I 693 Form Medical Exam PDF

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I 693 Form Medical Exam
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I 693 Form Medical Exam

Form I-693 is used to report results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The examination is required to establish that you are not inadmissible to the United States on public health grounds.

Form I-693 reports results of an immigration medical examination to U.S. Citizenship and Immigration Services (USCIS). USCIS requires the examination to establish that applicants who are seeking immigration benefits are not inadmissible to the United States on health-related grounds. You can find a list of the health-related grounds in the Immigration and Nationality Act (INA) section 212(a)(1). The list is also available in these Instructions in the Frequently Asked Questions section, Item Number 9.

How Do I File Form I-693?

You must submit a separate Form I-693 for each applicant.

  • Carefully read all these Instructions, including the Frequently Asked Questions section.
  • Contact a doctor who is designated as a civil surgeon by USCIS to make an appointment.
  • Fill out Part 1. Information About You of Form I-693. Do not sign the form until the civil surgeon tells you to sign it. You must sign in the presence of the civil surgeon.
  • Attend your medical examination appointment and all follow-up examinations, as required. If you have any medical records, including vaccination records, take them with you to the initial appointment. NOTE: For applicants who are required to receive the COVID-19 vaccine, you must do so and provide documentation of vaccination to the civil surgeon, or the civil surgeon can administer the vaccine(s). See CDC’s COVID-19 Technical Instructions for Civil Surgeons at www.cdc.gov/immigrant-refugee-health/hcp/civil-surgeons/vaccination.html for current requirements.
  • The civil surgeon must give you the completed Form I-693 in a sealed envelope for you to submit to USCIS. Do not accept the form from the civil surgeon unless it is in a sealed envelope. USCIS will return your Form I-693 to you if it is not in a sealed envelope or if the envelope is opened or altered in any way. The civil surgeon should also give you a copy of the completed Form I-693 for your records.
  • Submit your completed Form I-693 in the sealed envelope to USCIS. Form I-693 remains valid for two years from the date of the civil surgeon’s signature. A. If you are applying for adjustment of status, Form I-485: Submit Form I-693 according to the Instructions for Form I-485, Application to Register for Permanent Residence or Adjust Status, which you may find on our website at www.uscis.gov/I-485.

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