What is Form I-693?
Anyone applying for a green card from within the United States will need to prove that they are not inadmissible on public health grounds. To do this, applicants will need to file Form I-693 (officially called “Report of Medical Examination and Vaccination Record”).
In this guide, we’ll cover the basics of Form I-693:
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Form I-693 should be signed by an authorized civil surgeon no more than 60 days prior to filing Form I-485 (officially called “Application to Register Permanent Residence or Adjust Status”). Note: Between December 9, 2021 and September 30, 2022, this requirement will be waived.
Generally speaking, Form I-693 is filed together with I-485. The processing time of I-485 can vary greatly — anywhere from 6 months to 4 years — depending on the circumstances.
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While there’s no charge for filing Form I-693, the applicant will need to pay for the medical exam itself. These rates can range anywhere from $100 to $500, but on average, applicants can expect to pay about $200.
When applying for lawful permanent residence from within the United States, applicants may be required to meet the public health grounds of inadmissibility outlined in section 212(a)(1) of the Immigration and Nationality Act (INA).
Therefore, most green card applicants filing Form I-485 will also need to file Form I-693 in order to meet the public health criteria, which are as follows.
U.S. Immigration Medical Exam Public Health Criteria
- A civil surgeon authorized by U.S. Citizenship and Immigration Services (USCIS) must examine the applicant, following U.S. Department of Health and Human Services (HHS) regulations.
- Form I-693 must be completed by the applicant and civil surgeon.
- Form I-693 must be signed by the civil surgeon within 60 days of filing Form I-485.
- This requirement has been waived from December 9, 2021 to September 30, 2022.
- Form I-693 must show that the applicant has received the required vaccinations (including the COVID-19 vaccine).
- Form I-693 must show that the applicant does not have a Class A medical condition (see below).
- USCIS must make a decision within 2 years of the civil surgeon signing Form I-693.
Failure to satisfy these public health criteria could result in a Request for Evidence (RFE) or an outright denial of the green card application. Certain green card applicants — such as those adjusting status from the K-1 visa — will not be required to undergo a medical exam, as they have already been examined prior to entering the United States.
A Class A medical condition is defined as follows:
- A communicable disease deemed significant by HHS, including:
- Hansen’s disease
- A lack of vaccines for preventable diseases
- A “physical or mental disorder” which may result in dangerous behavior
- Addiction to drugs
Note: As of October 1, 2021, anyone required to complete Form I-693 will need to get a COVID-19 vaccine series and bring proof of vaccination to their appointment with the civil surgeon.
To file Form I-693, the applicant must first make an appointment with an authorized civil surgeon. Prior to attending the appointment, the person seeking a green card should complete the first part of Form I-693, titled “Information About You.” They must wait until their appointment to sign the form.
The applicant should make sure to bring all pertinent medical records and proof of vaccinations to their first appointment. They should be sure to bring evidence of having received a full COVID-19 vaccine series — either 2 doses of Moderna, 2 doses of Pfizer, or 1 dose of Johnson & Johnson. They may need to attend more than one exam.
At the end of your medical exam appointment, the doctor will give you the original Form I-693 in a sealed envelope and a copy for your records. It’s important that the form is in a sealed envelope, otherwise, USCIS will return it. Remember, the applicant must sign the form as well. An unsigned form will be denied.
If applying for adjustment of status, the applicant will need to submit Form I-693 (in the sealed envelope) in one of the following ways:
- In the mail, with the green card application (Form I-485)
- In the mail, after the green card application (Form I-485) has been submitted
- In person, at the interview (if required)
USCIS recommends filing Form I-693 simultaneously with Form I-485. This could help prevent delays, as USCIS will not have to send requests for further evidence to obtain Form I-693.
If submitting Form I-693 for reasons other than a green card application, the applicant should follow the instructions provided by USCIS.
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If I’m a refugee who has already received a medical exam prior to entering the United States, do I need to file Form I-693 as a part of the adjustment of status process?
In general, yes. But if the doctor found no Class A medical conditions, you’ll only need to fulfill the vaccination requirements — Part 10 of Form I-693. If the overseas doctor found a Class A condition, then you’ll need to complete the entire application and examination.
If I’m a K or V visa holder applying for adjustment of status, do I need to receive a medical examination?
If you’ve already received a medical exam prior to entering the United States, and you are a:
- K-1 fiancé(e)
- K-3 spouse
- K-2 child of a K-1 fiancé(e)
- K-4 child of a K-3 spouse
- V-1 spouse
- V-2 child of a V-1 spouse
- Or V-3 child of an unmarried V-2 holder
You do not need to attend another medical examination. You’ll need to be sure, however, that you file Form I-485 no more than one year after the initial exam.
No matter what, you will need to provide evidence showing you’ve fulfilled the vaccine requirements. Failing this, you will need to complete Part 10 of Form I-693, which means you’ll need to see an authorized civil surgeon.
Note: if the overseas doctor found a Class A medical condition, then you will need to attend another exam — unless you’ve received a “waiver of inadmissibility.”
Where can I find an authorized physician?
You can find designated civil surgeons on the USCIS website. To be absolutely certain, you can ask the doctor at the appointment to confirm that they are indeed an authorized physician.