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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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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.
Risk Radar
Scan points- 1A broken seal automatically triggers an RFE.
- 2Unsealed envelope or broken seal
- 3Missing civil surgeon signature
- 4Incorrect vaccination dates or missing required vaccines
- 5Out‑of‑date form edition
Plain English
A doctor fills out this paper to show you meet U.S. health standards for a green card, visa, or status change. The form lists your exam results, required vaccines, and any health conditions that could affect your case.
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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What this form is for
- Use when a green‑card, adjustment of status, or certain visa applications require a medical exam.
- Do not use for asylum or refugee status where a separate medical form may apply.
- If you need a waiver for a vaccine exemption, see Form I-601.
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
Consular processing > immigrant visa interview
Medical exam required before interview
✓ Confirm consulate’s specific instructions
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
Civil surgeon signature
Signed form page · Form I-693
Official seal
Sealed envelope · Form I-693
Vaccination record
CDC‑approved vaccine list · Applicant’s immunization history
Lab results (TB test, blood work)
Lab report · Form I-693 attachment
Applicant’s signature
Signature line on top page · Form I-693
Before you submit
- 1Confirm form edition matches USCIS website.
- 2Verify civil surgeon’s license number and seal are present.
- 3Check that all required vaccines are listed and dated.
- 4Ensure lab results are attached and legible.
- 5Confirm the envelope is sealed and not opened.
- 6Make sure the applicant’s signature is on the correct page.
- 7Include the sealed envelope with the primary application packet.
- 8Retain a copy of the unsealed form for your records.
- 9Confirm the form is dated within the two‑year validity period.
How to file this form
- 1Schedule exam with a USCUS‑approved civil surgeon.
- 2Bring all vaccination cards and prior medical records to the exam.
- 3Civil surgeon completes I-693, attaches labs, and seals the envelope.
- 4Do not open the sealed envelope after it is returned to you.
- 5Place the sealed envelope in the same mailing package as your primary form (e.g., I-485).
- 6Mail using a trackable service to the address listed in the filing instructions.
- 7Keep the tracking number and a photocopy of the unsealed form for your files.
Known limitations
- 1Form does not indicate fee; only the medical exam costs apply.
- 2USCIS may request a new I-693 even if the current one is within two years.
- 3The form does not capture all possible medical waivers; separate forms may be needed.
- 4Only civil surgeons designated by USCIS can complete the form.
Field map
Compact field-by-field guide
Applicant Info
3 items
Your current legal name.
MM/DD/YYYY.
Alien Registration Number if previously assigned.
Details
1 items
The specific reason or legal basis for filing this form.
Evidence
1 items
List of documents supporting this application.
Signatures
2 items
Sign under penalty of perjury.
MM/DD/YYYY.
Almost done reviewing the fields?
Fillable formOpen in Editor->Check the USCIS website for the latest edition date and any recent policy memos affecting I-693. The form does not have a filing fee, but the medical exam does.
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.
Quick Facts
Downloads
After you file
- 1Track the delivery confirmation of your mailing.
- 2Monitor USCIS case status for any RFE related to the medical exam.
- 3If an RFE is issued, obtain a new sealed I-693 promptly.
- 4Store the unsealed copy in a safe place for future reference.
- 5Update your personal records if any follow‑up treatment is required.
- 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
Sealed vs. unsealed – applicants sometimes open the envelope to check contents; the seal must stay intact.
Two‑year validity vs. 60‑day filing window – the form can be older than 60 days but must not exceed two years at adjudication.
Civil surgeon vs. regular doctor – only USCIS‑approved civil surgeons may complete I-693.
Vaccination exemptions – a medical waiver requires a separate form, not a note on I-693.
Where to mail – the I-693 is not mailed to a generic USCIS address; it goes with the primary application.
Workflow map
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