Information regarding the I-693 medical examination, medical examination, and report immunization records

This information comes directly from the American Immigration Lawyers Association AILA of which I am a member and answers some of the most important questions regarding the medical examination, which is required when applying for permanent residency for the first time.

If you are applying for a green card in the United States whether it is for a family visa, asylum or special work, you have to submit the medical examination on the I-693 form, which is a checkup and vaccination record done by a specific doctor. This form proves that you are not inadmissible to the United States for health reasons, you must understand that simple medical problems and conditions such as hypertension, cholesterol, arthritis are not problems to acquire residency, contagious diseases such as tuberculosis and drug addictions can be a problem.

An I-693 form signed by a civil surgeon, the official name for physicians registered with immigration, as of November 1, 2023 does not expire and can be used for any application for immigration benefits at any time in a the future.

Note: If a USCIS officer has reason to believe that the applicant's medical condition has changed since the civil surgeon signed the Form I-693 or that the Form I-693 does not accurately reflect the applicant's medical condition, the officer has the discretion to request further evidence or a new or updated Form I-693.

If I applied for an immigrant visa outside the United States, do I need Form I-693?

No. If you file your application at a consular office, a medical examination will be performed by a physician recognized by the country's consulate.

Can any physician complete the I-693 form?

No. Only a physician listed on the USCIS website www.uscis.gov/tools/find-a-civil-surgeon. You can also call our office at 616-235-4577, we have the list of doctors registered with immigration.

How much does it cost to complete the I-693 form?

Fees vary by doctor, you can call to compare what different offices charge. When you schedule your appointment, please inform the office that this is an immigration medical examination.

What should I bring to my medical examination appointment?

Government-issued photo identification;

-List of medications you are currently taking;

-Vaccination records;

-Proof of COVID-19 vaccination, if applicable;

-Any other medical records, if available;

An updated edition of the I-693 form, available at https://www.uscis.gove/i-693.

What happens at the medical appointment?

You will sign a certification to confirm that you agree to the examination and that all the information you provide about the examination is true. During the medical examination, the doctor will screen for communicable diseases of public health concern and screen for certain physical or mental disorders, as well as substance abuse and addiction. The doctor will also make sure that you have all required immunizations. Additional tests may be necessary.

Once all tests are completed, the civil surgeon will sign the I-693 form and place it in a sealed envelope.

NOTICE: Alcohol or Illegal Drug Abuse including Marijuana - If you have had problems with alcohol or illegal drug use including marijuana you must tell the attorney first especially if you have been arrested for alcohol or drug use including drunk driving.

IMPORTANT: Do not break the seal or open this envelope. USCIS will not accept the Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way. The physician must provide an additional copy of the signed Form I-693 for your records.

When will the Form I-693 medical examination be submitted to USCIS?

You may submit the completed medical examination with your green card application or later in response to a request for evidence.

NOTE: Always consult with your attorney before submitting any documents to USCIS.

How long is Form I-693 valid?

A Form I-693 that has been properly completed and signed by an authorized physician on or after November 1, 2023 does not expire. A Form I-693 completed before that date is valid for two years from the date the civil surgeon signed it.

This information is for informational purposes only and does not constitute legal advice. You should not act or rely on any information without seeking the advice of competent, licensed immigration counsel.

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