Form I-693: Immigration Medical Exam and Vaccination Record Requirements (2026)

What is Form I-693?
Form I-693, officially titled the Report of Immigration Medical Examination and Vaccination Record, is a mandatory U.S. Citizenship and Immigration Services (USCIS) document. It is used to certify that an applicant seeking an immigration benefit is not inadmissible to the United States on public health grounds.

What is the Form I-693 Used For?

The primary purpose of the I-693 form is to document the results of your immigration medical exam. A USCIS-approved civil surgeon uses this form to report that you are:

• Free from any communicable diseases of public health significance.
• Have received all legally required vaccinations.
• Do not have any physical or mental disorders with associated harmful behavior.

Who Needs to Submit Form I-693?
You’ll typically need Form I-693 if you are:

• Applying for adjustment of status (Form I-485) to become a lawful permanent resident (green card holder).
• Seeking certain refugee or asylee benefits.
• Applying for other immigration benefits that require a medical clearance.
  

When to Submit Form I-693
The form can be submitted in two ways:

1. With your initial green card or adjustment of status application (Form I-485).
2. After USCIS requests it, usually during the application review process.

It’s recommended to have your medical exam within 60 days before filing Form I-485 to ensure the results are valid when reviewed.
Note: Form I-693 is valid for up to two years from the date the civil surgeon signs it.

How Do I Fill Out Form I-693?

While the medical findings can only be completed by a USCIS-approved civil surgeon, you (the applicant) are responsible for completing your information in Part 1.

This is where the PrimePDF platform simplifies the process.

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Key Information Required

• Full name, address, and A-Number (if applicable).
• Details of the USCIS civil surgeon conducting the examination.
• Complete vaccination record.
• Results of required medical screenings (e.g., tuberculosis, syphilis, gonorrhea).
• Civil surgeon’s certification and official seal.

Why It Matters
Submitting a complete and valid Form I-693 ensures that your immigration application won’t be delayed or denied due to missing health documentation. It helps USCIS confirm that you meet all medical requirements for entry and residence in the U.S., promoting both personal and public health safety.