
USCIS civil surgeon · Schenectady, NY
I-693 exams — done right the first time.
Dr. Nosa Lebarty, MD is designated by U.S. Citizenship and Immigration Services as a civil surgeon, qualified to perform the Form I-693 medical examination for adjustment-of-status applicants. Most exams are completed in a single visit, with the required vaccinations available on site.

Overview
The immigration medical exam, made simple.
If you are applying to adjust your immigration status, USCIS requires a medical examination — Form I-693 — completed by a physician it has specifically designated as a civil surgeon. Dr. Lebarty holds that designation, so your exam is performed and certified by a physician USCIS already recognizes.
The exam reviews your medical history, checks for conditions of public-health concern, includes tuberculosis screening, and confirms your vaccination record. When vaccinations are missing, they are given on site during the same appointment — there is no need to track down a second clinic or a separate visit.
When the exam is complete, Dr. Lebarty fills out Form I-693 correctly and seals it in the official envelope required by USCIS. You leave with that sealed envelope to submit with your application — the most common reason these forms are rejected is a paperwork error, and that is exactly what careful, experienced completion prevents.
What to expect
What the I-693 exam includes.
How it works
Simple, from first call to follow-up.
Book your exam
Call or book online. We will tell you what to bring — photo ID, your vaccination records, and any relevant medical history.
Complete the visit
Dr. Lebarty reviews your history, performs the exam and TB screening, and provides any vaccinations you still need.
Take the sealed form
Form I-693 is completed and sealed in the official USCIS envelope. You leave ready to submit it with your application.
Common questions
Good to know.
What is a civil surgeon?
A civil surgeon is a physician specifically designated by U.S. Citizenship and Immigration Services to perform the I-693 immigration medical examination. Dr. Lebarty holds that designation.
What should I bring to my exam?
Bring a government-issued photo ID and your vaccination records. If you have a history of tuberculosis or other relevant conditions, bring those records too. The office will confirm the full list when you book.
Can I get my vaccinations during the same visit?
Yes. Any required vaccinations you are missing can be given on site during the exam, so you do not need a separate appointment elsewhere.
Will the form be ready the same day?
In most cases, yes. Form I-693 is completed and sealed in the official USCIS envelope during your visit. If a test result needs to come back first, the office will let you know.
Should I open the sealed envelope?
No. The completed Form I-693 must reach USCIS in the sealed envelope. Opening it can invalidate the form — submit it to USCIS unopened.
More care
Related services.
Ready to be seen?
Same-week appointments for new patients, with telehealth available most weekday evenings.