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.

What is the Latest Form I-693 Edition?

The latest edition of Form I-693 is the May 31, 2019 edition.

What are the Required Documents for Form I-693?

1. Passport
2. Form I-94
3. Evidence of payment of fees
4. Evidence of immunizations
5. Completed Medical Examination Form (Form I-693)
6. Vaccination Record Form (DS-3025)
7. Two Passport Photos
8. Evidence of name change, if applicable

How to Submit Form I-693?

Form I-693, Report of Medical Examination and Vaccination Record, should be completed by both you and a certified civil surgeon. The form must then be submitted to U.S. Citizenship and Immigration Services (USCIS) as part of the green card process.

Step 1: Visit a Civil Surgeon

To complete Form I-693, you must visit a designated civil surgeon for a medical examination. Make sure the doctor is authorized by the USCIS and certified to administer the exam.

Step 2: Complete Form I-693

Once you have found a qualified doctor, you will need to fill out Part 1 of Form I-693. This section consists of basic biographical information about yourself and should be filled out accurately and completely. You will also need to provide some documents that prove your identity, such as a passport or birth certificate.

Step 3: Get Tested

Once Part 1 is complete, the doctor will then examine you to make sure you are in good health. This includes testing for certain communicable diseases and other physical evaluations. In addition, the doctor will administer any required vaccinations.

Step 4: Complete Part 2 of Form I-693

After the exam is complete, the doctor will complete Part 2 of Form I-693. This section includes all of the results from your medical examination, as well as any additional vaccinations or tests that were administered during your visit. Make sure all information is accurate before submitting your form to USCIS.

Step 5: Submit Form I-693 to USCIS

Once the form is completed, submit it to USCIS along with all other required documentation for your green card application. Make sure to keep a copy of Form I-693 for your records and for future reference.

What are the Filing Tips for Form I-693?

1. Make sure the Form I-693 is completed by a qualified civil surgeon.

2. Make sure the form is completed accurately and completely, including all required documentation.

3. Ensure that all of the documents submitted are originals and not copies.

4. Submit the form and documents to the United States Citizenship and Immigration Services (USCIS) office as soon as possible after completion, preferably within one year of the examination date on the form.

5. Make sure that the form is signed and dated by both the civil surgeon and the applicant, and that all required boxes are filled out.

6. Provide a self-addressed, stamped envelope so that USCIS can return the form to you after they have reviewed it.

7. Be aware that Form I-693 cannot be filed electronically; it must be sent via mail, courier, or in-person delivery service.

Are There Special Instructions for Form I-693?

Yes, there are special instructions for Form I-693. It is important that you read and follow the instructions carefully before completing the form. The instructions include requirements for medical examinations, vaccinations, proof of identity and foreign documents. You should also make sure to use black ink when completing the form, and sign and date the form in the presence of an authorized civil surgeon or USCIS official.

What is the Form I-693 Fee?

The Form I-693 Fee is the fee charged by U.S. Citizenship and Immigration Services (USCIS) when an individual applies for an adjustment of status through the medical examination portion of the process. It is also used to certify that the applicant has completed the required medical exam for their application for permanent residence in the United States.

Can I Apply for Form I-693 Fee Waiver or Reduction?

No, there is no fee waiver or reduction option for Form I-693. The application fee for Form I-693 is $85 and must be paid at the time of application.

What is the Form I-693 Processing Time?

The processing time for Form I-693 varies depending on the circumstances and can take up to several months to complete. Factors such as the number of applicants, backlogs at the USCIS, and complexity of the case can all affect processing time.

Form I-693 Frequently Asked Questions

1. What is Form I-693?
Form I-693 is an Immigration Form used to report the results of a medical examination for green card applicants.It is also known as the “Report of Medical Examination and Vaccination Record”.

2. Who needs to complete Form I-693?
Form I-693 must be completed by individuals who are applying for permanent residency in the United States. This includes applicants who are adjusting their status to that of permanent resident while in the United States as well as applicants who are applying outside the United States through a U.S. embassy or consulate abroad.

3. What information do I need to provide on Form I-693?
You will need to provide information about your health, including vaccinations, medical history, and physical exam results. The form also asks for the signature of both you and the doctor who conducted the examination.

4. Is Form I-693 required for all green card applicants?
Yes, all applicants filing to adjust their status or applying from abroad must complete Form I-693 and provide it along with their other application materials.

5. Where can I find Form I-693?
Form I-693 can be downloaded from the USCIS website or obtained in person from a designated doctor who is authorized to complete the form.