Civil Surgeons: How to Report Gonorrhea Screening Results on Form I-693

Effective Aug. 1, 2016, the Centers for Disease Control and Prevention (CDC) issued new Technical Instructions that require gonorrhea testing for most adjustment of status applicants 15 years of age and older who are required to have a full medical examination when they file Form I-485, Application to Register Permanent Residence or Adjust Status.

If the applicant’s Form I-693, Report of Medical Examination and Vaccination Record, was completed before Aug. 1, 2016, they do not need to report results of such testing, and officers should not issue a Request for Evidence. A Form I-693 is considered completed on the date the civil surgeon signs the form’s certification statement. (See USCIS Policy Manual Volume 8--Admissibility, Part B. Health-Related Grounds of Inadmissibility, Chapter 4--Review of Medical Documentation, C.--Documentation Completed by Civil Surgeon, 3.--Signatures.) 

Who Must Be Tested for Gonorrhea

While most adjustment of status applicants 15 years of age and older must be tested for gonorrhea, certain applicants are exempt from having to submit a full medical examination and do not need to be tested. (See USCIS Policy Manual Volume 8--Admissibility, Part B. Health-Related Grounds of Inadmissibility, Chapter 3—Applicability of Medical Examination Vaccination Requirements, A. Requirements by Benefit Type.)

The following applicants may submit Form I-693 with only a completed Vaccination Record (and the information/signature sections for the applicant and civil surgeons), provided they had a medical examination abroad in which the panel physician did not identify a Class A condition:  

  • Refugees.
  • Derivative asylees who file an adjustment application within one year of becoming eligible to file.
  • K and V nonimmigrants who file an adjustment application within one year of the medical examination abroad.

The chart below summarizes who must be tested and who does not.

If the applicant…

And the applicant is…

Does the applicant need to be tested for gonorrhea?

Is required to receive a full medical examination

15 years of age or older

Yes

Younger than 15 years of age

Only if there is a history of gonorrhea or reason to suspect an infection with gonorrhea.

Is NOT required to receive a full medical examination

Any age

No

How Do Civil Surgeons Complete Form I-693 to Report Gonorrhea Testing Results?

Civil surgeons report the results of gonorrhea testing in Part 7, Section C of Form I-693 (version date of Feb. 7, 2017, with expiration date of Feb. 28, 2019). 

CDC Rescinds Requirement for Documentation of Gonorrhea Testing

When the CDC issued the Technical Instructions requiring inclusion of gonorrhea testing results in Forms I-693 completed on or after Aug. 1, 2016, it also required civil surgeons to attach all medical documentation such as laboratory reports to the Form I-693, regardless of whether the test results were negative or positive. However, on March 15, 2017, the CDC updated the Technical Instructions to say laboratory reports and other medical documentation do not need to be included with Form I-693. This removal of the documentation requirement applies both prospectively and retroactively, as well as to both the new and previous versions of Form I-693.

As a result of the updated Gonorrhea TIs, USCIS may adjudicate an adjustment application using an otherwise properly filed and completed Form I-693, regardless of whether or not the civil surgeon attached documentation of gonorrhea testing results.

If You Need More Information

Civil surgeons who have medical questions about the new gonorrhea screening requirements should contact CDC directly at www.cdc.gov/info.

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ADDITIONAL INFORMATION

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