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Questions & Answers: Changes to the Tuberculosis and Vaccination Requirements Required for Adjustment of Status
Q: What are the new requirements for tuberculosis (TB) testing and treatment?
Detailed information on the new requirements are available in the Department of Health and Human Services, Centers for Disease Control and Prevention¿s (CDC) document, Tuberculosis Component of the Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. A link to this document, along with a memo outlining the changes to the TB testing requirements and frequently asked questions, is available in the related links section of this page.
Date of Medical Exam
Do I have to submit the revised Form I-693?
Does the medical exam have to be done in accordance with the new TB requirements?
Do I have to receive the new vaccines (if age appropriate?)
Before June 1, 2008
June 1 ¿ July 31, 2008
Yes Edition dates 4/2/08 and 6/5/08 are acceptable
On or after Aug. 1, 2008
Yes - must submit Edition date 6/5/08
Civil Surgeon Questions
Q: Form I-693 now states patients who require a chest X-ray must include the copy of the X-ray report with the I-693 packet. What type of X-ray report is acceptable?
USCIS will only accept a full and formal radiologist¿s chest X-ray report, whether a copy or an original, signed by the radiologist and on official hospital or medical office letterhead. USCIS cannot accept any preliminary or incomplete evaluation, whether handwritten or not, that does not describe the full evaluation or findings. In most cases, the civil surgeon will have to wait a day or two before this report has been sent by the reviewing medical office and can therefore not sign off on the Form I-693 until this report has been received.
Q: Both the CDC and USCIS have revised their requirements for medical referrals, as notated on Form I-693. In what instances must the referral section in Part 3 be completed?
Only complete Part 3, Referral to Health Department or Other Doctor / Facility, if the referral was required, such as when a Class A condition is suspected and needs further evaluation. Do not complete Part 3 if the referral was merely recommended by the CDC. Instead notate the (recommended but not required) referral in the Remarks box under that particular disease or disorder. This will help alleviate the possibility of USCIS rejecting the Form I-693 due to an erroneous assumption that a follow-up evaluation was needed before completion of the form.
Q: How can I contact USCIS for more information?
Applicants for adjustment of status may call the USCIS National Customer Service Center at 1-800-375-5283 (TTY 1-800-767-1833). Civil surgeons should contact their civil surgeon coordinator at the USCIS field or district office where they obtained their civil surgeon designation.