Form I-693

Report of Medical Examination and Vaccination Record

Completed by a USCIS-designated civil surgeon to document the results of an immigration medical examination required for adjustment of status applicants.

Filing Fee

No USCIS filing fee (civil surgeon examination fees typically range from $200 to $500)

Processing Time

Valid for 2 years from the date the civil surgeon signs the form

Who Files

The designated civil surgeon completes the form; the applicant submits it with their I-485 application.

What is Form I-693?

Form I-693 documents the results of the medical examination required for most Green Card applicants. The examination must be performed by a USCIS-designated civil surgeon and includes a physical examination, mental health evaluation, and review of vaccination records. The completed form is submitted as part of the adjustment of status (I-485) application.

Key Points

Must be completed by a USCIS-designated civil surgeon (find one at uscis.gov)

Includes TB test, syphilis blood test, and review of required vaccinations

Valid for 2 years from the date of the civil surgeon's signature

Must be submitted in a sealed envelope with the I-485 application

Certain vaccination waivers are available for religious or medical reasons

Frequently Asked Questions

QWhat vaccinations are required for immigration?

Required vaccinations include mumps, measles, rubella, polio, tetanus and diphtheria, pertussis, hepatitis A and B, rotavirus, meningococcal, varicella, pneumococcal, influenza, and COVID-19. The specific vaccines required depend on the applicant's age. Waivers are available for medical contraindications or religious objections.

QHow much does the I-693 medical examination cost?

There is no USCIS fee for Form I-693, but the civil surgeon charges for the examination. Costs typically range from $200 to $500 depending on location and what vaccinations are needed. This cost is not covered by insurance in most cases.

QCan I submit the I-693 after filing the I-485?

Yes, you can submit the I-693 at any time during the I-485 process, including at the interview. However, it is recommended to submit it with the initial I-485 filing or as soon as possible to avoid delays. USCIS may issue a Request for Evidence (RFE) if it is not included.

Practical Tips

Bring your vaccination records to the civil surgeon appointment to avoid unnecessary and costly re-vaccination

Schedule the appointment close to your I-485 filing date to maximize the 2-year validity window

Do not open the sealed envelope from the civil surgeon; submit it sealed with your application

Related Forms

Form I-485

Application to Register Permanent Residence or Adjust Status

Filed by individuals already in the U.S. to adjust their status to permanent resident (Green Card).

Form I-130

Petition for Alien Relative

Filed by a U.S. citizen or permanent resident to establish a relationship with an eligible relative who wishes to immigrate.

Form I-140

Immigrant Petition for Alien Workers

Filed by U.S. employers to petition for a foreign worker to become a lawful permanent resident based on an employment-based immigrant visa category.

Related Visa Types

Green Card

U.S. Permanent Resident Card

Permanent residency in the United States, granting the right to live and work permanently.

EB-5 Visa

EB-5 Immigrant Investor Visa

Green Card through investment of $800,000 or $1,050,000 in a U.S. commercial enterprise that creates jobs.

K-1 Visa

K-1 Fiance(e) Visa

Visa for foreign fiances of U.S. citizens to enter the U.S. for marriage within 90 days.

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