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USCISImmigration Status

Official form guide

Form I-693: Report of Immigration Medical Examination and Vaccination Record

Form I-693, Report of Immigration Medical Examination and Vaccination Record, is completed by a USCIS-designated civil surgeon after a medical exam. It is submitted with an immigration application that requires proof of medical admissibility.

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Form Overview

USCIS Form I-693 - Report of Immigration Medical Examination and Vaccination Record

Form I-693, Report of Immigration Medical Examination and Vaccination Record, is completed by a USCIS-designated civil surgeon after a medical exam. It is submitted with an immigration application that requires proof of medical admissibility.

It captures the civil surgeon’s findings, vaccination history, lab results, and any required follow‑up treatment.

Risk Radar

Scan points
  • 1If the sealed envelope provided by the civil surgeon is opened or the seal is tampered with, USCIS will reject the form, forcing you to pay for a new medical examination.
  • 2Submitting an unsealed or tampered envelope.
  • 3Using a doctor who is not currently authorized by USCIS.
  • 4Missing required vaccination records leading to unnecessary re-vaccination.
  • 5Filing an outdated edition of the I-693 form.

Plain English

Form I-693 is the official Report of Immigration Medical Examination and Vaccination Record. It is used by a USCIS-designated civil surgeon to document that you meet the health-related requirements for permanent residence (Green Card) or other immigration benefits. The form confirms you have undergone the necessary medical screenings and vaccinations required by U.S. law.

Submission Date

  • Filing date: Submit the sealed I-693 at the same time as the primary immigration petition, unless USCIS requests it later in the process.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

examinationdocumentmedicalhealth

Hover a term to preview the meaning.

What this form is for

  • Required for applicants filing Form I-485 for Adjustment of Status.
  • Used to document compliance with vaccination requirements for U.S. immigration.
  • Must be completed by a USCIS-approved civil surgeon, not your personal physician.
  • Not required for asylum or refugee status applicants (who use different medical forms).

Form selector

Use this form or another form?

Adjustment of Status pending > I-485

Required medical evidence for AOS

✓ Verify you have the sealed form before filing

I-693

Consular processing > immigrant visa interview

Medical exam required before interview

✓ Confirm consulate’s specific instructions

DS-260 + I-693 (if requested)

Deadline or filing window

The completed I-693 is valid for two years from the date the civil surgeon signs it. USCIS may request a new exam if the form is older than 60 days at the time of adjudication. If you miss the two‑year window, you must undergo another exam.

  • —Exam date | add 2 years | Expiration date | Verify expiration is after intended filing date

Checklist

What you need before filling it out

1

Civil surgeon signature

Signed form page · Form I-693

⚠ Missing signature = RFE✕ High
2

Official seal

Sealed envelope · Form I-693

⚠ Broken or missing seal = RFE✕ High
3

Vaccination record

CDC‑approved vaccine list · Applicant’s immunization history

⚠ Omitted vaccine = denial risk✕ Medium
4

Lab results (TB test, blood work)

Lab report · Form I-693 attachment

⚠ Unattached or illegible = RFE✕ Medium
5

Applicant’s signature

Signature line on top page · Form I-693

⚠ Wrong page or missing = RFE✕ Low

Before you submit

  1. 1Confirm form edition matches USCIS website.
  2. 2Verify civil surgeon’s license number and seal are present.
  3. 3Check that all required vaccines are listed and dated.
  4. 4Ensure lab results are attached and legible.
  5. 5Confirm the envelope is sealed and not opened.
  6. 6Make sure the applicant’s signature is on the correct page.
  7. 7Include the sealed envelope with the primary application packet.
  8. 8Retain a copy of the unsealed form for your records.
  9. 9Confirm the form is dated within the two‑year validity period.

How to file this form

  1. 1Schedule exam with a USCUS‑approved civil surgeon.
  2. 2Bring all vaccination cards and prior medical records to the exam.
  3. 3Civil surgeon completes I-693, attaches labs, and seals the envelope.
  4. 4Do not open the sealed envelope after it is returned to you.
  5. 5Place the sealed envelope in the same mailing package as your primary form (e.g., I-485).
  6. 6Mail using a trackable service to the address listed in the filing instructions.
  7. 7Keep the tracking number and a photocopy of the unsealed form for your files.

Known limitations

  1. 1Form does not indicate fee; only the medical exam costs apply.
  2. 2USCIS may request a new I-693 even if the current one is within two years.
  3. 3The form does not capture all possible medical waivers; separate forms may be needed.
  4. 4Only civil surgeons designated by USCIS can complete the form.

Field map

Compact field-by-field guide

7 fields

Applicant Info

3 items

Full Legal Name

Your current legal name.

Requiredtext
Date of Birth

MM/DD/YYYY.

Requireddate
A-Number

Alien Registration Number if previously assigned.

text

Details

1 items

Basis for Application

The specific reason or legal basis for filing this form.

Requiredtext

Evidence

1 items

Supporting Documentation

List of documents supporting this application.

Requiredtext

Signatures

2 items

Applicant Signature

Sign under penalty of perjury.

Requiredsignature
Date of Signature

MM/DD/YYYY.

Requireddate
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Current form status
USCIS

As of recent policy updates, Form I-693 is considered valid indefinitely if it is properly filed within 60 days of the civil surgeon's signature. Always download the latest edition from the official USCIS website to avoid rejection due to outdated form versions.

What changed or needs a fresh check

  • Edition date – verify the form is the latest version (check USCIS website).
  • Fee – no filing fee for I-693 itself; confirm the civil surgeon’s fee.
  • Mailing address – use the address for the primary application, not a generic I-693 address.
  • Signature block – ensure both applicant and civil surgeon sign where required.
  • Seal – the civil surgeon must place the official seal and close the envelope.

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Form I-693 page 1

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Form I-693 page 2

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Quick Facts

The applicant (or their legal representative) must include the sealed I-693 with their immigration filing.
It captures the civil surgeon’s findings, vaccination history, lab results, and any required follow‑up treatment.
Submit the sealed I-693 at the same time as the primary immigration petition, unless USCIS requests it later in the process.
Mail the sealed envelope to the USCIS address listed on the filing instructions for the primary form (e.g., I-485, I-130).
Proper completion of Form I-693 is critical for your immigration case. Errors, missing signatures, or an unsealed envelope are common reasons for a Request for Evidence (RFE) or outright denial. Following the latest USCIS instructions ensures your medical results are accepted without unnecessary delays.
1. Locate a USCIS-designated civil surgeon using the official USCIS online locator tool. 2. Prepare for your appointment by gathering your government-issued ID (passport), vaccination records, and medical history. 3. During the exam, the civil surgeon will review your health status and administer required vaccines. 4. The surgeon must complete the form and seal it in an envelope with their official signature across the seal. 5. Submit the sealed envelope with your Form I-485 (Adjustment of Status) or as requested by USCIS. Do not open the envelope under any circumstances.

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After you file

  1. 1Track the delivery confirmation of your mailing.
  2. 2Monitor USCIS case status for any RFE related to the medical exam.
  3. 3If an RFE is issued, obtain a new sealed I-693 promptly.
  4. 4Store the unsealed copy in a safe place for future reference.
  5. 5Update your personal records if any follow‑up treatment is required.
  6. 6Notify your attorney or representative that the sealed form was submitted.

Sources

  • SRCUSCIS Form I-693 instructionsprovides purpose, who files, and submission details.
  • SRCUSCIS websiteedition date and two‑year validity rule.
  • SRCCivil surgeon guidelinessignature, seal, and sealing requirements.
  • SRCUSCIS policy memoranda60‑day filing window clarification.
  • SRCFee scheduleconfirms no filing fee for the form itself.
  • SRCUSCIS mailing address tablesshows where to send sealed I-693 with primary forms.
  • SRCNot clearly stated in the provided official source

Common confusion points

Validity period: While the form is valid for two years after the surgeon signs it, it must be filed within 60 days of that signature.

Civil Surgeon vs. Personal Doctor: Only doctors designated by USCIS can sign this form.

Sealed Envelope: Applicants must never open the medical report envelope provided by the doctor.

Costs: USCIS does not charge a fee for the form, but civil surgeons charge varying fees for the medical exam and lab work.

Workflow map

Related forms and next steps

4 signals

Before

I-130 (Petition for Alien Relative) – gather supporting docs before medical exam.

Current

I-693

After

I-864 (Affidavit of Support) – no direct link, but often filed together.

Often used with

I-485 (Adjustment of Status) – include sealed I-693 when filing.

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Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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