Bring ALL vaccination records to your civil surgeon appointment — missing records mean additional (expensive) vaccinations

The exam can cost $200-$500+ depending on the civil surgeon and vaccinations needed — this is NOT covered by most insurance

Do NOT open the sealed envelope — USCIS will reject the form if the seal is broken

Immigration HealthhardDoctor signature required

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.

Form Details

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Where to Submit This Form

🏢

Completed by a USCIS-designated civil surgeon and submitted with your immigration application

https://www.uscis.gov/tools/designated-civil-surgeons

Only USCIS-designated civil surgeons can complete this form. Find one using the USCIS Civil Surgeon Locator.

Filing Deadline

Must be signed by the civil surgeon no more than 60 days before filing the underlying immigration application. Valid for 2 years from the date of the civil surgeon's signature.

Required Attachments

📎 Completed Form I-693 signed by the civil surgeon in a sealed envelope
📎 Vaccination records showing all required immunizations
📎 Lab results for required screenings (TB test, syphilis, gonorrhea)
📎 Chest X-ray results (if TB skin test or blood test is positive)
📎 Civil surgeon's medical examination findings

Processing Time

The medical exam itself takes 1-3 visits over 1-2 weeks (depending on vaccinations needed). Processing is part of your immigration application timeline.

What Happens Next

Submit the sealed I-693 envelope with your immigration application (typically I-485 or at your USCIS interview). Do NOT open the sealed envelope. USCIS will review the medical exam as part of your application adjudication.

Tips for This Form

✓ Bring ALL vaccination records to your civil surgeon appointment — missing records mean additional (expensive) vaccinations
✓ The exam can cost $200-$500+ depending on the civil surgeon and vaccinations needed — this is NOT covered by most insurance
✓ Do NOT open the sealed envelope — USCIS will reject the form if the seal is broken
✓ If your TB test is positive, you will need a chest X-ray and possibly treatment before the I-693 can be completed

More Immigration Health Forms

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.

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.

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 U.S. Citizenship and Immigration Services (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.