Form I-693, Report of Medical Examination and Vaccination Record

If you’re applying for a green card in the United States, you have to submit Form I-693, which is a medical exam and vaccination record completed by a USCIS approved civil surgeon. This form shows that you are not inadmissible to the United States based on health reasons.

To obtain a signed I-693 for your green card application, you should make an appointment with an approved civil surgeon. At the end of the appointment, the doctor will give you a sealed envelope with the results. DO NOT break the seal of the envelope. If you do, USCIS will reject your application. You should send the sealed envelope to USCIS with, or after, your adjustment of status application.

Frequently Asked Questions:

• If I am applying for an immigrant visa outside the United States, do I need a Form I-693?

  No. If you apply at a consular post, you will have a medical examination conducted by a DOS panel physician.

• Can anyone complete the Form I-693?

  Only a doctor listed on the USCIS website at www.uscis.gov/tools/find-a-civil-surgeon may perform the exam.

• How much does it cost to have the Form I-693 completed?

  Rates vary by physician. Do your research to compare what different offices charge. When scheduling the appointment, tell the office that it is for an immigration medical examination.

• What should I bring to my medical examination appointment?

  •         Government-issued photo identification;

  •          List of medications you are currently taking;

  •          Vaccination records;

  •          Proof of COVID-19 vaccination, if applicable;

  •          Any other medical records, if available;

  •          A current edition of Form I-693, available at https://www.uscis.gov/i-693

• What happens at the appointment?

  You’ll sign the certification at the start of the immigration medical exam to confirm that you agree to the exam and that all the information you provide about the exam is true. During the medical examination, the civil surgeon will perform tests for communicable diseases of public health significance and screen for certain physical or mental disorders, as well as for drug addiction and abuse. The civil surgeon will also make sure that you have all required vaccinations. Additional testing may be necessary.

  When all testing has been completed, the civil surgeon will sign Form I-693 and put it in a sealed envelope.

  IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way. The civil surgeon should provide you with an additional copy of the signed Form I-693 for your records.

• When should I submit Form I-693 medical exam results?

  You may submit the completed medical exam with your green card application or later, in response to a Request for Evidence.

  NOTE: Always check with your attorney before mailing anything to USCIS.

• How long is Form I-693 valid?

  A Form I-693 that was properly completed and signed by a civil surgeon on or after November 1, 2023 does not expire.  A Form I-693 completed prior to that time is valid for two years from the date that the civil surgeon signed it. 

• What could make me inadmissible based on the I-693 results?

  Section 212(a)(1) of the Immigration and Nationality Act (INA) outlines the health-related grounds on which an individual can be deemed inadmissible for a U.S. visa or green card.

  These grounds pertain to communicable diseases, physical or mental disorders, and drug addiction.

  You also must have the required vaccinations, unless you have a waiver excusing you from getting one or more of the vaccines.

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