I-693, Report of Medical Examination and Vaccination Record

Download Instructions for Form I-693

Download Form I-693

Purpose of Form :

FOR IMPORTANT UPDATES: Please see “Special Instructions for Civil Surgeons” below.

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.


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 the U.S. Citizenship and Immigration Services (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.

Number of Pages :

Form 6; Instructions 7.

Edition Date :

7/20/10. See “Special Instructions” below for important information on previous editions.

Where to File :

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. Do not accept it if it is not in a sealed envelope. USCIS will return the form to you if it is not in an envelope or if the envelope has been opened or altered.

You, the applicant, not the civil surgeon, are required to submit the Form I-693 to USCIS.

If you are applying for adjustment of status: Submit Form I-693 together with your Form I-485, Application to Register for Permanent Residence or Adjust Status, as detailed in the instructions to Form I-485.

Other applicants: Follow the instructions on or included with the application or the instructions given to you by the office requesting the medical examination.

Filing Fee :

$0. Note that USCIS does not regulate fees charged by civil surgeons for medical examinations. Fees may vary by physician.

Special Instructions :

Editions: The current edition is dated 7/20/2010.

Use of earlier editions:

For medical examinations conducted on or after July 22, 2010, 2010, the results of the medical examinations may be recorded on either the February 25, 2010 or July 20, 2010 edition of Form I-693.  No edition earlier than the February 25, 2010 edition may be used.  Any previous editions of Form I-693 that are used for purposes of the medical examination on or after July 22, 2010 are not acceptable.


  1. CDC has published new Technical Instructions for Mental Disorders and Substance Abuse for Civil Surgeons.  These Technical Instructions are effective as of June 1, 2010.
  2. CDC has updated their website.  The Technical Instructions for civil surgeons and panel physicians can be found at http://www.cdc.gov/immigrantrefugeehealth/exams/ti/index.html
  3. The current edition of the Form I-693 reflects that an individual should no longer be tested for HIV infection, and that individuals do not have to be vaccinated with the herpes zoster (zoster) and Human Papillomavirus (HPV) vaccine.  Any reference to HIV, HPV or zoster has been removed.

Note: The results of the medical examination are generally valid for only 12 months. Applicants should schedule the medical examination as close as possible to the time they file for adjustment of status, but provide for sufficient time for the performance of laboratory testing or additional testing required under CDC’s Technical Instructions.


Contact Us