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 received an RFE due to a two-year expired Form I-693 before the temporary extension:
On Aug. 12, USCIS issued guidance in the Policy Manual temporarily extending the validity period of Form I-693, Report of Medical Examination and Vaccination Record. If we sent you a Request for Evidence (RFE) because your I-693 had expired after two years, but it is valid under the temporary extension to four years and you meet the requirements, please respond to the RFE by citing, printing out or otherwise mentioning this policy alert (PDF, 329.89 KB).
Save time – file forms together! When filing an application for adjustment of status (a Green Card), you can submit Form I-693 and Form I-485 at the same time. Doing so may eliminate the need for USCIS to issue a Request for Evidence (RFE) to obtain your Form I-693 and may help us process your application more quickly. Please see When to File information below.
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.
Form Details
Dates are listed in mm/dd/yy format.
After completing your the 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:
- By mail with your Form I-485, Application to Register for Permanent Residence or Adjust Status, to the location specified for your Form I-485 (see Direct Filing Addresses for Form I-485).
- By mail after filing your Form I-485 to the location specified in your most recent communication with USCIS (for example, a Request for Evidence letter from USCIS).
- In person at an interview in a USCIS field office (if an interview is required).
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.
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, Application to Register Permanent Residence or Adjust Status.
However, effective Aug. 12, 2021, USCIS is temporarily extending the validity period for Form I-693 from two years to now four years. For decisions on Form I-485 issued on or before Sept. 30, 2021, USCIS may accept an otherwise valid Form I-693 if:
- The civil surgeon’s signature is dated no more than 60 days before the applicant filed Form I-485;
- No more than four years have passed since the date of the civil surgeon’s signature; and
- A decision on Form I-485 is issued on or before Sept. 30, 2021.
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.
(However, we do not regulate fees charged by civil surgeons for medical examinations. Fees may vary by physician.)
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). NOTE: The 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.
- Immigration Medical Examinations
- USCIS Policy Manual Guidance on Review of Medical Examination Documentation
- Updated Guidance to Civil Surgeons on New Gonorrhea Component for Form I-693
Civil Surgeons
Vaccination
- Vaccination Requirements
- Letter to civil surgeons information on the Form I-693, Report of Medical Examination and Vaccination (PDF, 138.21 KB)
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