Report of Immigration Medical Examination and Vaccination Record

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class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Permanent Workers</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/working-in-the-united-states/temporary-nonimmigrant-workers" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Temporary (Nonimmigrant) Workers</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="https://www.e-verify.gov/" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">E-Verify</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-9-central" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-9 Central</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/avoid-scams" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Avoid Scams</h3></a> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/scams-fraud-and-misconduct/avoid-scams/common-scams" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Common Scams</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/scams-fraud-and-misconduct/avoid-scams/find-legal-services" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Find Legal Services</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/scams-fraud-and-misconduct/avoid-scams/report-immigration-scams" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Report Immigration Scams</span></a> </li> </ul> </div> </li> <li class="usa-nav__submenu-item level-2"> <a href="/about-us/careers-at-uscis" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Careers at USCIS</h3></a> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/about-us/careers/career-opportunities" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Career Opportunities</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/about-us/careers/special-hiring-programs" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Special Hiring Programs</span></a> </li> </ul> </div> </li> </ul> </div> </div> </div> </li> <li class="usa-nav__primary-item level-1"> <button class="usa-accordion__button usa-nav__link usa-current" aria-expanded="false" aria-controls="menu-88393" type="button"><span class="usa-nav__link__title">Forms</span></button> <div id="menu-88393" class="usa-nav__submenu usa-megamenu" hidden> <div class="grid-row grid-gap-4 nav__submenu-title"><div class="desktop:grid-col-3"><div class="usa-nav__submenu-item"><a href="/forms/forms" class="nav__submenu-item-link"><h2 class="nav__submenu-item-parent-heading">Forms</h2></a></div></div></div> <div class="grid-row grid-gap-4 nav__submenu-group"> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Most Accessed Forms</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/i-9" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-9, Employment Eligibility Verification</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-485" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-485, Application to Register Permanent Residence or Adjust Status</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-765" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-765, Application for Employment Authorization</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-90" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-90, Application to Replace Permanent Resident Card (Green Card)</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/n-400" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">N-400, Application for Naturalization</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Family Based Forms</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/i-129f" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-129F, Petition for Alien Fiancé(e)</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-130" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-130, Petition for Alien Relative</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-360" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-360, Petition for Amerasian, Widow(er), or Special Immigrant</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-600" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-600, Petition to Classify Orphan as an Immediate Relative</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-751" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-751, Petition to Remove Conditions on Residence</span></a> </li> </ul> </div> </li> <li class="usa-nav__submenu-item level-2"> <a href="/forms/all-forms" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">All Forms</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/file-online" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">File Online</h3></a> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Employment Based Forms</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/i-129" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-129, Petition for a Nonimmigrant Worker</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-140" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-140, Immigrant Petition for Alien Workers</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-526" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-526, Immigrant Petition by Standalone Investor</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-539" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-539, Application to Extend/Change Nonimmigrant Status</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Humanitarian Based Forms</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/i-589" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-589, Application for Asylum and for Withholding of Removal</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-730" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-730, Refugee/Asylee Relative Petition</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/i-821" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">I-821, Application for Temporary Protected Status</span></a> </li> </ul> </div> </li> </ul> </div> </div> </div> </li> <li class="usa-nav__primary-item level-1"> <button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="menu-4153" type="button"><span class="usa-nav__link__title">Newsroom</span></button> <div id="menu-4153" class="usa-nav__submenu usa-megamenu" hidden> <div class="grid-row grid-gap-4 nav__submenu-title"><div class="desktop:grid-col-3"><div class="usa-nav__submenu-item"><a href="/newsroom" class="nav__submenu-item-link"><h2 class="nav__submenu-item-parent-heading">Newsroom</h2></a></div></div></div> <div class="grid-row grid-gap-4 nav__submenu-group"> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/newsroom/all-news" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">All News</h3></a> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/newsroom/alerts" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Alerts</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="https://www.uscis.gov/news/all-news/fact-sheets" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Fact Sheets</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/newsroom/news-releases" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">News Releases</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/newsroom/media-contacts" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Media Contacts</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/newsroom/video-and-photo-gallery" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Multimedia Gallery</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/newsroom/social-media-directory" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Social Media Directory</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/newsroom/speeches-statements-testimony" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Speeches, Statements, Testimony</h3></a> </li> </ul> </div> </div> </div> </li> <li class="usa-nav__primary-item level-1"> <button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="menu-88387" type="button"><span class="usa-nav__link__title">Citizenship</span></button> <div id="menu-88387" class="usa-nav__submenu usa-megamenu" hidden> <div class="grid-row grid-gap-4 nav__submenu-title"><div class="desktop:grid-col-3"><div class="usa-nav__submenu-item"><a href="/citizenship" class="nav__submenu-item-link"><h2 class="nav__submenu-item-parent-heading">Citizenship</h2></a></div></div></div> <div class="grid-row grid-gap-4 nav__submenu-group"> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Learners</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/apply-for-citizenship" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Apply for Citizenship</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/learn-about-citizenship" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Learn About Citizenship</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/find-study-materials-and-resources" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Naturalization Test and Study Resources</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Educators</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/resources-for-educational-programs/educational-products-for-educators-and-program-administrators" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Educational Products for Educators</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/resources-for-educational-programs" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Resources for Educational Programs</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/resources-for-educational-programs/register-for-training" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Teacher Training Sessions</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Organizations</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship/outreach-tools" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Outreach Tools</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship-resource-center/naturalization-related-data-and-statistics" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Naturalization-Related Data and Statistics</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <div class="nav__submenu-item-nolink"><h3 class="nav__submenu-item-sub-heading">Grants</h3></div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/citizenship-resource-center/civic-assimilation/learn-about-the-citizenship-and-assimilation-grant-program/success-stories-from-grant-recipients" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Success Stories from Grant Recipients</span></a> </li> </ul> </div> </li> </ul> </div> </div> </div> </li> <li class="usa-nav__primary-item level-1"> <button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="menu-42293" type="button"><span class="usa-nav__link__title">Green Card</span></button> <div id="menu-42293" class="usa-nav__submenu usa-megamenu" hidden> <div class="grid-row grid-gap-4 nav__submenu-title"><div class="desktop:grid-col-3"><div class="usa-nav__submenu-item"><a href="/green-card" class="nav__submenu-item-link"><h2 class="nav__submenu-item-parent-heading">Green Card</h2></a></div></div></div> <div class="grid-row grid-gap-4 nav__submenu-group"> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/green-card/green-card-processes-and-procedures" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Green Card Processes and Procedures</h3></a> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/green-card/green-card-processes-and-procedures/adjustment-of-status" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Adjustment of Status</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/green-card/after-we-grant-your-green-card" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">After We Grant Your Green Card</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/green-card/green-card-processes-and-procedures/employment-authorization-document" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Employment Authorization Document</span></a> </li> <li class="usa-nav__submenu-item level-3"> <a href="/green-card/green-card-processes-and-procedures/visa-availability-and-priority-dates" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Visa Availability and Priority Dates</span></a> </li> </ul> </div> </li> </ul> </div> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/green-card/green-card-eligibility-categories" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Green Card Eligibility Categories</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/green-card/how-to-apply-for-a-green-card" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">How to Apply for a Green Card</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/green-card/after-we-grant-your-green-card/replace-your-green-card" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Replace Your Green Card</h3></a> </li> <li class="usa-nav__submenu-item level-2"> <a href="/green-card/while-your-green-card-application-is-pending-with-uscis" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">While Your Green Card Application Is Pending with USCIS</h3></a> </li> </ul> </div> </div> </div> </li> <li class="usa-nav__primary-item level-1"> <button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="menu-41528" type="button"><span class="usa-nav__link__title">Laws</span></button> <div id="menu-41528" class="usa-nav__submenu usa-megamenu" hidden> <div class="grid-row grid-gap-4 nav__submenu-title"><div class="desktop:grid-col-3"><div class="usa-nav__submenu-item"><a href="/laws-and-policy" class="nav__submenu-item-link"><h2 class="nav__submenu-item-parent-heading">Laws</h2></a></div></div></div> <div class="grid-row grid-gap-4 nav__submenu-group"> <div class="usa-col"> <ul class="usa-nav__submenu-list level-1"> <li class="usa-nav__submenu-item level-2"> <a href="/laws-and-policy/legislation" class="nav__submenu-item-link"><h3 class="nav__submenu-item-sub-heading">Legislation</h3></a> <div class="usa-col"> <ul class="usa-nav__submenu-list level-2"> <li class="usa-nav__submenu-item level-3"> <a href="/laws-and-policy/legislation/immigration-and-nationality-act" class="nav__submenu-item-link"><span class="nav__submenu-item-link__text">Immigration and Nationality Act</span></a> </li> </ul> </div> </li> <li class="usa-nav__submenu-item level-2"> <a href="/laws-and-policy/other-resources/uscis-class-action-settlement-notices-and-agreements" 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nav__crumb"> <span class="nav__text">Report of Immigration Medical Examination and Vaccination Record</span> </li> </ol> </nav> </div> </div> <div id="main-content"></div> <main id="main"> <div id="page-content"> <div class="region region-content"> <div id="block-uscis-design-content"> <article class="node node--type-immigration-form"> <div class="container container--main" > <h1 class="page-title js-page-title"> I-693, <span>Report of Immigration Medical Examination and Vaccination Record</span> </h1> <div> <div class="content-section"> <div class="clearfix text-formatted field field--name-body field__item"><body> <div class="alert-message"> <div class="messages messages--info " id> <span class="usa-sr-only">Alert Type info</span> <div class="messages__text"> <p><strong>ALERT:</strong>  On Jan. 22, 2025, USCIS announced that as of Jan. 20, 2025, officers would no longer issue any Requests for Evidence (RFEs) or Notices of Intent to Deny (NOIDs) related to the COVID-19 vaccination. On March 11, 2025, the Centers for Disease Control and Prevention (CDC) updated their <a href="https://www.cdc.gov/immigrant-refugee-health/hcp/civil-surgeons/vaccination.html">Technical Instructions for Civil Surgeons</a> to remove the COVID-19 vaccination from the list of required vaccinations for aliens seeking admission as immigrants. Therefore, documentation of having completed the COVID-19 vaccination is not required for any immigration medical examinations associated with adjustment applications pending on or after Jan. 20, 2025. Until USCIS updates Form I-693, Report of Immigration Medical Examination and Vaccination Record, civil surgeons can either cross out the COVID-19 section or write “N/A,” and if the alien meets all the vaccination requirements, mark “Applicant completed vaccination requirements or may be eligible for blanket waivers as indicated above.”</p> </div> </div> </div> </body><body> <div class="alert-message"> <div class="messages messages--info " id> <span class="usa-sr-only">Alert Type info</span> <div class="messages__text"> <p><strong>ALERT:</strong> Effective Dec. 2, 2024, if you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, we may reject your Form I-485.  </p> </div> </div> </div> </body><body> <div class="alert-message"> <div class="messages messages--info " id> <span class="usa-sr-only">Alert Type info</span> <div class="messages__text"> <p><strong>ALERT:</strong> Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire. You can use it indefinitely as evidence that you are not inadmissible on health-related grounds. For more information, see the <a href="/sites/default/files/document/policy-manual-updates/20240404-I-693Validity.pdf" target="_blank" rel="noreferrer noopener" data-entity-type="media" data-entity-uuid="dfbd3b41-db6e-4c29-90a2-d6df2641b891" data-entity-substitution="media">Policy Alert</a>.</p><p>Additionally, effective Nov. 13, 2024, immigration medical examinations are valid indefinitely for certain Afghan nationals who arrived in the United States during Operation Allies Welcome. For more information on how this policy applies, see the <a href="/sites/default/files/document/policy-manual-updates/20241113-I-693Validity.pdf" data-entity-type="media" data-entity-uuid="e4db948f-d701-4406-8753-4a29a934b16a" data-entity-substitution="media">Policy Alert</a>.</p> </div> </div> </div> </body><body> <div class="alert-message"> <div class="messages messages--info " id> <span class="usa-sr-only">Alert Type info</span> <div class="messages__text"> <p><strong>ALERT:</strong> Urgent Message for USCIS Designated Civil Surgeons:</p><p>The Centers for Disease Control and Prevention (CDC) recently updated the <a href="https://www.cdc.gov/immigrant-refugee-health/hcp/civil-surgeons/tuberculosis.html">Tuberculosis Technical Instructions for Civil Surgeons</a>. Civil Surgeons must now register for access to eMedical, an electronic health processing system. Using eMedical will help the CDC maintain public health security and transition to electronic submission of immigration medical examinations. Civil Surgeons should have received emailed instructions to register; it is important that you follow these instructions and register <strong>immediately</strong>. If you did not receive the emails with instructions from the CDC and eMedical, please email <a href="mailto:OPSCivilSurgeons@uscis.dhs.gov">OPSCivilSurgeons@uscis.dhs.gov</a>.</p> </div> </div> </div> </body><p>If you are applying for adjustment of status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on health-related grounds.</p><p>A list of the health-related grounds of inadmissibility can be found in section 212(a)(1) of the Immigration and Nationality Act(INA). For more information on the validity of Form I-693, see the <a href="/policy-manual/volume-8-part-b-chapter-4" data-entity-type="node" data-entity-uuid="c6453f8d-ed59-4232-8aa4-05af9b203035" data-entity-substitution="canonical">USCIS Policy Manual Volume 8, Part B, Chapter 4.</a></p></div> </div> <section class="content-section content-items-list files-listing files-listing--icons"> <h2>Forms and Document Downloads</h2> <div class="field field--name-field-attached-files field__items"> <div class="field__item"><article class="media media--type-document media--view-mode-linked-file"> <div class="field field--name-field-media-file field__item"> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/default/files/document/forms/i-693.pdf" type="application/pdf" title="i-693.pdf">Form I-693 <span class="extra-info file-ext-info">(PDF, 684.28 KB)</span></a></span> </div> </article> </div> <div class="field__item"><article class="media media--type-document media--view-mode-linked-file"> <div class="field field--name-field-media-file field__item"> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/default/files/document/forms/i-693instr.pdf" type="application/pdf" title="i-693instr.pdf">Instructions for Form I-693 <span class="extra-info file-ext-info">(PDF, 444.74 KB)</span></a></span> </div> </article> </div> </div> </section> <section class="content-section content-section--form-details"> <h2 class="form-details-title">Form Details</h2> <div class="accordion content-accordion"><div class="accordion__header" tabindex="0">Edition Date</div><div class="accordion__panel"><div class="views-element-container"><div class="container container--views forms-updates-listing block-2 forms-updates-listing-block_2 js-view-dom-id-6105a0b51029a38edb4108aa37ecbd196cd61a7e5241ecb31c6eec09c0219348 hide-view-label"><div class="views-scroll-marker"></div><div class="first last"><p>03/09/23<span class="edition-date-period">.</span> If the civil surgeon signs your form on or after May 31, 2023, you must use the 03/09/23 edition. You can find the edition date at the bottom of the page on the form and instructions.</p></div></div></div><div><div class="clearfix text-formatted field field--name-body field__item"><p class="form-edition-info-download-inst form-edition--date">Dates are listed in mm/dd/yy format.</p><p class="form-edition-info-download-inst form-edition--mail">If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.</p><p class="form-edition-info-download-inst form-edition--download">If you need help downloading and printing forms, read our <a href="/downloading-and-printing-immigration-forms" data-entity-type="node" data-entity-uuid="5b1ab5b6-c0a5-45df-acca-69ac68a3d02f" data-entity-substitution="canonical">instructions</a>. </p></div></div></div><div class="accordion__header" tabindex="0">Where to File</div><div class="accordion__panel"><p>After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.</p><p>You (the applicant, not the civil surgeon) must submit your Form I-693 to USCIS. If you are applying for adjustment of status, you must submit Form I-693 by mail with your Form I-485, to the location specified for your Form I-485 (see the <a href="https://www.uscis.gov/forms/all-forms/direct-filing-addresses-for-form-i-485-application-to-register-permanent-residence-or-adjust-status">Direct Filing Addresses for Form I-485</a>). Otherwise, your Form I-485 may be rejected.</p><p>Other applicants: Follow the instructions on or included with the application, or the instructions given to you by the office requesting the immigration medical examination.</p></div><div class="accordion__header" tabindex="0">When to File</div><div class="accordion__panel"><p>If you are filing Form I-485, and if you are required to submit a Form I-693 or partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, your Form I-485 may be rejected.  For more information about Form I-693 requirements, visit www.uscis.gov/i-693</p></div><div class="accordion__header" tabindex="0">Filing Fee</div><div class="accordion__panel"><div class="clearfix text-formatted field field--name-field-formatted-long-2 field__item"><p>You can find the filing fee for Form I-693 by visiting our <a href="/g-1055?form=i-693">Fee Schedule</a> page.  </p><p>Fees for immigration medical examinations are established by the civil surgeon. Fees may vary by physician.</p></div></div><div class="accordion__header" tabindex="0">Form Filing Tips</div><div class="accordion__panel"><p><strong>Filing Tips: </strong>Review our <a href="/forms/filing-guidance/tips-for-filing-forms-by-mail" data-entity-type="node" data-entity-uuid="7fb3b0ee-dc8a-45a7-85af-5552f489c2b1" data-entity-substitution="canonical">Tips for Filing Forms by Mail</a> page for information on how to ensure we will accept your form.</p><p><strong>Don’t forget to sign your form.</strong> We will reject any unsigned form.</p></div><div class="accordion__header" tabindex="0">Related Links</div><div class="accordion__panel"><div class="clearfix text-formatted field field--name-field-formatted-long-5 field__item"><ul><li><a href="/green-card/green-card-processes-and-procedures/finding-a-medical-doctor" data-entity-type="node" data-entity-uuid="5ca1e6d2-1b71-479f-a1f0-365294e34bae" data-entity-substitution="canonical">Immigration Medical Examinations</a></li><li><a href="/policy-manual/volume-8-part-b-chapter-4" data-entity-type="node" data-entity-uuid="c6453f8d-ed59-4232-8aa4-05af9b203035" data-entity-substitution="canonical">USCIS Policy Manual Guidance on Review of Medical Examination Documentation</a></li></ul><p>Civil Surgeons</p><ul><li><a href="https://my.uscis.gov/findadoctor">Find a Civil Surgeon (Doctor)</a></li><li><a href="/tools/designated-civil-surgeons" data-entity-type="node" data-entity-uuid="a1365798-f598-4ea7-88c7-4622ee7e628d" data-entity-substitution="canonical">Designated Civil Surgeons</a></li></ul><p>Vaccination</p><ul><li><a href="/tools/designated-civil-surgeons/vaccination-requirements" data-entity-type="node" data-entity-uuid="ed0b898f-6d25-41dc-bd8d-34fb7c12f4db" data-entity-substitution="canonical">Vaccination Requirements</a></li></ul><p>Related Forms</p><ul><li><a href="/i-485" data-entity-type="node" data-entity-uuid="6d9a13a3-f3c9-4773-b112-0015c55ae4dd" data-entity-substitution="canonical">I-485, Application to Register Permanent Residence or Adjust Status</a></li><li><a href="/i-539" data-entity-type="node" data-entity-uuid="debc7fed-381c-404a-9ea1-4997363cdefb" data-entity-substitution="canonical">I-539, Application To Extend/Change Nonimmigrant Status</a></li></ul></div></div></div> </section> </div> </div> </article> </div> <div id="block-uscis-design-lastreviewedupdateddate"> <div class="reviewed-date"> <div class="reviewed-date__label">Last Reviewed/Updated:</div> <div class="field field--name-field-display-date field__item"><time datetime="2025-04-08T03:00:00Z" class="datetime">04/08/2025</time> </div> </div> </div> </div> </div> <div class="region region-content_second"> <div id="block-adminfeedbackblock"> <div id="feedback-message"><div id="upper-feedback-content"></div> <form class="admin-feedback-form usa-form" data-drupal-selector="admin-feedback-form" action="/i-693" method="post" id="admin-feedback-form" accept-charset="UTF-8"> <fieldset class="feedback-radios fieldgroup 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