Independent form guide. BrieflyGo is not affiliated with or endorsed by IRS, USCIS, SSA, DOL, or any U.S. government agency. Official forms are sourced from public government websites.

USCISImmigration Status

Official form guide

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

USCIS Form I-693 is Report of Immigration Medical Examination and Vaccination Record, which reports the results of an immigration medical examination to USCIS. The form's expiration date is 09/30/2027.

Need help with Form I-693?

Open it in the AI Editor for field guidance, checks, and PDF export.

Fillable formOpen in Editor->

Form Overview

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

USCIS Form I-693 is Report of Immigration Medical Examination and Vaccination Record, which reports the results of an immigration medical examination to USCIS. The form's expiration date is 09/30/2027.

The form collects identifying information in Part 7, medical examination details, and certification/signature information in Part 7. If a referral is needed, the Civil Surgeon Worksheet (Part 8) and Referral Evaluation (Part 9) are also used to document findings.

Risk Radar

Scan points
  • 1Do not submit Form I-693 if the signature in Part 7 is stamped or typewritten instead of original.
  • 2Filing Form I-693 without an original signature on Part 7.
  • 3Using a stamped or typewritten name instead of a true signature on any part.
  • 4Signing Part 7 before the medical examination is complete and medically cleared.
  • 5Forgetting to fill out Part 8 (Civil Surgeon Worksheet) when a referral is required.

Plain English

This form tells U.S. Citizenship and Immigration Services (USCIS) about a medical check-up someone received for immigration purposes. It proves that an applicant seeking benefits is not inadmissible to the United States because of health issues. The results help establish eligibility under the Immigration and Nationality Act.

Submission Date

  • Filing date: Not stated in the official source regarding a specific filing deadline, but the form itself expires on 09/30/2027. Part 2 requires using the date permission was obtained for the medical examination.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

AI co-pilot

Fill it faster. Catch mistakes before you file.

Explains confusing fields in plain English
Flags missing signatures, dates, IDs, and attachments
Keeps the PDF ready for editor, send, and proof flows
Open AI workspace->

Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when reporting results of an immigration medical examination to U.S. Citizenship and Immigration Services (USCIS) to establish that applicants are not inadmissible on health-related grounds.
  • Do not use it when the referral is not required, but a follow-up evaluation or treatment is recommended; in that case, complete Part 8 and specify the recommendation.
  • Check Form G-1055 instead when determining specific filing fees applicable to this form.

Form selector

Use this form or another form?

Applicant moves residence

Must notify USCIS within 10 days of moving from the previous residence.

Confirm address change notification is filed.

Form AR-11 (Implied)

Required medical referral exists

The civil surgeon must fill out Part 8 and specify follow-up needs in Item Number 5's Remarks section.

Ensure contact info for the referring physician/facility is present.

Part 8 (Form I-693)

Waiver objection held

If objections are held, inform the civil surgeon that a waiver application will be filed with USCIS.

Note whether the waiver was denied by USCIS.

N/A (Internal to form)

Deadline or filing window

The form itself expires on 09/30/2027. While no specific filing deadline triggers are listed, the date permission was obtained for the medical examination must be used in Part 2. Extensions are not mentioned in the source excerpts provided.

Checklist

What you need before filling it out

1

Completed Part 6

Summary of medical examination results · Form I-693 (Part 6)

Not summarizing all required follow-up findings.High
2

Civil Surgeon's Certification

Signature and date in Part 7, Item Number 8 · Form I-693 (Part 7)

Signing before all health-related requirements are met.High
3

Required Referral Details

Contact information of the physician/facility · Form I-693 (Part 8, Item Number 5)

Forgetting to specify the type of examination needed in Remarks.Medium
4

Applicant's Photo ID

Valid government-issued photo identification (e.g., passport or driver’s license) · Appointment verification (Instructions p.2)

Using an expired form of ID for identity verification.Medium
5

Supporting Documents

Legible photocopies of requested documents · Evidence section (Instructions p.2)

Submitting a document when the instructions specifically require an original.Low

Before you submit

  1. 1Review all required follow-up requirements are complete before signing.
  2. 2Ensure Part 6 accurately summarizes the results of the medical examination.
  3. 3Verify that the civil surgeon has signed and dated Part 7, Item Number 8.
  4. 4Confirm that a copy is made for personal records.
  5. 5Check that all supporting evidence documents are submitted along with the form.
  6. 6If applicable, confirm Part 8 details the required referral correctly.
  7. 7Ensure no stamped or typewritten name substitutes for the actual signature on any part.

How to file this form

  1. 1Complete Parts 1-5 of Form I-693 with all necessary applicant and medical information.
  2. 2If a referral is required, complete Part 8 (Civil Surgeon Worksheet) and ensure the referring physician fills out Part 9 (Referral Evaluation).
  3. 3Summarize all results in Part 6 and sign the civil surgeon's certification in Part 7, Item Number 8 after all follow-up is done.
  4. 4Make two copies of the completed and signed Form I-693 and supporting documents; keep one copy for records and give the other to the applicant.

Known limitations

  1. 1The form remains valid for two years from the date of the civil surgeon’s signature.
  2. 2For Afghan nationals applying for adjustment of status who entered under OAW, a repeat Form I-693 is not required if the examination was completed outside the U.S., reports no Class A medical condition, was done within 4 years prior to filing, and no evidence suggests acquiring a Class A medical condition after entry.
  3. 3If applying for adjustment of status (Form I-485), the filer must follow the specific instructions for Form I-485 regarding how to submit Form I-693.

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
This compact map shows typical fields for this form type. The AI Editor gives precise field guidance after you open the PDF.

Almost done reviewing the fields?

Fillable formOpen in Editor->
Current form status
USCIS

This edition of USCIS Form I-693 is dated 01/20/25, and the form itself expires on 09/30/2027. The instructions booklet directs users to use this latest version for filing.

What changed or needs a fresh check

  • Edition date — confirm 01/20/25 on the instructions.
  • Expiration date — confirm 09/30/2027 on the form itself.
  • Filing Fee information — refer to Form G-1055 for specifics.
  • Signature — ensure a proper signature is present; stamped or typewritten name alone is not accepted.

Quick Facts

Any applicant who is seeking immigration benefits must have this form completed by a designated civil surgeon.
The form collects identifying information in Part 7, medical examination details, and certification/signature information in Part 7. If a referral is needed, the Civil Surgeon Worksheet (Part 8) and Referral Evaluation (Part 9) are also used to document findings.
Not stated in the official source regarding a specific filing deadline, but the form itself expires on 09/30/2027. Part 2 requires using the date permission was obtained for the medical examination.
The instructions do not specify a single Lockbox address for submission, but applicants can visit www.uscis.gov to obtain the latest version of Form I-693.
Failure to properly sign and file each Form I-693 means USCIS will not accept it; stamped or typewritten names are not accepted in place of an original signature.
First, the Civil Surgeon fills out identifying information in Part 7. The surgeon must sign the certification after the medical examination is complete and before any referral evaluation (if required) is finalized. If a referral is needed, Part 8 details it, and the receiving doctor signs Part 9.

Fill Form I-693

AI-powered guidance for every field

Fillable formOpen in Editor->

Free to start / No account required

After you file

  1. 1The civil surgeon should provide a copy of the completed Form I-693 for the applicant's records.
  2. 2The form must be submitted by the civil surgeon in a sealed envelope; USCIS will return it if the envelope is opened or altered.
  3. 3Form I-693 remains valid for two years from the date of the civil surgeon’s signature.
  4. 4If submitting to an address other than a Lockbox, do not send a change of address request to the Lockbox itself.

Sources

  • SRCInstructions p.1 — Form I-693 reports results of an immigration medical examination to U.S. Citizenship and Immigration Services (USCIS).
  • SRCInstructions p.1 — The form expires 09/30/2027.
  • SRCInstructions p.1 — Applicants must sign in the presence of the civil surgeon, and should not sign until told to do so by the civil surgeon.
  • SRCInstructions p.1 — The civil surgeon must provide the completed Form I-693 in a sealed envelope for submission to USCIS.
  • SRCInstructions p.2 — If applying for adjustment of status (Form I-485), the filer must follow the application's specific instructions regarding filing Form I-693.
  • SRCInstructions p.3 — If an applicant does not have an A-Number, they must type or print 'N/A' in Item F. under Item Number 3 of Form I-693.

Common confusion points

Must I sign Form I-693 before sending it?

The applicant must sign in the presence of the civil surgeon and should not sign until the civil surgeon directs them to do so.

Ensure you sign only when instructed by the civil surgeon.

What is the difference between an A-Number and an OAN?

An A-Number is a general identifier; an Online Account Number (OAN) is specific to online filings, indicated by a receipt number starting with IOE.

Check if your receipt number starts with 'IOE' to confirm you have an OAN.

Where do I find the correct instructions for filing Form I-693?

If applying for adjustment of status (Form I-485), follow those specific instructions; otherwise, follow the application’s instructions or those given by the requesting office.

Confirm which application you are submitting this form with.

What happens if my envelope is opened after the civil surgeon seals it?

USCIS will return the Form I-693 to the applicant if the sealed envelope is opened or altered in any way.

Verify the seal integrity before mailing the form.

Can any doctor complete this medical exam?

Only a doctor designated by USCIS as a civil surgeon may perform the examination (with limited exceptions for military and health department blanket designations).

Confirm the physician's designation status.

What if I don't have an A-Number or OAN?

If you do not have an A-Number, type or print 'N/A' in Item F. of Item Number 3; if you lack an OAN, this is because your receipt number does not begin with IOE.

Type 'N/A' for the A-Number and confirm the absence of an IOE receipt prefix for the OAN.

Workflow map

Related forms and next steps

4 signals

Current

I-693

After

Not stated in the official source — verify on the agency site

⚠ If something goes wrong

  • Not stated in the official source — verify on the agency site

Questions about USCIS Form I-693

What is USCIS Form I-693 used for?

This form tells U.S. Citizenship and Immigration Services (USCIS) about a medical check-up someone received for immigration purposes. It proves that an applicant seeking benefits is not inadmissible to the United States because of health issues. The results help establish eligibility under the Immigration and Nationality Act.

Who must file USCIS Form I-693?

Any applicant who is seeking immigration benefits must have this form completed by a designated civil surgeon.

What information does USCIS Form I-693 require?

The form collects identifying information in Part 7, medical examination details, and certification/signature information in Part 7. If a referral is needed, the Civil Surgeon Worksheet (Part 8) and Referral Evaluation (Part 9) are also used to document findings.

Where do I file USCIS Form I-693?

The instructions do not specify a single Lockbox address for submission, but applicants can visit www.uscis.gov to obtain the latest version of Form I-693.

How do I complete USCIS Form I-693?

First, the Civil Surgeon fills out identifying information in Part 7. The surgeon must sign the certification after the medical examination is complete and before any referral evaluation (if required) is finalized. If a referral is needed, Part 8 details it, and the receiving doctor signs Part 9.

What happens if USCIS Form I-693 is filed incorrectly?

Failure to properly sign and file each Form I-693 means USCIS will not accept it; stamped or typewritten names are not accepted in place of an original signature.

Must I sign Form I-693 before sending it?

The applicant must sign in the presence of the civil surgeon and should not sign until the civil surgeon directs them to do so. Ensure you sign only when instructed by the civil surgeon.

What is the difference between an A-Number and an OAN?

An A-Number is a general identifier; an Online Account Number (OAN) is specific to online filings, indicated by a receipt number starting with IOE. Check if your receipt number starts with 'IOE' to confirm you have an OAN.

Ready to get started?

Upload the form or open it in the AI Editor for intelligent guidance

Fillable formOpen in Editor->

Source transparency

Copyright & Licensing - US Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

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.
Verify current license terms with the source agency before reuse outside this platform.

Understand the agreement before you sign it.

Review risky clauses in plain English, fix the document, and keep it moving toward signature.

Review a contract free →