Fill out USCIS Form I-693 Online in 2026

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What is Form I-693?

Form I-693, Report of Immigration Medical Examination and Vaccination Record, is used by individuals applying for U.S. immigration. This form verifies that applicants have undergone a medical examination and received necessary vaccinations. It is essential to ensure that new immigrants do not pose a health risk to the public. Completing this form accurately is crucial, as it helps immigration officials assess an applicant's health status and eligibility for residency or adjustment of status.

What is Form I-693 used for?

Form I-693 is used to report the results of an immigration medical examination. Here’s what it is used for:

  • to confirm vaccination history.
  • to assess health conditions.
  • to support immigration applications.

How to fill out Form I-693

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1. Open the form in our PDF editor

Click "Get Form" to load an electronic Form I-693 and start entering your details.

2. Enter your personal information (Part 1)

  • Provide your full legal name exactly as it appears on your passport or immigration documents. Include your A-Number if USCIS has assigned one.
  • Enter your date of birth, current U.S. physical address, and your city and country of birth. If you have a USCIS online account, include the account number.

3. Indicate if only the vaccination record is required (Part 1, Item 4)

  • Select this option only if you previously completed an immigration medical exam abroad and now need only the vaccination record portion of Form I-693. This commonly applies to certain refugees, asylees, or K-visa holders adjusting status.

4. Provide your contact information (Part 2)

  • Enter a phone number and email address where USCIS or the civil surgeon can contact you if additional information about your exam is required.
  • Do not sign the form yet — the civil surgeon must witness your signature.

5. Add interpreter information if someone translated the form (Part 3)

  • If an interpreter helped you complete the form, they must provide their name, contact details, and signature confirming they accurately translated the questions and your responses.

6. Complete preparer information if someone filled out the form for you (Part 4)

If an attorney or another representative prepared the form on your behalf, they must enter their name, organization (if applicable), contact details, and signature.

7. Bring identification to the medical exam (Part 5)

  • The civil surgeon will verify your identity using an official document such as a passport or government-issued ID and record the document details in this section.

8. Complete the medical examination (Parts 6–10)

  • During your appointment, the civil surgeon performs the required medical exam and records the results, including communicable disease screenings and vaccination history, as required for immigration health clearance.

9. Download your Form I-693

  • Click Done to save and download your printable Form I-693.

Who is required to fill out Form I-693?

Form I-693 must be completed by applicants seeking adjustment of status, including refugees and K or V visa holders. This form is essential for those aiming to become lawful permanent residents in the U.S.

After completion, USCIS uses the form to assess the applicant's medical history and vaccination status during the adjustment process.

When is Form I-693 not required?

Form I-693 is not needed for individuals not applying for adjustment of status or permanent residency in the U.S. If you previously submitted a valid Form I-693, signed by a civil surgeon on or after November 1, 2023, you can use it indefinitely.

USCIS may also waive the requirement if there's no indication that your medical condition has changed since your last valid submission.

When is Form I-693 due?

There is no standalone deadline for Form I-693. Since December 2, 2024, USCIS requires that Form I-693 be submitted at the same time as Form I-485 (Application to Register Permanent Residence or Adjust Status). If you do not include it, your Form I-485 may be rejected.

For applications filed before December 2, 2024, USCIS may request Form I-693 through a Request for Evidence (RFE) if it was not included at the time of filing. Always check for the latest updates from official sources to ensure compliance.

How to get a blank Form I-693

To get a blank Form I-693, you can use our platform, which has the form preloaded in its editor. Fill it out and download it to your device in seconds.

The U.S. Citizenship and Immigration Services (USCIS) issues this form.

How to sign Form I-693

To sign Form I-693, you need to provide a handwritten signature. First, download the PDF version of the form from our website.

After printing it, locate the signature field and sign your name clearly. Always check for any updates on the form requirements before submission.

Where to file USCIS Form I-693?

Form I-693 must be submitted to U.S. Citizenship and Immigration Services (USCIS) by mail, together with your Form I-485, to the address listed in the Form I-485 filing instructions. The form must remain in the sealed envelope provided by the civil surgeon — do not open it.

Form I-485 — Application to Register Permanent Residence or Adjust Status\ This is the primary green card application filed by individuals seeking lawful permanent residence from within the United States. Form I-693 provides the medical examination results USCIS uses to determine whether the applicant meets health-related admissibility requirements.

Who uses it: Applicants applying for adjustment of status to become lawful permanent residents.

Form I-130 — Petition for Alien Relative\ This form establishes the qualifying relationship between a U.S. citizen or lawful permanent resident and the immigrant beneficiary. When the beneficiary later files Form I-485 to adjust status, Form I-693 is required to complete the immigration medical examination requirement.

Who uses it: U.S. citizens or lawful permanent residents sponsoring eligible family members.

Form I-765 — Application for Employment Authorization\ Applicants adjusting status often file this form to obtain temporary work authorization while their green card application is pending. Although Form I-693 is not required for the work permit itself, it is typically filed alongside the adjustment of status application.

Who uses it: Applicants requesting permission to work while waiting for their immigration case to be processed.

Form I-131 — Application for Travel Document\ This form allows applicants adjusting status to request advance parole, which permits temporary travel outside the United States while their immigration case is pending. The medical exam recorded on Form I-693 supports the related adjustment-of-status application.

Who uses it: Applicants requesting travel authorization during the green card process.

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Frequently asked questions

  • How long does it take to get a green card after submitting I-693?

    The timeline varies widely. Some applicants receive approval within days, while others wait up to 5-6 months. Processing times depend on factors like USCIS workload, application type, and the field office handling your case.

  • What is the cost of the I-693 medical examination?

    The cost of the medical examination required for Form I-693 varies by provider. Typically, it can range from $100 to $500, depending on the doctor's fees and any additional tests that may be necessary.

  • Does Form I-693 classify HIV as a Class A or Class B condition?

    As of January 4, 2010, HIV is no longer considered a Class A or B condition on Form I-693 and does not impact visa or immigration admissibility. Civil surgeons are not required to test for HIV during immigration medical exams, as it is no longer classified as a communicable disease of public health significance.

  • What to bring to the Form I-693 medical examination?

    Bring a valid photo ID, vaccination records, Form I-693 (filled out but unsigned), payment or insurance card, and a list of current medications. Include relevant medical records such as tuberculosis or syphilis clearance certificates, previous chest X-rays, and proof of COVID-19 vaccination, if applicable.

  • How long is Form I-693 valid?

    Validity depends on when the civil surgeon signed the form. For forms signed before November 1, 2023, the I-693 is valid for 2 years from the date of signature. For forms signed on or after November 1, 2023, the I-693 is valid only while the application it was submitted with is pending — if the application is withdrawn or denied, a new medical examination is required. Check the USCIS Policy Manual for the latest guidance.

  • What should I expect during the I-693 medical exam?

    The I-693 medical exam includes a physical exam, a review of your medical history, vaccinations, and tests for communicable diseases, with additional tests if needed.

  • What happens after submitting I-693?

    After submitting Form I-693, USCIS will review it along with your other application materials. If everything is in order, they will proceed with processing your green card application. You may be contacted for additional information or an interview.

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Fill out USCIS Form I-693 Online in 2026

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