USCIS Form I-693 2025 – Full Details

If you’re applying for a green card from within the United States, you must prove that you’re not inadmissible on public health grounds. To do this, U.S. Citizenship and Immigration Services (USCIS) requires you to submit Form I-693, officially called the Report of Medical Examination and Vaccination Record.

A USCIS-authorized civil surgeon must examine you and complete the form, which you’ll then submit with your green card application (Form I-485). This guide walks you through what Form I-693 is, who needs it, how to file it, and how recent policy changes affect your application.

Latest Update:

Form I-693 is now valid only for the immigration benefit application it was submitted with. If that application is denied or withdrawn, the medical exam cannot be reused. A new Form I-693 will be required for any future applications.

• Forms signed before that date remain valid for 2 years, unless tied to a denied or withdrawn application.

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Processing Time:

Form I-693 must be signed by a civil surgeon no more than two years before you file Form I-485. It’s often submitted together with Form I-485, but you may also be asked to submit it later in response to a Request for Evidence (RFE).

The processing time for Form I-485 can vary significantly depending on your case, ranging from 6 months to 4 years. Always check USCIS processing times for the latest updates.

Cost:

• Filing Fee: $0 (There is no USCIS fee for Form I-693)
• Medical Exam Fee: Typically $100–$500, averaging around $200, depending on the doctor and your vaccination needs.

Who Needs Form I-693?

Most applicants filing Form I-485 (Application to Register Permanent Residence or Adjust Status) from within the U.S. will need to submit Form I-693 to meet public health requirements.

You may not need to submit Form I-693 if:

• You already completed a medical exam abroad for a K-1 visa and submitted Form DS-3025.
• You’re adjusting status under a category exempt from medical exam requirements (rare cases).

Public Health Criteria:

To be granted lawful permanent residence, you must not have any health-related conditions that would make you inadmissible under Section 212(a)(1) of the Immigration and Nationality Act (INA).

The civil surgeon must confirm:

• You have no Class A medical conditions, which include:
  • Communicable diseases (e.g., Tuberculosis, Gonorrhea, Syphilis, Hansen’s Disease)
  • Drug addiction
  • Certain physical or mental disorders that may result in harmful behavior
  • Lack of required vaccinations
• You have received all required vaccines as outlined by the Centers for Disease Control and Prevention (CDC).

USCIS Civil Surgeon Near Me:

If you’re applying for a green card (lawful permanent residence) in the United States, one critical step is completing the USCIS medical examination, also known as Form I-693. This form confirms that you’re not inadmissible to the U.S. on public health grounds. To complete this requirement, you must visit a USCIS civil surgeon near you—a doctor authorized by the U.S. Citizenship and Immigration Services (USCIS) to perform immigration medical exams.

In this guide, you’ll learn everything you need to know about finding a civil surgeon, the immigration medical exam form, and how to prepare for the USCIS green card medical exam.

During the Form I-693 Medical Examination

During your Form I-693 medical examination, the civil surgeon will:

• Review your medical history
• Perform a physical and mental health evaluation
• Conduct tests for communicable diseases (e.g., tuberculosis)
• Check your vaccination status (and administer any missing vaccines)

If you are missing any required immunizations, the doctor will offer them during your visit.

Once completed, the civil surgeon will fill out and seal Form I-693 in an official envelope. Do not open the sealed envelope, as USCIS requires it to be submitted unopened with your green card application.

USCIS Immigration Medical Exam:

The USCIS green card medical exam is a health screening required for most applicants adjusting their status to permanent residency from within the U.S. The goal is to ensure that you do not have any health-related conditions that would make you inadmissible under immigration law.

To complete the exam, you’ll need to submit Form I-693, Report of Medical Examination and Vaccination Record, signed by a designated USCIS civil surgeon.

How to File USCIS Form I-693 2025?

• Find a USCIS-Authorized Civil Surgeon
  Use the Find a Doctor tool to locate a certified doctor near you.
• Complete Part 1 of the Form
  Fill out the “Information About You” section of Form I-693 but do not sign it until your appointment.
• Attend Your Medical Exam
  Bring your vaccination records and medical history. You may need multiple visits depending on your health status.
• Receive a Sealed Envelope
  The civil surgeon will give you:
  • The original, sealed Form I-693 (USCIS requires it sealed)
  • A copy for your records
• Submit to USCIS
  Include the sealed envelope with your Form I-485 or respond to a USCIS RFE if requested later.

Additional Information:

• Double-check the validity of your Form I-693 and the civil surgeon’s signature date.
• Submit the form in a sealed envelope to avoid rejections.
• Keep a copy of your completed form for your records.

Frequently Asked Questions: