Form I-693, Report of Medical Examination and Vaccination Record

What is Form I-693 For?

Form I-693 is required for applicants for who are seeking permanent resident status to enter the United States for public health purposes. After a medical examination, Form I-693 must be sent to the U.S. Citizenship and Immigration Services.

Your medical history and examination results are only used for the immigration process and will not be shared. If it is required by law, a civil surgeon may need to release your information to public health officials. USCIS will not disclose any medical history or complications with anyone else such as immigration officers, lawyers, or government representatives, unless they legally need to know.

How do I file Form I-693?

  1. Contact a designated USCIS civil surgeon to book an appointment. Civil surgeons are doctors.
  2. Fill out Part 1 with personal information. You must sign this section during your appointment with the civil surgeon as witness. Remember to bring a government-issued form of photo identification for your appointment. This can be a passport, driver’s license, or birth certificates for people under 14 years old.
  3. After your medical examination, go to any necessary follow-ups.
  4. Once you have completed the necessary steps set forth by the civil surgeon, he or she will give you a completed Form I-693 in a sealed envelope. This is what needs to be submitted to USCIS.
  5. Submit the sealed envelope to USCIS.
    1. Submit with Form I-485, Application to Register for Permanent Residence or Adjust Status if you are applying for adjustment of status.
    2. For all other applicants, follow the instructions given to you by the office that requested the medical examination.

Important Disease Testing


  • Any applicant two years old or older must be tested for tuberculosis. If a doctor suspects there may have been contact with someone with tuberculosis, a child under the age of two is subject to testing as well.
    • Tuberculin skin tests (TST) require a return visit to the doctor 2-3 days after the skin test to check for results. A reaction of five millimeters or more may indicate presence of tuberculosis which can be further checked with a chest X-ray.
    • Interferon Gamma Release Assay (IGRA) does not require a repeat visit if the test turns out to be negative.


  • Any applicant 15 years old or older must have blood drawn to be tested for syphilis. Any signs or suspicions of a syphilis infection may require younger applicants to be tested.


  • Any applicant 15 years old or older must be tested for gonorrhea. Any signs or suspicions of a syphilis infection may require younger applicants to be tested.

Other Health Issues

Mental Health

  • Mental health issues are diagnosed with CDC standards or the most updated edition of the Diagnostic and Statistical Manual
  • Diagnosis of a mental health issue would not automatically disqualify your application. USCIS would only disqualify you if there’s reason to believe your disorder may put you or others at risk currently.

Drug and Substance Abuse

  • Civil surgeons will ask about medical history to determine any risks or signs of drug abuse or drug addiction. You may be disqualified from your application if the doctor finds that a drug addiction is reappearing.


  • The following preventable diseases must be vaccinated for before an applicant can become a permanent resident:
    • Mumps
    • Measles
    • Rubella
    • Polio
    • Tetanus and diphtheria toxoids
    • Pertussis
    • Haemophilus influenzae type B
    • Rotavirus
    • Hepatitis A
    • Hepatitis B
    • Meningococcal disease
    • Varicella
    • Influenza
    • Pneumococcal pneumonia
  • If you would like to opt out of any vaccinations for personal or religious beliefs, you may apply for a waiver. Inform the civil surgeon of your decision during your appointment. However, USCIS may reject your application due to these reasons.