Part 1: Information about you
Completed by the applicant, not the civil surgeon: full legal name, physical address, sex, birth details, A-Number, USCIS online account number, and a box for applicants eligible for the vaccination record portion only.
I-693
Report of Immigration Medical Examination and Vaccination Record
- Agency
- USCIS
- Revision
- Edition 01/20/25
- Fillable fields
- 446
- Pages
- 14
- Official source
- USCIS form page
- Checked
- October 20, 2026
Form I-693: Report of Immigration Medical Examination and Vaccination Record
Form I-693, Report of Immigration Medical Examination and Vaccination Record, reports the results of an immigration medical examination to USCIS. The instructions say USCIS requires the exam to establish that applicants seeking immigration benefits are not inadmissible on health-related grounds, which are listed in INA section 212(a)(1).
Only a doctor designated by USCIS as a civil surgeon may perform the exam, with limited exceptions for military and health department blanket designations. The applicant fills in Part 1 and signs Part 2 in front of the civil surgeon, who completes the remaining parts and returns the form in a sealed envelope.
The USCIS page says that, effective Dec. 2, 2024, Form I-693 or a partial Form I-693 is submitted with Form I-485, otherwise USCIS may reject the Form I-485. The instructions say the form remains valid for two years from the date of the civil surgeon's signature.
What's on Form I-693
Parts 2 to 4: Statement, interpreter and preparer
The applicant's statement, contact information and signature, then sections for anyone who interpreted or prepared the form for the applicant.
Parts 5 and 6: Identification and summary
The civil surgeon records the ID the applicant showed and its number, then summarizes the findings as no Class A or Class B condition, Class B conditions or Class A conditions, with exam dates.
Part 7: Civil surgeon's certification
The civil surgeon's contact details, Civil Surgeon Identification Number (CSID) and signature. The instructions say not to sign until any referral or follow-up is done and the applicant is medically cleared.
Parts 8 and 9: Worksheet and referral
The worksheet covers communicable diseases of public health significance, physical or mental disorders with associated harmful behavior, and drug abuse or addiction. Part 9 is completed by a health department or other doctor after a required referral.
Parts 10 and 11: Vaccination record and extra space
The vaccination record, which the instructions say serves as the applicant's official vaccination record for later use, followed by space for additional information.
How to complete Form I-693
- 1
Find a designated civil surgeon
The instructions point to the Find a Doctor tool on the USCIS website. USCIS will not accept a Form I-693 completed by a doctor who is not a currently designated civil surgeon.
- 2
Fill in Part 1 before the appointment
Also put your name and A-Number, if any, at the top of each page. The instructions say to write N/A if there is no A-Number. This page lets you fill Part 1 online free, then print it.
- 3
Bring photo ID and records
The instructions ask for a valid government-issued photo ID, such as an unexpired passport or driver's license, and any medical records, including vaccination records, at the first appointment.
- 4
Sign Part 2 in front of the civil surgeon
The instructions say not to sign until the civil surgeon says to. A parent or legal guardian may sign for an applicant under 14.
- 5
Finish any follow-up and referrals
The instructions say all required health-related follow-up comes first. The civil surgeon signs Part 7 only after the applicant is medically cleared.
- 6
Keep the envelope sealed
The civil surgeon gives the original in a sealed envelope marked DO NOT OPEN. FOR USCIS USE ONLY. The instructions say USCIS returns a form whose envelope is opened or altered.
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How to submit it, fees and validity
With a mailed Form I-485
The USCIS page says the applicant, not the civil surgeon, submits Form I-693 in the original sealed envelope with Form I-485, at the location listed for Form I-485.
With Form I-485 filed online
The USCIS page says to open the sealed envelope, upload the completed Form I-693 with the I-485 package, and keep the original form and envelope until USCIS makes a final decision on the Form I-485.
Fees
The filing fee for Form I-693 is on the USCIS Fee Schedule page, which can change. Check it on the day you file. The USCIS page says civil surgeons set their own exam fees, and the instructions say the applicant pays all exam costs directly to the provider.
Edition to use
The USCIS page says that if the civil surgeon signs on July 3, 2025 or later, USCIS accepts only the 01/20/25 edition.
Validity
The instructions say Form I-693 remains valid for two years from the date of the civil surgeon's signature.
Vaccination waivers
USCIS may grant a blanket waiver when a vaccine is not medically appropriate. The instructions say an applicant who objects because of sincerely held religious beliefs or moral convictions may apply for a waiver and tells the civil surgeon.
Related forms
I-485
Application to Register Permanent Residence or Adjust Status
730 fields, 24 pages
I-539
Application to Extend/Change Nonimmigrant Status
159 fields, 7 pages
I-864
Affidavit of Support Under Section 213A of the INA
219 fields, 12 pages
I-130
Petition for Alien Relative
450 fields, 12 pages
I-765
Application for Employment Authorization
161 fields, 7 pages
I-131
Application for Travel Documents, Parole Documents, and Arrival/Departure Records
339 fields, 14 pages
Who needs Form I-693?
Official sources and the blank
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Questions about Form I-693
Can any doctor do the I-693 medical exam?
No. The instructions say only a doctor designated by USCIS as a civil surgeon may perform it, with limited exceptions for military and health department blanket designations.
Who pays for the immigration medical exam?
The instructions say the applicant pays all costs, including any required follow-up tests or treatment, directly to the civil surgeon or other provider. The USCIS page says fees may vary by civil surgeon.
How long is Form I-693 valid?
The instructions say it remains valid for two years from the date of the civil surgeon's signature.
Can I open the sealed envelope?
For a mailed filing, no: the instructions say USCIS returns the form if the envelope is opened or altered. For a Form I-485 filed online, the USCIS page says to open it, upload the form and keep the original and envelope.
When is Form I-693 submitted?
With Form I-485. The USCIS page says that, effective Dec. 2, 2024, USCIS may reject a Form I-485 filed without the required Form I-693 or partial Form I-693.
Do refugees need a new medical exam?
Generally not, if the panel physician abroad found no Class A condition. The instructions say they still meet the vaccination requirements and submit Parts 1 to 5, Part 7 and Part 10.