Fill Out USCIS Form I-693 Online
Report of Immigration Medical Examination and Vaccination Record
U.S. Citizenship and Immigration Services
Records the immigration medical examination performed by a USCIS-designated civil surgeon.
Reviewed July 2026
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USCIS Form I-693, Report of Immigration Medical Examination and Vaccination Record, documents the medical exam required for most people applying for a green card from inside the United States. The exam screens for specific health-related inadmissibility grounds, and the form must be completed and signed by a doctor USCIS has designated as a civil surgeon.
Applicants only fill in the applicant information section; the civil surgeon completes the medical portions. You can prepare your section in the Universal PDF editor and download the PDF to bring to your appointment, which saves time at the clinic and keeps your identifying details accurate.
What is Form I-693 used for
The form reports the results of the immigration medical examination, including screening for communicable diseases of public health significance, a review of vaccination records against U.S. immigration requirements, and evaluation of physical or mental disorders with associated harmful behavior and of drug abuse or addiction.
It is most commonly filed with or after Form I-485, Application to Register Permanent Residence or Adjust Status. Applicants examined abroad for immigrant visas go through a similar exam with a panel physician instead, using State Department procedures rather than this form.
Who completes Form I-693
A USCIS-designated civil surgeon must perform the exam and complete and sign the medical sections. A family doctor cannot do it unless that doctor also holds a civil surgeon designation; you can locate a designated doctor with the Find a Civil Surgeon tool on the USCIS website.
The applicant completes and signs only the applicant information portion. After the exam, the civil surgeon seals the completed form in an envelope, and USCIS will not accept the report if the envelope has been opened or altered, so leave the seal intact and ask the doctor for a copy for your records before it is sealed.
How the I-693 process works
Plan the exam around your green card filing rather than treating it as an isolated errand, since timing rules affect whether USCIS accepts the report.
- Find a civil surgeon, compare exam prices, and book an appointment; costs vary by clinic and are separate from USCIS filing fees.
- Bring government-issued photo identification and your vaccination records; bringing prior medical records can help avoid repeat tests.
- Complete the applicant information section before or at the appointment, matching the name and details on your immigration filings exactly.
- The civil surgeon performs the exam, orders any required tests, completes any needed vaccinations or refers you for them, then signs and seals the form.
- Submit the sealed envelope to USCIS with your application or when USCIS requests it, and keep the unsealed copy the doctor gave you.
Filing tips
Use the current edition of Form I-693; civil surgeons must use the edition USCIS accepts at the time of signing, and the USCIS I-693 page lists it. USCIS has changed its validity and timing policies for this form more than once, so check the current guidance on when the exam can be signed relative to your filing.
Many applicants submit the sealed I-693 together with Form I-485 to avoid a later request for evidence, but confirm the current recommendation on the USCIS site. If a medical finding could raise an inadmissibility issue, discuss it with an immigration attorney or accredited representative before you file, since waivers exist for some grounds.
Frequently asked questions
Only a doctor designated by USCIS as a civil surgeon can perform the exam and sign the form for applicants inside the United States. Use the Find a Civil Surgeon tool on the USCIS website to locate one near you.
No. USCIS will not accept a report in an envelope that has been opened or altered. Ask the civil surgeon for a personal copy before the original is sealed.
USCIS has revised its validity rules for the I-693 several times. Check the current policy on the USCIS I-693 page rather than relying on older guidance about expiration windows.
Civil surgeons set their own exam prices, which vary by location and by which tests and vaccines you need. Call several designated doctors in your area to compare before booking.
The exam checks your records against the vaccinations required under U.S. immigration law, which follow CDC recommendations for immigrant applicants and are updated over time. The civil surgeon identifies anything missing and can usually administer it during the visit.
No. The sealed report is submitted as part of an underlying application, most often with Form I-485, either at filing, at an interview, or in response to a USCIS request.
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