great City Medical, we are here to help! We have a certified civil surgeon on staff to perform these exams and help answer your questions.

 

If you’ve already received your I-693 medical exam and have questions about what the next steps are in the application process, read more below!

 

How long is the I-693 medical examination valid for USCIS?

The validity period for the immigration medical exam is two years after the date that you receive a civil surgeon’s signature on your I-693 form. (Remember, please do NOT sign your form yourself until your exam is complete and you are in the presence of your civil surgeon.) If the two-year period lapses before your application is processed, you will be required to complete the medical exam again.

 

After the exam, your Form I-693, including a report of medical examination and vaccination record will be in a sealed envelope to prevent tampering or modification. If you hang on to the form for a while before submitting it, be sure to keep it safe so that it does not become open or damaged and, therefore, invalid. It is USCIS policy to return any damaged, opened, or modified forms and you will have to receive a new one if you are not careful.

 

When should I submit Form I-693 to USCIS?

You have two options for when to submit your Form I-693 to USCIS. 

 

The first option is to submit your Form I-693 at the same time when you submit your Form I-485, Application to Register Permanent Residence or Adjust Status.   Filing Form I-693 and Form I-485 at the same time may eliminate the need for USCIS to issue a Request for Evidence (RFE) to obtain your Form I-693. This may also help avoid adjudication delays if USCIS decides that you do not need to be interviewed.

 

The second option is to submit your Form I-693 after you file your Form I-485 (as long as the date of the civil surgeon’s signature is no more than 60 days before the application is filed). You may also submit Form I-693 in person at an interview in a USCIS field office, if an interview is required.

 

If you have further questions about your green card application, green card interview, and the validity period of forms, you may wish to contact an immigration lawyer to help you understand the relevant immigration law and policy guidance and to successfully complete the entire application process. You may also contact USCIS for more help.

 

While our professionals at Great City Medical are more than happy to help answer any questions on health-related grounds, we are not immigration attorneys and can only help with our piece of the process! It is recommended to have an attorney review your entire application before submission.

 

What does I-693 deficiency notice mean?

If you received an I-693 deficiency notice (RFE), do not worry because this is not a big deal! The deficiency notice just means that you need to submit your signed and completed Form I -693. 

 

Contact us about your I-693 medical exam today

At Great City Medical, we are happy to help with your Form I-693. We make it easy to schedule and complete your I-693 medical examination with us, right on-site in NYC. 

Call us today to schedule an appointment with our civil surgeon to complete your I-693 medical examination!

 

 


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March 26, 2021 Testing

An immigration medical examination is a routine part of the application process to become a permanent resident of the United States, also called a green card. The exam is also sometimes called a green card medical exam

 

For a successful green card (Adjustment of Status) petition, these physical exams must be completed by a doctor who is authorized by U.S. Citizenship and Immigration Services (USCIS) (designated civil surgeon). Outside of the U.S., these doctors are called panel physicians. Here at Great City Medical, we have a designated civil surgeon on staff to perform these exams.

 

The requirements for the exam are determined by the Centers for Disease Control and Prevention (CDC), who provide technical instructions to civil surgeons and panel physicians.

What Do they Check in an Immigration Medical Exam?

During an immigration medical exam, the doctor will review your medical history and immunization records, and perform a physical examination. The doctor will also perform blood tests to look for communicable diseases such as tuberculosis, syphilis, gonorrhea, and leprosy because these diseases pose a public health risk. Children under the age of 15 do not need to be tested for syphilis or gonorrhea. Finally, the doctor will check for any physical or mental disorders or mental illnesses that are associated with violent behavior or harmful behavior, as well as any signs of drug abuse or drug addiction. 

 

If you are between the ages of 18-64, you only require immunization against Tetanus and Diphtheria, MMR (measles, mumps, rubella), varicella, and flu during the flu season of October 1- March 31. Pregnant women may be exempt from some vaccination requirements, however.

 

Immigration medical exams are a bit different than standard physical exams. The purpose of the exam is primarily to screen a patient for certain medical conditions that are of concern to the U.S. government and public health and safety. The doctors are not required to examine or treat patients for any medical conditions outside of those deemed relevant by U.S. health officials for the immigration process. 

 

How Long Does the Immigration Medical Exam Take?

The immigration medical exam takes about the same amount of time as a regular doctor’s visit, and might last anywhere from 15 minutes to an hour. 

 

It takes about one week after the exam to receive your lab test results. If any lab tests results come back positive for a communicable disease, you may need to return for a second visit to be evaluated and treated.

 

Can I eat before the Immigration Medical Exam?

You may eat before your immigration medical exam. The blood tests that will be performed do not require you to complete a fast beforehand.

 

What should I bring to my exam?

Many people feel nervous about their immigration medical exam, but being well-prepared with all the documentation that you need can be a great help in ensuring your exam goes smoothly. Be sure to arrange these documents ahead of time and bring them all with you to your exam. Call us before your scheduled exam if you have any questions about what you need to bring with you.

 

      • Form I-693, also called the Report of Medical Examination and Vaccination Record
        • The doctor will use this form to document the results of your exam. After the exam, the doctor will complete this form and place it in a sealed envelope for you to submit to USCIS.
        • You will receive a copy of the Form I-693 for your records
        • To save time on the day of your appointment, you can fill out pages 1-4 of the form in advance. The rest of the form is filled out by Great City Medical.

 

      • Government-issued photo identification
        • This may include your passport, state ID, driver’s license, travel permit, or work permit.

 

      • Your immunization or vaccination records 
        • If you have had immunizations, you must bring your records as proof, as the doctor cannot take your word for it.
        • If you do not have any immunizations, you can receive them during your exam for additional fees, however, at Great City Medical, we can run a blood test that will show if you are immune or not. If the tests show you are immune that that will be sufficient.

 

    • Copy of your medical history
    • Copies of previous chest X-rays, if any
    • If you have any existing health issues, a note from your doctor outlining your treatment plan
    • Payment for the medical exam fee. Great City Medical charges a base fee of $130for the Civil Surgeon Exam, and additional tests and vaccinations will cost additional fees. Please use this link below to find the pricing breakdown. As a note, insurance does not cover the cost of an immigration exam. https://greatcitymedical.com/immigration-doctor/#pricing

 

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August 17, 2020 Testing

Building a comprehensive picture of your health care involves more than just doctor’s visits and birth control. Wellness visits that include standard diagnostic tests and screenings help your healthcare practitioner build a baseline of health and provide the foundations for noticing and diagnosing changes early on.

Women’s health includes several screening tests that check for changes in the reproductive system. The most common of these is a pap smear, also called a pap test. The test results can detect precancerous cells, cervical cancer, and HPV.

Your healthcare provider can go over the process and reasons for pap smears as well as offer advice for how often to receive one and whether to use a combination pap smear with HPV testing for certain individuals.

When should I start pap smear tests?

In most cases, pap smears begin to happen regularly once you turn 21. Whether you’re sexually active or not, your reproductive system has matured, and pap smears help your NYC Gynecologist understand your comprehensive health status and notice any changes that may happen over time.

Tests happen every three years until the age of 30, provided each test comes back normal. Abnormal results or high-risk patients may work with a healthcare practitioner to coordinate tests on a different schedule to ensure an accurate medical history.

How often should I get a pap smear?

Pap smear routines depend on two things — age and risk. General advice may not apply to your situation, or your circumstances may change over time, so it’s essential to work closely with your healthcare practitioner to find your personalized solution based on your health needs.

Age-related factors

Women who turn 21 should begin regular pap screenings every three years, as long as the test results return normal. Once they reach age 30, many practitioners recommend combining pap tests with HPV testing for a five-year rotation until the age of 65.

Women who are 65 and older don’t usually need pap smears any more if they’ve had a history of regular testing with no recent abnormal pap smears. This advice continues throughout the remainder of life.

Risk-related factors

On top of age recommendations, your health practitioner will also look at your risk factors to determine the scheduling. If you’re high risk, you may begin regular pap smears sooner than the age of 21 or receive more frequent pap tests.

If you have abnormal results that result in a diagnosis, you may move to that high-risk category at any point in your life. You may also begin co-testing sooner than expected to monitor cell changes or receive tests more often than the recommended five year period.

Abnormal swabs could mean a variety of different things, so working with your healthcare provider to begin an alternate plan is a part of ensuring you have a complete medical history. The sample of cells could be compromised, but they may point to developing conditions your gynecologist wants to watch.

If you’ve had a total hysterectomy for reasons other than cervical cancer and no longer have a cervix, your risk factors are incredibly low — low enough to negate the need for further pap smears. However, if you have other risk factors, you may still receive regular pap smears.

What happens if my test results are abnormal?

Changes in your cervical cells can mean a variety of things, and not all of those are bad news. If you receive an abnormal pap smear result, your gynecologist will likely order diagnostic test.

You may receive additional cervical cancer screenings looking for abnormal cells or further test such as a colposcopy, in which a gynecologist carefully examines the cervix, vulva, and vagina for signs of disease or infection.

Combined HPV testing after the age of 30 can help look for Human papillomavirus strains directly related to certain cancers. These screening guidelines provide a foundation of health and wellness and give you the chance to make decisions based on changes in health information as early as possible.

Pap Smears and Women’s Health

Working with your gynecologist and healthcare practitioner for regular screening tests helps you make the best decisions for health and wellbeing. These checkup tests offer a unique insight into biological changes that happen as you age. With a history of regular testing, your healthcare expert has a better chance of catching and diagnosing any conditions early.

Early diagnosis at your doctor’s office means a better chance of success in treatments plus a broader range of choices. Your risk factors and your health situation is unique; allow the gynecology experts at Great City Medical help you build a lifelong plan for comprehensive health.

We can examine all your risk factors, age, and medical history to create a plan, and give you the best chance at a long, healthy life. Contact us to schedule your health screenings and put your medical foundation in place.


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June 18, 2020 Testing

Great City Medical is dedicated to normalizing sexual health, helping to destigmatize reproductive and sexual health care through a variety of birth control, family planning, and other health services. One of those areas is testing for sexually transmitted diseases.



Dr Yelena was amazing, she really made my visit easy and comfortable. Loved her, highly recommend!
Valentina M.
Valentina M.
18:12 24 Jun 22
Amazing customer service! Friendly and efficient! Made it fun going to the GYN!
Clara M.
Clara M.
23:28 16 Jun 22
I received the best medical treatment and follow up services at this clinic.
Dshea Kinta M.
Dshea Kinta M.
13:22 20 May 22
I was in need of a new GYNECOLOGIST. I found Great City Medical in a Google search. I spoke with a staff member after hours via live chat an was scheduled the earliest appointment very quickly. All my basic questions were answered. I was sent to patient portal link to pre-register and fill out the forms. Upon arrival I was greeted with a smile and checked in quickly, wait time was short before the nurse called me in to be triaged. I was placed in a room, which was very clean. Dr. Tsyba greeted me with a smile and was very polite and Thorough with the examination. She explained to me in detail what procedures were going to take place and what testing will be done. The staff was very Knowledgeable and helpful as a first-time patient I enjoyed my visit I highly recommend this practice.
Cheryl B.
Cheryl B.
19:00 16 May 22
The place is very nice, and people are kind and professional. The only downside is that I have waited more than I expected (even though I arrived way earlier than the scheduled time), but maybe it’s been just a coincidence. That being said, nothing else to complain about!
Elena F.
Elena F.
02:02 13 May 22
I waited about 30 min to see the Tech, then spent like 20 min with her as a new patient, then about 10 min. more to see Jaime, the NP who was available, since Dr. Tsyba was in surgery. Jaime then consulted with Dr. Tsyba. I was very satisfied with the gentle, compassionate and thorough care I received by Jaime, and the technician who performed the 2 ultrasounds I needed. I’m happy I found this OB/GYN doctor. I hope to meet Dr. Tysba soon.
Awilda R.
Awilda R.
17:44 12 May 22
They was wonderful, the front desk and even my doctors very gentle with everything they do..I felt very comfortable to open up to them about my needs and I definitely felt like I was in great hands, when it’s comes down to OBGYN’s it’s very hard finding loyalty ,honesty, and security with your doctors THIS WAS WONDERFUL..i found out everything I needed to know and I will definitely enjoy being a new patient here !!!
Londaisha :.
Londaisha :.
12:43 12 May 22
Place was valid … 💯 very respectful and calls patients in a timely manner
Leenia M.
Leenia M.
19:44 02 May 22
Me encantó la atención del personal, y sobre todo la ginecóloga Yelena Tsyba, quien fue la Dra. que fui a consulta, bueno ella es muy profesional, muy amable y gentil ; también la persona que me hizo el sonograma,todos me trataron con mucha gentileza; fue mi primera vez y quedé muy contenta satisfecha…
Sovilek O.
Sovilek O.
02:35 29 Apr 22
The doctor is brilliant!!!
Tyrone H.
Tyrone H.
19:15 21 Apr 22
Very nice always very professional
Madeline C.
Madeline C.
15:38 19 Apr 22
I have known Dr.Tsyba for many years, she sees my friends and my sister gave birth to three children with her, personally in my practice there were moments when I had to urgently go to other doctors, after which I kept returning to her. She, as like a mother, will not advise bad things and will do everything possible to help. The staff is also very responsive and polite professionally fit every patient. You feel at home confidentially. Thank you doctor for your professionalism. I wish you more assistants so that you do not get tired.
Fatima A.
Fatima A.
03:19 06 Apr 22
Great people who made me feel very comfortable for my first appointment at this establishment. Much appreciated.
Nicole De L.
Nicole De L.
16:40 04 Apr 22
Great place to get checked. The staff very professional, they take care of you on your appointment time and the clinic is very clean. My Doctor was great!!
Katty R.
Katty R.
10:43 18 Mar 22
My 1st time going here. All of the staff was friendly and helpful. I loved that I didn’t have to schedule an appointment to go somewhere else for ultrasound. I did 3 things in 1 day and the wait was ok
ivy b
ivy b
20:48 10 Mar 22
good service and everything was very fast no complaints I liked the place
Carmen W.
Carmen W.
18:50 07 Mar 22
It is great office with a best gynecologist Dr Yelena Tsyba
Simon L.
Simon L.
18:40 04 Mar 22
Very good. Attentive staff
Alla T.
Alla T.
22:26 01 Mar 22
Wonderful staff and excellent service
Ramar A.
Ramar A.
22:08 01 Mar 22
Very Professional
Ashlee W.
Ashlee W.
17:35 24 Feb 22
Very amazing service.
Natevia H.
Natevia H.
21:47 23 Feb 22
A++ Service. Great atention to issues and promt call at appointment time👍🏻
Ludo A
Ludo A
16:02 23 Feb 22
My first time visiting this practice. They were very through, from intake, which was done by a Dr. that I assumed was a nurse because he was so young lol. I wound up seeing Jaime who is a GYN NP, she was awesome. They asked a lot of questions about my history, which I really appreciated. Labs and Sonogram are done on-site. I will be returning.
Shay S.
Shay S.
17:25 18 Feb 22
Very nice place with very nice people the place is clean and quiet I love it there
Dj Shabba U.
Dj Shabba U.
01:44 18 Feb 22
Very well cared for. Doctors, nurses, & receptionist are wonderful
Joy H.
Joy H.
21:59 17 Feb 22
Very caring knowledgeable doctor highly recommend!
Alona K.
Alona K.
00:36 05 Feb 22
Great place to come for a Covid test. Everything went pretty quick. Results definitely weren’t ready in 15 min but, the clinic was very, very busy, so it’s understandable. The lady who sits in the middle was very professional, polite and very helpful. Would highly recommend this place!
Lynn In The C.
Lynn In The C.
19:51 03 Feb 22
Actively listened to my concerns and believed me when I said somethings not right. Did not brush me off. And focus on finding the cause to my issues. I definitely recommend. Very clean place.
justina R.
justina R.
16:40 03 Feb 22
Very good Doctor and excellent assistants!
Haydee
Haydee
14:15 29 Jan 22
Hello!Today was our first visit, I liked how doctor Tsyba is explaining to us about my daughter’s women health issue. Also I hope doctor will properly treat her/ my daughter. I’ll update later the results.Thank you,Norah & Maftuna.
Nora K.
Nora K.
19:03 28 Jan 22
Good attention, but they should follow the appointments schedule. I saw the doctor almost an hour later
Umma
Umma
17:17 26 Jan 22
I’ve been going to this doctor’s office for yrs I’m very pleased with my pcp doctor Marly Grana she’s always kind hearted.
Angel's E.
Angel’s E.
20:37 19 Jan 22
Great customer service from the entire team.
Mohammed S.
Mohammed S.
19:27 19 Jan 22
Dr Tsyba is the best doctor I ever knew. Very professional service and so nice stuff!
Vika
Vika
23:36 18 Jan 22
Great doctor and amazing team.
ROEZEN BY R.
ROEZEN BY R.
19:58 14 Jan 22
My experience at your facility was excellent. Your staff members treated me with courtesy and professionalism. Staff members were very friendly and polite. I was contacted within 8hrs of my visit. Thank you for your service.
Alonzo T.
Alonzo T.
23:53 05 Jan 22
Muyyyyyy buena soy una de las primera paciente hace más de 5 años y no voy de hay hasta que dios quiera excelente servicio amabilidad y profecionalismo sigan así
Escarlet C.
Escarlet C.
17:31 05 Jan 22
Great accomodation. Fast and expedient service. Very proffesional.
Jose C.
Jose C.
20:54 03 Jan 22
I had an pleasant experience there . The medical addressed my medical request in an timely manner.
Tyrone M.
Tyrone M.
00:00 28 Dec 21
Great service ! Fast process and no waiting
Fatima S.
Fatima S.
20:47 22 Dec 21
Excellent doctor. Very professional and attentive
Marina Y.
Marina Y.
01:03 22 Dec 21
I’ve been going to Great City Medical for year’s and they are very professional, my Medical and GYN doctors are the best doctors I’ve never had a problem.
Debbie K.
Debbie K.
19:56 15 Dec 21
I thank for finally give my A1C count. I was told I had diabetic in December 2020 at Langone on pine and wall street. I then had a MRI at Corneil Hospital to find out what seizure came back after 15 years while working. I had stress after lost my job. See you January 4 AM hours
Bevelynn T.
Bevelynn T.
15:36 15 Dec 21
La atención de primera recomendado
Martha F.
Martha F.
18:34 09 Nov 21
Came in for immigration medical. Really great staff. They are prompt, proactive and kind!
Aarthi R.
Aarthi R.
23:02 26 Oct 21
They are very welcoming and professional. I can recommend my family and friends.
Bassa N
Bassa N
20:58 14 Oct 21
All the staff members and the doctors are wonderful , competent and kind
Ayne M.
Ayne M.
18:16 14 Oct 21
Front Desk employees are amazing! Very polite, nice and helpful. Dr. Akselrud is the best doctor becausehe LISTENS to all my concert and patiently explains everything to me. Thank you Dr. Akselrud!
Andra T.
Andra T.
21:58 12 Oct 21
Quick, professional and great prices
Jose H.
Jose H.
21:48 12 Oct 21
I was very pleased with this facility. I didn’t have to wait, the nurse and doctor were quite human (vs bureaucratic), and I felt seen and listened to.
Kim P.
Kim P.
17:59 17 Sep 21
Both employees who attended me were very helpful and quick to assist me.
Caro O.
Caro O.
17:26 17 Sep 21
Great City Medical clinic helped me file my green card immigration medical exam form. The team is very knowledgeable and flexible. I scheduled my appointment within one week and got the report quickly. Due to some personal health issues, I had to update my report two days before the interview, and the team helped me correct the form with no extra cost within one day! I really appreciated it and highly recommended having your medical exam report done quickly and professionally with the Great City Medical team.
Hao W.
Hao W.
20:49 16 Sep 21
Very efficient.
Black D.
Black D.
19:12 16 Sep 21
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Doctor in New York City

Looking for a primary care provider in New York City that you can depend on? Make your appointment with the physicians at Great City Medical by calling (212) 281-8600


Working Hours:

Monday 9am – 5pm

Tuesday 9am – 5pm

Wednesday 9am – 5pm

Thursday 9am – 6pm

Friday 9am – 5pm

Address

68 East 131st Street, Suite 100
New York, NY 10037


Call us anytime

Phone: (212) 281-8600
Fax: (212) 281-8601


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Copyright © 2020 Great City Medical. All Rights Reserved.



Copyright © 2020 Great City Medical. All Rights Reserved.