Tip for I-485 (medical sections)

Complete the medical exam close to your I-485 filing date to maximize the 2-year validity period

Tip for I-485 (medical sections)

If your I-693 expires before your I-485 is adjudicated, you will need a new medical exam

Tip for I-485 (medical sections)

Some applicants wait until the interview to submit the I-693 to avoid expiration issues

Immigration Healthhard

I-485 Medical / Public Charge Component

I-485 (medical sections) · USCIS

Application to Register Permanent Residence or Adjust Status includes questions related to public charge determination, health insurance, and use of public benefits.

Form Details

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Where to Submit This Form

📬

Submit sealed I-693 with your I-485 application packet to the USCIS lockbox

https://www.uscis.gov/i-485

🏢

Bring sealed I-693 to your USCIS interview

If not submitted with the I-485, you can bring it to the adjustment interview.

Filing Deadline

The I-693 must be signed by the civil surgeon no more than 60 days before the I-485 filing date. It remains valid for 2 years from the civil surgeon's signature.

Required Attachments

📎 Form I-693 in sealed envelope from the civil surgeon
📎 Filed as part of the I-485 application package
📎 All supporting documentation required by the I-485

Processing Time

Part of the I-485 processing timeline (currently 6-24+ months depending on category and service center).

What Happens Next

USCIS will review the I-693 as part of the I-485 adjudication. If there are issues with the medical exam, USCIS may issue a Request for Evidence (RFE) or ask you to bring updated documentation to the interview.

Tips for This Form

✓ Complete the medical exam close to your I-485 filing date to maximize the 2-year validity period
✓ If your I-693 expires before your I-485 is adjudicated, you will need a new medical exam
✓ Some applicants wait until the interview to submit the I-693 to avoid expiration issues
✓ Check USCIS processing times for your service center to estimate how long your I-485 will take

More Immigration Health Forms

Report of Immigration Medical Examination

I-693 · U.S. Citizenship and Immigration Services (USCIS)

Report of Immigration Medical Examination and Vaccination Record required for adjustment of status to lawful permanent residency. Covers communicable disease screening (TB, syphilis), vaccination review, and medical history. Submitted in sealed envelope with Form I-485.

I-693 Vaccination Supplement

I-693 Supplement · USCIS

Partial I-693 documenting vaccination history and any vaccines administered during the civil surgeon examination.

Declaration of Self-Sufficiency

I-944 · USCIS

Declaration demonstrating applicant would not become a public charge. Status varies with policy shifts; was rescinded under Biden administration. Check USCIS.gov for current requirements.

Overseas Medical Examination for Immigrant/Refugee

DS-2054 · U.S. Department of State

Medical Examination for Immigrant or Refugee Applicant completed overseas by DOS-designated panel physicians for immigrant visa applicants.

Vaccination Documentation Worksheet (Overseas)

DS-3025 · U.S. Department of State

Vaccination Documentation Worksheet used for overseas immigrant visa medical exams by panel physicians.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the USCIS or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.