Immigration Medical Exam in Orlando: Complete Guide to USCIS Form I-693 and Choosing a USCIS Civil Surgeon

If you are applying for a Green Card or adjustment of status in the United States, you may need a USCIS immigration medical examination and Form I-693 completed by a USCIS-designated Civil Surgeon.
Choosing the right immigration doctor is important because an immigration medical examination is more than a routine physical. The Civil Surgeon must follow specific USCIS and CDC requirements, review vaccination documentation, perform the required medical examination and testing, and properly complete the current Form I-693.
For applicants in Orlando and throughout Central Florida, Dr. Olga Aleksandrova, MD, at Maho Health provides physician-led immigration medical examinations and USCIS Form I-693 services.
Patients also travel to Maho Health from throughout Florida and from other states, including New York, Texas and Georgia, because they value personalized physician care, careful attention to immigration medical documentation and convenient communication with the medical team.
What Is an Immigration Medical Exam?
A USCIS immigration medical examination is a medical evaluation required for certain immigration applicants. The examination is performed by a physician designated by U.S. Citizenship and Immigration Services (USCIS) as a Civil Surgeon.
The purpose of the examination is to evaluate specific health-related requirements associated with immigration to the United States.
An immigration medical examination is different from a routine annual physical. It follows specific requirements regarding medical history, physical examination, vaccination documentation and laboratory testing.
The results of the examination are documented on Form I-693, Report of Immigration Medical Examination and Vaccination Record.
Who Needs Form I-693?
Form I-693 may be required for certain applicants seeking adjustment of status to lawful permanent resident in the United States.
Whether an applicant needs Form I-693 and when it should be submitted can depend on the applicant's individual immigration situation and current USCIS requirements.
A USCIS Civil Surgeon handles the medical examination and completion of the medical form. An immigration attorney can provide legal advice about an applicant's immigration case, including when and how the completed medical examination should be submitted to USCIS.
What Is a USCIS Civil Surgeon?
A USCIS Civil Surgeon is a physician authorized by USCIS to perform immigration medical examinations in the United States.
Civil Surgeons follow applicable USCIS and CDC requirements when performing immigration medical examinations and completing Form I-693.
When choosing an immigration doctor in Orlando, applicants should consider whether the physician:
Is currently designated as a USCIS Civil Surgeon
Has experience with Form I-693 examinations
Carefully reviews vaccination records
Understands age-specific testing requirements
Performs the required medical examination
Properly documents laboratory results
Understands Class A and Class B medical classifications
Clearly explains what the patient needs to complete the examination
Provides professional communication throughout the process
Dr. Olga Aleksandrova, MD — USCIS Civil Surgeon in Orlando
Dr. Olga Aleksandrova, MD, is a physician at Maho Health in Orlando, Florida, and a USCIS-designated Civil Surgeon who performs immigration medical examinations and completes Form I-693.
Maho Health provides a physician-led approach to immigration medical examinations. Patients receive medical evaluation and guidance regarding vaccination documentation, laboratory testing and completion of the immigration medical documentation.
Dr. Aleksandrova's background in Internal Medicine also allows patients to have their immigration medical examination performed in a physician-led medical practice rather than treating the process simply as paperwork.
Why Choose Dr. Olga Aleksandrova for Your Immigration Medical Exam?
Choosing a Civil Surgeon is an important decision. Patients often want more than a form completed. They want a physician who understands the importance of accurate documentation, clear communication and careful review of their medical information.
Physician-Led Immigration Medical Care
At Maho Health, immigration medical examinations are performed by Dr. Olga Aleksandrova, MD, a USCIS-designated Civil Surgeon.
Dr. Aleksandrova reviews vaccination records, medical history, laboratory requirements and other information relevant to the immigration medical examination.
The goal is to provide every patient with the same level of professional, respectful and attentive medical care.
Close Communication With Immigration Attorneys
Dr. Aleksandrova works closely with immigration attorneys who assist clients with immigration cases.
When appropriate, immigration attorneys can contact Dr. Aleksandrova to discuss medical-examination questions or documentation issues related to their clients' cases, subject to applicable privacy requirements and appropriate patient authorization when required.
This can be especially helpful when an attorney needs clarification regarding the medical examination, Form I-693 documentation, vaccination records, laboratory findings or other medical matters relevant to the immigration process.
Maho Health's goal is to make communication between the patient, medical provider and immigration legal team as clear as possible when coordination is appropriate.
Patients Travel to Maho Health From Across the United States
Although Maho Health is located in Orlando, patients have traveled to the practice for immigration medical services from outside Central Florida and from other states, including New York, Texas and Georgia.
Patients also come from distant areas throughout Florida.
Traveling patients may choose Maho Health because they value physician-led care, careful attention to their immigration medical documentation and a practice that understands the importance of the I-693 process.
For patients traveling from a distance, our goal is to make the process as organized and efficient as possible by explaining what documentation should be brought to the appointment and what may be required.
Multilingual Patient Care
Immigration medical examinations can be stressful, particularly when medical and immigration terminology is unfamiliar.
Maho Health provides multilingual patient care, including English, Spanish and Portuguese.
Clear communication can help patients better understand vaccination documentation, laboratory testing, examination requirements and next steps.
Multilingual Immigration Medical Care

At Maho Health, we understand that immigration medical examinations can be stressful when important medical and immigration information is difficult to understand in English. Language should never be a barrier to receiving clear, respectful medical care.
Our office can accommodate patients who speak many different languages through multilingual translation support. Professional or appropriate translator assistance may be arranged when needed so patients can understand the examination process, medical questions, vaccination requirements, laboratory testing, and Form I-693 instructions.
Languages that can be accommodated may include:
English
Spanish
Portuguese
Russian
Ukrainian
French
Haitian Creole
Arabic
Chinese (Mandarin and Cantonese)
Vietnamese
Korean
Hindi
Farsi/Persian
Turkish
Romanian
Polish
German
Italian
Greek
Hebrew
Japanese
Other languages upon request
Because translator availability can vary, patients who need language assistance should let our office know when scheduling their immigration medical examination so we can make appropriate arrangements.
Every patient deserves the same level of professional, respectful, and attentive care regardless of nationality, language, immigration background, or where they live.
What Happens During an Immigration Medical Exam?
The exact examination process depends on the applicant's age, medical history, vaccination history and applicable immigration requirements.
The appointment generally involves several components.
1. Medical History
The Civil Surgeon reviews relevant medical history and information required for the immigration medical examination.
Patients should provide accurate information and bring relevant medical documentation whenever available.
2. Physical Examination
The Civil Surgeon performs the physical examination required for the immigration medical evaluation.
The examination is performed according to the applicable immigration medical examination requirements.
3. Vaccination Record Review
Vaccination documentation is an important component of the immigration medical examination.
Patients should bring all available vaccination records, including records from childhood, previous physicians, schools, pharmacies and other countries.
If documentation is incomplete, the Civil Surgeon can determine what additional documentation, vaccination or laboratory evidence may be appropriate under current requirements.
4. Required Laboratory Testing
Certain laboratory tests are required depending on the applicant's age and circumstances.
Maho Health coordinates the immigration medical examination and required testing so patients understand what is needed to complete their medical documentation.
5. Medical Classification and Documentation
The Civil Surgeon evaluates medical findings according to applicable immigration medical examination requirements.
When a potentially relevant medical condition or laboratory finding is identified, the Civil Surgeon determines the appropriate documentation and classification according to the applicable requirements.
6. Completion of Form I-693
After the required components of the examination are completed, the Civil Surgeon completes the applicable portions of Form I-693.
Patients receive instructions regarding the completed immigration medical documentation and how it should be handled for their immigration case.
What Should I Bring to My Immigration Medical Exam?
Applicants should bring as much relevant documentation as possible.
Recommended items include:
Government-issued identification
Passport, when available
Vaccination records
Childhood vaccination records
Vaccination records from other countries
Previous U.S. vaccination records
Laboratory or immunity records
Relevant medical records when applicable
Information about current medications
Documentation from previous immigration medical examinations, when applicable
Other immigration-related medical documentation when relevant
Complete vaccination documentation can help make the examination process more efficient.
What If I Don't Have My Vaccination Records?
This is one of the most common concerns among immigration applicants.
Do not assume that you automatically need to repeat every vaccination because you cannot immediately locate a record.
Bring whatever documentation you have to your appointment.
The Civil Surgeon can review the available information and determine what additional documentation, vaccination or laboratory evidence may be appropriate under current requirements.
Can Vaccine Titers Be Used for an Immigration Medical Exam?
In certain circumstances, laboratory evidence of immunity may be relevant to vaccination requirements.
However, not every antibody test or laboratory result automatically satisfies an immigration vaccination requirement.
The Civil Surgeon should determine whether existing laboratory documentation is acceptable for the immigration medical examination.
Patients should bring any previous vaccine records and laboratory results to their appointment.
What Happens If an Immigration Medical Test Is Positive?
A positive laboratory result does not necessarily mean that an applicant cannot complete the immigration medical examination.
The significance of a result depends on the specific condition, the applicant's history, the applicable USCIS and CDC requirements and whether additional evaluation or treatment is necessary.
The Civil Surgeon evaluates the finding and follows the applicable requirements for documentation and classification.
Class A and Class B Conditions on Form I-693
Immigration medical examinations use specific classifications for certain medical findings.
A Class A condition can have significant immigration consequences under applicable regulations and may require specific action.
A Class B condition is a physical or mental health abnormality, disease or disability that is significant enough to be relevant to the immigration medical examination but does not meet the criteria for a Class A condition.
Not every medical diagnosis results in a Class A or Class B classification.
If a potentially relevant condition is identified, the Civil Surgeon follows applicable USCIS and CDC requirements.
Immigration Medical Exams for Children
Children can have different immigration medical examination and vaccination requirements depending on their age.
Parents or guardians should bring all available vaccination records for children, including records from pediatricians, schools, previous physicians and other countries.
The Civil Surgeon determines the applicable requirements based on the child's age, medical history and current immigration medical examination requirements.
Can I Use Insurance for Blood Work and Vaccines at Maho Health?

Yes. Maho Health accepts insurance for eligible blood work and vaccines.
Patients who have health insurance and want to use their insurance benefits can provide their insurance information for eligible laboratory testing and vaccinations.
Coverage depends on the patient's individual insurance plan, benefits, deductibles, copays, coinsurance and medical-necessity requirements.
Insurance acceptance does not guarantee that a particular service will be covered or paid by the insurance company.
Patients should bring their insurance information to the appointment so the appropriate billing options can be discussed.
Why Is This Helpful for Immigration Medical Exam Patients?
Laboratory testing and vaccinations can represent additional costs during the immigration medical examination process.
For patients who prefer to use their existing insurance benefits, having the option to use insurance for eligible blood work and vaccines can make the overall process more convenient and potentially reduce eligible out-of-pocket expenses.
Maho Health provides this option while also helping patients understand which services are part of the immigration medical examination and which services may be billed separately.
Can I Get an Immigration Medical Exam Without Insurance?
Yes.
Patients without health insurance can schedule an immigration medical examination as self-pay patients.
The total cost may include the Civil Surgeon examination as well as laboratory testing, vaccinations or other services that may be required.
Patients should ask about current pricing and what is included before their appointment.
How Much Does an Immigration Medical Exam Cost in Orlando?

The cost of an immigration medical examination varies depending on the services required.
Potential costs may include:
Civil Surgeon examination
Required laboratory testing
Vaccinations
Additional medical testing when medically necessary
Other services required to complete the examination
Insurance may be used for eligible blood work and vaccines when covered by the patient's plan.
Patients should contact Maho Health for current pricing and information about what is included in the immigration medical examination.
How Long Does an Immigration Medical Exam Take?

Appointment times can vary depending on:
Patient age
Vaccination history
Availability of records
Required laboratory testing
Medical history
Whether additional documentation is needed
Patients with complete vaccination records may have a more straightforward process than applicants who arrive without documentation.
Maho Health can explain the expected process when scheduling an immigration medical examination.
Common Immigration Medical Exam Mistakes to Avoid

Not Bringing Vaccination Records
Bring every vaccination record you can locate, including records from outside the United States.
Assuming Every Vaccine Must Be Repeated
Do not automatically repeat vaccinations without having your records reviewed by the Civil Surgeon.
Waiting Until the Last Minute
Some applicants may need additional vaccination, laboratory testing or documentation.
Scheduling early can provide more time to address missing requirements.
Choosing a Doctor Who Is Not a Civil Surgeon
A regular primary-care physician is not automatically authorized to complete Form I-693.
The physician must be designated by USCIS as a Civil Surgeon with a Civil Surgeon designation number.
How to Choose the Best Immigration Doctor in Orlando

There is no single immigration doctor who is objectively the best choice for every applicant.
Instead, applicants should compare Civil Surgeons based on the factors that matter to them.
Verify USCIS Civil Surgeon Designation
Confirm that the physician is currently designated by USCIS as a Civil Surgeon. At Maho Health. Dr. Olga Aleksandrova is a Designated by USCIS as a Civil Surgeon.
Consider Physician Credentials
Look for a physician who is appropriately licensed and experienced in performing immigration medical examinations.
Look at Patient Reviews
Consider both the overall rating and the number and recency of patient reviews.
Consider I-693 Experience
A practice that regularly performs immigration medical examinations may be familiar with common vaccination, laboratory and documentation questions.
Consider Location and Appointment Availability
For applicants with deadlines, location and appointment availability can be important considerations.
Why Patients Choose Maho Health in Orlando

Maho Health combines several features that can be important to immigration medical exam patients:
USCIS-designated Civil Surgeon
Physician-led immigration medical examinations
Dr. Olga Aleksandrova, MD
Internal Medicine physician background
Form I-693 services
Vaccination record review
Required laboratory testing
Insurance accepted for eligible blood work and vaccines
Multilingual patient care
Convenient Orlando location
Communication with immigration attorneys when appropriate
Patients traveling from throughout Florida
Patients traveling from other states, including New York, Texas and Georgia
Personalized and respectful care for every patient
Our goal is not simply to complete a form. Our goal is to provide a professional, organized and respectful immigration medical examination experience for every patient.
Immigration Medical Exam Near Orlando, Windermere, Winter Garden and Central Florida

Maho Health is located at:
Maho Health7491 Conroy Windermere Rd, Suite COrlando, FL 32835Phone: (407) 717-4400
The clinic serves patients from Orlando and surrounding Central Florida communities, including:
Orlando
Windermere
Winter Garden
Dr. Phillips
Winter Park
Kissimmee
Sanford
Lakeland
And other communities throughout Central Florida
Patients who live farther away may also choose to travel to Maho Health for their immigration medical examination.
Frequently Asked Questions About Immigration Medical Exams in Orlando

Where can I get an immigration medical exam in Orlando?
Immigration medical examinations must be performed by a USCIS-designated Civil Surgeon. Maho Health in Orlando provides USCIS immigration medical examinations and Form I-693 services with Dr. Olga Aleksandrova, MD.
Who is a USCIS Civil Surgeon in Orlando?
A USCIS Civil Surgeon is a physician designated by USCIS to perform immigration medical examinations. Dr. Olga Aleksandrova, MD, is a USCIS-designated Civil Surgeon practicing at Maho Health in Orlando.
Does Maho Health complete Form I-693?
Yes. Maho Health provides immigration medical examinations associated with USCIS Form I-693.
Does Maho Health accept insurance?
Maho Health accepts insurance for eligible blood work and vaccines. Coverage depends on the patient's individual insurance plan and benefits.
Do I need vaccination records?
You should bring all vaccination records available to you. The Civil Surgeon reviews the documentation and determines what is required based on your age and circumstances.
What if I lost my vaccination records?
Bring whatever records you have. The Civil Surgeon can review the available documentation and determine what additional evidence or vaccination may be appropriate.
Can I use vaccine titers?
In certain circumstances, laboratory evidence of immunity may be relevant. The Civil Surgeon determines whether the available laboratory documentation meets the applicable requirements.
Do children need an immigration medical exam?
Children may require an immigration medical examination depending on their immigration situation. Vaccination requirements are based on age and applicable requirements.
Do I need a TB test?
TB screening and testing requirements depend on the applicant's age and current immigration medical examination requirements.
Is syphilis testing required?
Testing requirements depend on the applicant's age and current immigration medical examination requirements.
Is gonorrhea testing required?
Gonorrhea testing requirements depend on age and the current immigration medical examination requirements.
Can I get my vaccines somewhere else?
Vaccinations may be obtained from another qualified healthcare provider or pharmacy when appropriate. Bring documentation of vaccinations received elsewhere to your Civil Surgeon appointment.
Can my immigration attorney speak with the doctor?
When appropriate and with the necessary patient authorization, immigration attorneys can communicate with Dr. Aleksandrova regarding medical-examination questions or documentation issues related to their clients' cases.
Do patients travel to Maho Health from outside Orlando?
Yes. Although Maho Health is located in Orlando, patients travel to the practice from throughout Florida and from other states, including New York, Texas and Georgia.
What languages are available?
Our office can accommodate patients who speak many different languages through multilingual translation support. Maho Health provides multilingual patient care, including English, Russian, Ukrainian, Spanish, French and Portuguese, Arabic, Haitian Creole
Where is Maho Health located?
Maho Health is located at 7491 Conroy Windermere Rd, Suite C, Orlando, FL 32835.
Schedule an Immigration Medical Exam With a USCIS Civil Surgeon in Orlando
If you need a USCIS immigration medical examination or Form I-693, Maho Health provides physician-led immigration medical services in Orlando with Dr. Olga Aleksandrova, MD, a USCIS-designated Civil Surgeon.
Whether you live in Orlando, elsewhere in Florida or are traveling from another state, our goal is to provide the same level of professional, respectful and attentive care to every patient.
Before your appointment, gather your vaccination records and other relevant medical documentation so the Civil Surgeon can determine what is needed to complete your immigration medical examination.
Dr. Olga Aleksandrova, MD
USCIS Civil Surgeon Maho Health
7491 Conroy Windermere Rd, Suite C
Orlando, FL 32835
Phone: (407) 717-4400
Contact Maho Health to ask about current appointment availability, immigration medical examination requirements, Form I-693, laboratory testing, vaccination documentation, insurance options and current pricing.


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