The U.S. Citizenship and Immigration Services (USCIS) has announced that it has revised Form I-693, Report of Medical Examination and Vaccination Record. The revision was necessitated by changes to the Tuberculosis (TB) Component of the Centers for Disease Control and Preventionís Technical Instructions for Civil Surgeons. This revised form (edition date 04/02/08) must be used for any medical examination completed on or after May 1, 2008. Previous editions of the Form I-693 may not be used on or after that date.
The medical examination Form I-693 provides USCIS results of a medical examination
for applicants filing for adjustment
of status to become permanent residents. The examination is required to ensure
that an applicant is not inadmissible to the United States on public health grounds.
The new form lists seven TB classifications at the bottom of its first page. Civil
surgeons must record the results of all medical examinations conducted on or after
May 1, 2008, on the new form. Additionally, the current vaccination supplement
will not be accepted for any vaccination assessment completed on or after May
1, 2008. An updated vaccination supplement has been included in part 2 of the
The revised TB Component of the Technical Instructions is available for review at
www.cdc.gov/ncidod/dq/civil.htm. For more information on the revised Form I-693, visit
USCISí Website at www.uscis.gov or call the National Customer Service Center at