I-693, Report of Medical Examination and Vaccination Record

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.

Number of Pages

Form 14; instructions 12.

Edition Date

07/15/19. Starting 09/23/19, we will only accept the 07/15/19 edition. Until then, you can use the 10/19/17 edition. You can find the edition date at the bottom of the page on the form and instructions.

Where to File

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.

Filing Fee

$0. (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).  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.

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