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In this video, Casania welcomes viewers and introduces her channel, focusing on the family-based immigration process. She clarifies that she is not an immigration attorney, and her content is based on publicly available information and personal experiences. The purpose of her channel is to empower viewers to navigate the immigration process independently. She discusses the timing of submitting the medical exam for those applying for adjustment of status within the U.S. Unlike the consular process, which involves direct submission of the 693 form to immigration before the Green Card interview, the timeline for those adjusting status is more nuanced and requires careful consideration.