Generally, all applicants filing for adjustment of status to that of a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Form I-693 is used to report results of a medical examination to USCIS. The examination is required to establish that an applicant is not inadmissible to the United States on public health grounds.
A list of those health grounds can be found in section 212(a) (1) of the Immigration and Nationality Act.
(Note : USCIS does not regulate fees charged by civil surgeons for medical examinations. Fees may vary by physician.)
(Medical examinations signed by the civil surgeon Oct. 1, 2021, or later must use the 09/13/21 edition. We will continue to accept prior editions for medical examinations signed by the civil surgeon before Oct. 1, 2021.)
Where To File I-693
After completion of the medical examination, the civil surgeon is required to give you, the applicant, the completed Form I-693 in a sealed envelope for submission to USCIS. Do not accept it if it is not in a sealed envelope. USCIS will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered.
It is the applicant’s responsibility to submit the Form I-693 to USCIS, not the civil surgeon’s.
If you are applying for adjustment of status, you may submit Form I-693 in one of the following ways:
- Submit Form I-693 by mail, together with your Form I-485, Application to Register for Permanent Residence or Adjust Status, to the location specified for your Form I-485 (see “Direct Filing Addresses for Form I-485“).
- Submit Form I-693 by mail, after filing your Form I-485, to the location specified in your most recent communication with USCIS (for example, a Request for Evidence letter from USCIS).
- Submit Form I-693 in person, at an interview in a USCIS field office (if an interview is required).
Other applicants: Follow the instructions on or included with the application or the instructions given to you by the office requesting the medical examination.
I-693 Special Instructions
Medical examinations completed on or after January 1, 2012, must be reported using a version of I-693 no older than 10/11/11. If a medical examination completed on or after January 1, 2012, is submitted using any version older than 10/11/11, USCIS will reject the form, and require the applicant to return to the civil surgeon in order to complete and resubmit the current version of Form I-693.
USCIS requires most applicants seeking to adjust to lawful permanent resident status to submit the results of a medical examination by a designated civil surgeon on Form I-693, which indicates whether an applicant is or is not inadmissible to the United States on public health grounds.
Note: To ensure the results of the medical examination are still valid at the time USCIS adjudicates the associated benefit application, applicants should schedule the medical examination as close as possible to the time they file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable). Applicants should, however, also provide sufficient time for the performance of laboratory testing or additional testing required under CDC’s Technical Instructions. For more information on the validity of Form I-693, see the USCIS Policy Manual Volume 8, Part B, Chapter 4.
For detailed information about the medical examinations:
- Applicants – Visit the Immigration Medical Examinations page linked on the right.
- Civil Surgeons – Visit the Designated Civil Surgeons Page linked on the right to find update letters issued by USCIS as well as detailed information about the examination and useful links.
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