Sean and Kristina

Intent is determined when seeking entry to the US.

Maybe someone else can chime in here, but you didn't initially obtain your F-1 visa with a preconceived intention to immigrate. But, I see why you think there may be a problem. Hopefully someone who knows the laws surrounding this or went through this themselves can comment.

Please remove if this has already been posted. Today I got to meet an uscis officer from the San Antonio office who came to fort hood where my husband is stationed. While talking with him, he mentioned that there's a policy that allows Military members and their dependents to have their I693 completed by their military doctors FREE of charge. He gave me a copy of the policy and told me to spread the news. I got the link posted below on uscis.gov using the policy memo number PM-602-0074.
http://www.uscis.gov/sites/default/files/USCIS/Outreach/Feedback%20Opportunities/Interim%20Guidance%20for%20Comment/MilitaryPhysicians-PM.pdf

Hi S&K ,
I personally paid way less than 400$ for mine and took 3 days to get the sealed letter along with your copy of test results .
My physical exam was 215 dollars btw .
Good luck guys

Well I don't have health insurance because I'm adjusting from B2 visa and they wanted to charge my husband 10 times more to add me without SSN but if you have US health insurance I believe it will help you, because the clinics have there own docs. To fill and they ask what is your health insurance and primary physician if applicable.So if you have health insurance it wouldn't harm to ask. Who knows maybe you will pay less!

I think if you visit the USCIS.gov webpage and write 1-693 doctors you will have a page that have all the approve clinics to do the medical exam. I did it that way, I wrote down all the clinics names near to my area and I called them by phone because they all have different prices, also make sure you have your vaccines card because depending on your age they do the X Ray, I didn't got the X Ray but they gave me some shots. One clinic wanted to charge me 550 and in the one I got it done charged me $400. But it took 7 days to get the sealed envelope.
Hope this can help you.

You can start by having a bona-fide marriage that you entered into in good faith: not to "stay in the country."
All I read here is that you want to stay in the USA and you want work authorisation. Everything you write about is immigration benefits - nothing you've written about is for a legitimate marriage.
Concerned this is getting very, very close to visa fraud.