Form I-693, Report of Medical Examination and Vaccination Record
The medical examination and vaccination record required for many adjustment of status applications.
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About Form I-693
Form I-693, Report of Medical Examination and Vaccination Record, documents that an applicant is free of conditions that would make them inadmissible to the United States on health-related grounds. It records a physical examination, mental health screening, tests for certain communicable diseases, and a review of required vaccinations.
The form must be completed and signed by a physician designated by USCIS, known as a civil surgeon, or in some cases by a panel physician. The applicant does not fill out the medical findings themselves. The results are typically placed in a sealed envelope that must remain unopened when submitted to USCIS.
Form I-693 is most often filed together with Form I-485, Application to Register Permanent Residence or Adjust Status, though timing and validity periods are set by USCIS policy. Applicants should confirm the current validity rules before scheduling an examination.
Who needs to complete it
- Applicants filing Form I-485 to adjust status to lawful permanent resident.
- Refugees and asylees completing required medical follow-up after admission.
- Individuals directed by USCIS to establish that they are not inadmissible on health grounds.
- Family-based and employment-based green card applicants inside the United States.
How to fill out Form I-693
- 1Schedule an appointment with a USCIS-designated civil surgeon or an authorized panel physician.
- 2Bring a government-issued photo ID and your vaccination records to the examination.
- 3Complete the applicant identifying information section as instructed before the physician records findings.
- 4Allow the physician to perform the physical exam, mental health screening, and required tests.
- 5Ensure the physician records all required vaccinations or documents valid exemptions.
- 6Confirm the physician signs and dates the report and seals it in the provided envelope.
- 7Keep the envelope sealed and submit it to USCIS as directed, along with any required application.
- 8Review the current USCIS instructions for validity periods and submission timing before filing.
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Frequently asked questions
Who completes Form I-693?
A USCIS-designated civil surgeon completes the medical findings. You provide your identifying information, but you must not complete the clinical sections yourself.
Should I open the sealed envelope?
No. If the physician gives you the completed form in a sealed envelope, keep it sealed. USCIS may reject a report if the envelope has been opened.
Do I file I-693 by itself?
It is usually submitted in connection with Form I-485. Check the current USCIS instructions for whether to file it with your application or bring it to your interview.
How long is the exam valid?
USCIS sets validity periods that can change. Confirm the current policy before scheduling so your report is still valid when USCIS reviews it.