I-693, Report of Medical Examination and Vaccination Record

ALERT: Effective Oct. 1, 2021, applicants subject to the immigration medical examination must complete the COVID-19 vaccine series and provide documentation of vaccination to the civil surgeon in person before the civil surgeon can complete an immigration medical examination and sign Form I-693, Report of Medical Examination and Vaccination Record. This guidance applies prospectively to Form I-693 signed by civil surgeons on or after Oct. 1, 2021. Read our web alert for more information: COVID-19 Vaccination Required for Immigration Medical Examinations.

If you are applying for adjustment status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on public health grounds.

A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act. For more information on the validity of Form I-693, see the USCIS Policy Manual Volume 8, Part B, Chapter 4.

Forms and Document Downloads

Form Details

Edition Date

09/13/21. Medical examinations signed by the civil surgeon Oct. 1, 2021, or later must use the 09/13/21 edition. We will continue to accept prior editions for medical examinations signed by the civil surgeon before Oct. 1, 2021. You can find the edition date at the bottom of the page on the form and instructions.

Dates are listed in mm/dd/yy format.

Where to File

After completing your medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.

You (not the civil surgeon) must submit your Form I-693 to USCIS. If you are applying for adjustment of status, you may submit Form I-693:

Other applicants: Follow the instructions on or included with the application, or the instructions given to you by the office requesting the medical examination.

Don’t forget to sign your form. We will reject any unsigned form.

When to File

Save time by filing Form I-693, Report of Medical Examination and Vaccination Record, with Form I-485, Application to Register Permanent Residence or Adjust Status. USCIS generally considers a completed Form I-693 to retain its evidentiary value for two years after the date the civil surgeon signed Form I-693, as long as the date of the civil surgeon’s signature is no more than 60 days before the applicant filed Form I-485.

You are not required to file the Form I-693 at the same time you file Form I-485, and many applicants bring their completed Form I-693 to their interview. However, some applications may not require an interview. USCIS makes decisions to waive interviews on a case-by-case basis.

Filing Form I-485 and Form I-693 at the same time may eliminate the need for us to issue an RFE to obtain your Form I-693. This may also help avoid adjudication delays if we decide that you do not need to be interviewed.

Filing Fee

(However, we do not regulate fees charged by civil surgeons for medical examinations. Fees may vary by physician.)

Special Instructions

To ensure your medical examination results are still valid when we adjudicate your associated benefit application, you should schedule the medical examination as close as possible to the time you file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable).

Your Form I-693 must be dated no earlier than 60 days before you filed your underlying application.

Be sure to provide enough time for any laboratory testing or additional testing required under CDC's technical instructions.

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