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USCIS Revises Form I-693, Report of Medical Examination and Vaccination Record
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U.S. Citizenship and Immigration Services (USCIS) has revised the Form I-693, Report of Medical Examination and Vaccination Record (Revision Date 10/14/09/Expiration Date 10/30/11) to include new updates regarding testing for Tuberculosis. USCIS took this action based on the Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC)'s Update to the Tuberculosis (TB) Component of the Technical Instructions for the Medical Examination of Aliens in the United States (TB Component of the Technical Instructions), which took effect on Nov. 1, 2009.

With the update to the TB component of the Technical Instructions, and under the revised version of the Form I-693, a civil surgeon may now administer an interferon gamma release assay (IGRA) in place of a Tuberculin Skin Test (TST). Under the June 5, 2008 version of the Form I-693, a civil surgeon was directed to use the TST as an initial testing method to determine whether the applicant had cell-mediated immune reactivity to Mycobacterium tuberculosis.

Current acceptable IGRAs for the change of status examination are: QuantiFERON® TB Gold, QuantiFERON® TB Gold In Tube, and the T-Spot® TB test.

Civil surgeons may continue to use the June 5, 2008 edition of Form I-693 until Jan. 1, 2010, but only if the civil surgeon uses the TST test as an initial screening method for TB. If an IGRA is used as a means to initially screen for TB infection, the civil surgeon must submit the results of the medical examination on Form I-693 (Edition Oct. 14, 2009). The civil surgeon may not provide the results of the IGRA on Form I-693 (Edition June 5, 2008). Beginning on Jan. 1, 2010, the civil surgeon must use the Oct. 14, 2009 edition of Form I-693 to record the results of the medical exam, irrespective of the TB screening test used.

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