Form I-693 is the report that U.S. Citizenship and Immigration Services (USCIS) uses to receive the results of an immigration medical examination and the applicant's vaccination record. Applicants for adjustment of status complete Parts 1 to 4 themselves; a USCIS-designated civil surgeon completes the medical parts and seals the form in an envelope. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF and instructions are published by USCIS.
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What is I-693?
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is the USCIS form on which a designated civil surgeon reports the results of an immigration medical examination and the applicant's vaccinations, to show the applicant is not inadmissible on health-related grounds.
USCIS requires the examination to establish that people seeking immigration benefits are not inadmissible under the health-related grounds listed in Immigration and Nationality Act (INA) section 212(a)(1): communicable diseases of public health significance, lack of proof of required vaccinations, physical or mental disorders with associated harmful behavior, and drug abuse or addiction.
The form has 11 parts. The applicant completes Parts 1 to 4 (information, contact details, interpreter and preparer). The civil surgeon completes Part 5 (identification), Part 6 (summary), Part 7 (certification), Part 8 (worksheet for tuberculosis, syphilis, gonorrhea, Hansen's disease, mental and drug-related findings, and referrals) and Part 10 (Vaccination Record). A health department or other doctor completes Part 9 when a referral is required. Part 11 gives extra space.
Some applicants file only a partial Form I-693: Parts 1 to 5, Part 7 and Part 10. The results are confidential and USCIS uses them primarily for immigration purposes. The vaccination portion also serves as the applicant's vaccination record for later use.
Who needs to file I-693?
Most applicants filing for adjustment of status to become a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Certain other applicants may also be required to submit it. You submit a separate Form I-693 for each applicant.
A partial Form I-693 (Parts 1 to 5, Part 7 and Part 10, the Vaccination Record) applies to these applicants who already had an overseas examination by a panel physician:
- Refugees and derivative asylees, when the panel physician found no Class A condition (derivative asylees must also apply within 1 year of becoming eligible to file).
- K-1, K-2, K-3 and K-4 nonimmigrants who file Form I-485 within one year of the overseas examination, if their vaccination record (DS 3025) was not properly completed.
- Afghan nationals admitted under Operation Allies Welcome, if their vaccination record was not properly completed. A full repeat is not needed if the A-File holds a panel physician exam with no Class A condition, taken no more than 4 years before filing, and nothing suggests a new Class A condition.
If the overseas exam showed a Class A condition, or you may have acquired one after entry, you may need a new examination. Under age 14, a parent or legal guardian may sign for you; a legal guardian may also sign for a mentally incompetent person. Only a USCIS-designated civil surgeon may perform the examination, apart from limited military and health department blanket designations.
When to file I-693
Since December 2, 2024, you must submit Form I-693, or a partial Form I-693 such as the Vaccination Record, together with your Form I-485; otherwise USCIS may reject the Form I-485. Applicants outside adjustment of status with USCIS follow the instructions of the office that requested the examination.
Form I-693 remains valid for two years from the date of the civil surgeon's signature. Do not sign it until the civil surgeon tells you to, and sign in the civil surgeon's presence. The civil surgeon signs Part 7 only after all health-related follow-up requirements are met, so a referral can delay the finished form.
Apart from the COVID-19 vaccine, the instructions advise against getting required vaccines before the civil surgeon evaluates you, in case a vaccine is not medically appropriate for you. Completing the COVID-19 vaccination before your appointment will expedite the examination.
Documents you need
- A valid government-issued photo ID, such as an unexpired passport or driver's license, to show the civil surgeon at your appointment so your identity can be verified.
- For applicants under 14 without photo ID: documents showing name, date and place of birth and parents' full names, such as a birth certificate (with translation if needed) or affidavits.
- Any medical records you have, including vaccination records, brought to the first appointment.
- For applicants required to get the COVID-19 vaccine: documentation of vaccination for the civil surgeon, unless the civil surgeon administers the vaccine.
- A full English translation of any foreign-language document, with the translator's signed certification of completeness, competence, printed name, signing date and contact information.
- The completed Form I-693 in the civil surgeon's sealed envelope, submitted with Form I-485 (the civil surgeon places any supporting documentation required inside it).
- Extra sheets, if you need more space than Part 11 gives: your name and A-Number at the top, the page, part and item number referred to, signed and dated.
How to fill out I-693
Find a designated civil surgeon
Read the instructions, then make an appointment with a USCIS-designated civil surgeon. Use the "Find a Doctor" search on www.uscis.gov, and take your ID and medical and vaccination records.
Enter your name and A-Number
At the top of every page, enter your family name, given name, middle name and A-Number (if any). The civil surgeon checks that they match Part 1.
Complete Part 1, Items 1 and 2
Item 1: your full legal name, with no nickname. Item 2: your current physical address, including an in-care-of name if any, or province, postal code and country for a foreign address.
Complete Part 1, Item 3
Enter sex, date of birth (mm/dd/yyyy), city or town of birth and country of birth. Enter your A-Number in Item E, or "N/A"; enter your USCIS Online Account Number in Item F if you have one.
Mark Item 4 if it applies
Check Item A only if you are eligible for the vaccination record portion only because you completed an overseas exam signed by a panel physician (refugee or derivative asylee under INA section 209, or K nonimmigrant adjusting status).
Add contact details in Part 2
Enter your daytime telephone number, mobile number and email address if any, in Items 1 to 3. Do not sign or date Item 4 yet.
Complete Part 3 if you used an interpreter
The interpreter enters name, business or organization, phone and email, names the language in the certification, then signs and dates in Item 6.
Complete Part 4 if someone prepared it
A preparer other than the applicant enters name, organization and contact details, then signs and dates in Item 6. If one person interpreted and prepared, they complete both Parts 3 and 4.
Let the civil surgeon complete Parts 5 to 10
Sign Part 2 in the civil surgeon's presence when told to. The civil surgeon records your ID in Part 5, results in Parts 6 and 8, the vaccination record in Part 10 and signs Part 7 only after follow-up is finished. A referral doctor completes Part 9.
Use Part 11 for extra space
If any answer needs more room, use Part 11 or a separate sheet with your name, A-Number, page, part and item number, signed and dated.
Review, download and seal
Check that names and A-Numbers match on every page, then download or print the completed PDF from FillingPDF. Sign by hand with the civil surgeon, and keep the form in the sealed envelope the civil surgeon gives you.
How to submit I-693
You submit Form I-693 yourself with your adjustment application, by mail or online; the civil surgeon does not send it for you.
- By mail: Put the sealed envelope you received from the civil surgeon in the Form I-485 package and send it to the location listed for your Form I-485 in its Direct Filing Addresses. Do not accept the form unless it is in a sealed envelope. USCIS returns a form whose envelope is unsealed, opened or altered.
- Online: If you file Form I-485 online, open the sealed envelope and upload the completed Form I-693 with your Form I-485 package. Keep the original form and the envelope until USCIS makes a final decision, because USCIS may ask for them as evidence or review them at an interview.
- Other applicants: Follow the application's instructions or those of the office that requested the examination. The USCIS Contact Center (www.uscis.gov/contactcenter, 1-800-375-5283, TTY 1-800-767-1833) can say where to file.
USCIS accepts a photocopy, fax or scan of the original with a handwritten ink signature for filing purposes. Stamped or typewritten names are not accepted. A filing fee is addressed in Form G-1055 and on the USCIS Fee Schedule page; the civil surgeon sets the fee for the examination itself and you pay the civil surgeon directly. Do not mail the form to the Paperwork Reduction Act address in Camp Springs, MD. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Signing Part 2 before the civil surgeon tells you to, or outside the civil surgeon's presence; the form says not to sign or date until instructed.
- Accepting the form from the civil surgeon without a sealed envelope; USCIS will not accept a form in an envelope that is unsealed, opened or altered.
- Using a doctor who is not a currently designated civil surgeon, other than a limited military or health department blanket designation; USCIS will not accept the form.
- Submitting a stamped or typewritten name instead of a signature; for most signatures USCIS does not accept it, and an unsigned form is rejected.
- Leaving the name and A-Number off the top of any page; the civil surgeon checks that they match Part 1.
- Writing a nickname in Item 1 of Part 1 instead of your full legal name.
- Printing only some pages or mixing editions; if pages are missing or from a different edition, USCIS may reject the form.
- Filing Form I-485 without the required Form I-693 or partial Form I-693; USCIS may reject the Form I-485.
- Getting vaccines before the civil surgeon's evaluation, apart from COVID-19, when a vaccine may not be medically appropriate.
Frequently asked questions
What is Form I-693 used for?
Form I-693 reports the results of your immigration medical examination and vaccination record to USCIS. USCIS uses it to confirm that applicants seeking immigration benefits, such as adjustment of status, are not inadmissible on health-related grounds under INA section 212(a)(1).
Who needs to submit Form I-693?
Most applicants filing Form I-485 for adjustment of status must submit it, completed by a designated civil surgeon. Certain refugees, derivative asylees, K nonimmigrants and Afghan nationals under Operation Allies Welcome who had an overseas exam may file only a partial form.
Can I fill out Form I-693 online?
You can complete the PDF online on FillingPDF and download or print it. The civil surgeon must still complete the medical parts, and you sign in the civil surgeon's presence. FillingPDF does not file the form; you submit it to USCIS yourself.
How long is Form I-693 valid?
Form I-693 remains valid for two years from the date of the civil surgeon's signature. The civil surgeon signs only after the exam and any required follow-up are complete, so the date reflects the finished form.
Can any doctor complete Form I-693?
No. Only a doctor designated by USCIS as a civil surgeon may perform the exam, apart from limited military and health department blanket designations. USCIS will not accept a form completed by a doctor who is not currently designated.
Why does the civil surgeon give me a sealed envelope?
USCIS will not accept Form I-693 unless it is in a sealed envelope that has not been opened or altered. You submit the envelope, not the civil surgeon. If you file Form I-485 online, you open it to upload the form and keep the original and envelope.
Who pays for the immigration medical examination?
You do. The applicant pays all costs of the exam, including required follow-up tests or treatment, directly to the civil surgeon or other provider. Civil surgeons set their own fees, so they vary; check Form G-1055 for any USCIS filing fee.
Can someone else sign Form I-693 for me?
Only in limited cases. A parent or legal guardian may sign for an applicant under 14, and a legal guardian may sign for a mentally incompetent person. USCIS does not accept a stamped or typewritten name, and rejects unsigned forms.
What happens if I file Form I-485 without Form I-693?
USCIS may reject your Form I-485. Since December 2, 2024, you must submit Form I-693, or a partial Form I-693 such as the Vaccination Record, together with the Form I-485.
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