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I-693 Checklist: Medical Examination Document Requirements

Immigration Attorney and Adjustment of Status Resource

Streamline your Form I-693 (Report of Medical Examination and Vaccination Record) with our comprehensive document checklist. The I-693 is the immigration medical examination required to show you are not inadmissible on health-related grounds. It is typically required when applying for adjustment of status (green card) on Form I-485 and may be required for other benefits. The exam must be performed by a USCIS-designated civil surgeon, who completes the I-693 and returns it to you in a sealed envelope to submit with your application. This checklist helps applicants and immigration attorneys prepare: bring government-issued ID and vaccination records to the civil surgeon, understand vaccination requirements (measles, mumps, rubella, polio, tetanus, and others per CDC/ACIP), and know that the form is valid for two years from the civil surgeon's signature. Current instructions may require submitting the I-693 with the I-485; check USCIS.gov for the latest rules.

Key Benefits

Know what to bring to the civil surgeon appointment
Understand vaccination requirements (CDC/ACIP list)
Form valid 2 years from civil surgeon signature
Sealed envelope—do not open before submitting
Coordinate with I-485 or other application timing
Professional medical exam workflow

Common Use Cases

Adjustment of status (I-485) applicants preparing for medical examImmigration attorneys guiding clients on I-693 timing and requirementsApplicants gathering vaccination records before civil surgeon visitFamily-based or employment-based green card applicantsK-1 or other applicants who need vaccination assessment or full I-693Refugees or asylees completing vaccination requirements for AOS

Frequently Asked Questions

What is Form I-693 and when is it required?
Form I-693 is the Report of Medical Examination and Vaccination Record. It is required to show you are not inadmissible on health-related grounds. It is typically required when filing for adjustment of status (I-485) and may be required for other immigration benefits. As of recent updates, many applicants must submit the I-693 with the I-485 or the application may be rejected; check current USCIS instructions and form edition.
Who can perform the immigration medical exam?
The exam must be performed by a USCIS-designated civil surgeon in the United States. Find a civil surgeon using the USCIS civil surgeon locator. The civil surgeon follows CDC Technical Instructions, completes the I-693, and gives it to you in a sealed envelope. Do not open the envelope; submit it with your application.
What vaccinations are required for the I-693?
Applicants must show proof of vaccination or immunity (or that a vaccine is not medically appropriate) for diseases such as measles, mumps, rubella, polio, tetanus, diphtheria, pertussis, hepatitis B, haemophilus influenzae type B, and others as recommended by the Advisory Committee on Immunization Practices (ACIP). Bring any vaccination records you have; the civil surgeon will document what is needed and what you have received.
How long is the I-693 valid?
Form I-693 is valid for two years from the date the civil surgeon signs it. Time your exam so the sealed form is still valid when you file your I-485 (or when USCIS adjudicates, depending on current policy). Check the form instructions for the latest validity rules.

Checklist

Preparation

Schedule appointment with USCIS-designated civil surgeon
Required

Use USCIS civil surgeon locator to find a designated doctor. Not all physicians are civil surgeons.

Documents to Bring

Government-issued photo ID (passport or driver's license)
Required

Bring to your civil surgeon appointment. Required for the exam and form completion.

Vaccination records (from childhood, school, or prior medical providers)

Helps civil surgeon document which vaccines you have had. Missing vaccines can be given at the exam or you may be referred.

Medical Requirements

Meet vaccination requirements (measles, mumps, rubella, polio, tetanus, and others per ACIP)
Required

Civil surgeon will review and document. Waivers or deferrals exist for medical or religious reasons where allowed.

Complete physical examination per CDC Technical Instructions
Required

Civil surgeon performs exam and tests as required (e.g., TB, other conditions). Follow civil surgeon's instructions.

USCIS Forms

Form I-693 completed and signed by civil surgeon
Required

Civil surgeon completes the form. Some applicants need only partial I-693 (e.g., vaccination supplement); check instructions.

Submission

Receive I-693 in sealed envelope from civil surgeon
Required

Do not open the envelope. Submit the sealed envelope with your I-485 or as instructed by USCIS.

Ensure I-693 is valid (2 years from civil surgeon's signature)
Required

Time your exam so the form is still valid when you file or when USCIS adjudicates. Check current policy.

Submit sealed I-693 with I-485 or as required by current instructions
Required

As of recent updates, many applicants must submit I-693 with I-485. Check USCIS I-485 and I-693 pages for latest requirement.