Purpose of Form I-693 (Report of Medical Examination and Vaccination Record)

Form I-693 is the medical examination required by U.S. Citizenship and Immigration Services (USCIS) to make sure an applicant does not have any health-related conditions that would make them inadmissible to the United States.

A USCIS-approved civil surgeon must complete the exam and fill out the form.

🩺 Why Form I-693 Is Needed

USCIS uses the I-693 to confirm that the applicant:

1. Meets all medical requirements for a green card

This includes screening for:

Tuberculosis

Syphilis

Gonorrhea

Physical or mental disorders that may pose risks

2. Has received the required vaccinations

These may include:

Measles, mumps, rubella (MMR)

Varicella (chickenpox)

Tdap

Hepatitis B

COVID-19 (as required by CDC guidelines)

If vaccinations are missing, the civil surgeon will update them during the visit.

📌 When Form I-693 Is Required

You need Form I-693 in any green card process, including:

Form I-485 (Adjustment of Status)

Some humanitarian cases

Certain employment-based adjustments

If the applicant is doing consular processing abroad, the medical exam is still required—but the embassy uses a different form, not the I-693.

📦 How and When to Submit It

Applicants have two options:

Option 1 – Submit with the I-485

This can speed up the approval process.

Option 2 – Submit later when USCIS requests it

USCIS may send a Request for Evidence (RFE) asking for the I-693 before they can approve the green card.

🛑 Important

The I-693 must:

Be completed by a USCIS-designated civil surgeon

Be signed properly

Be submitted in a sealed envelope (USCIS will reject an opened one)