USCIS I-693 IMMIGRATION MEDICAL EXAM
WHAT IS THE I-693 IMMIGRATION MEDICAL EXAM?
- $500
- 15 min
The I-693 Immigration Medical Exam is a mandatory medical evaluation for individuals applying for permanent residence (green card) or adjustment of status in the U.S. The exam is carried out by an authorized physician (civil surgeon) who assesses overall health, checks for communicable diseases, reviews vaccination history, and verifies compliance with U.S. health standards. Its purpose is to confirm that the applicant is not inadmissible on health-related grounds.
Additional Information
- Costs vary depending on physician and required tests/vaccinations; insurance often does not cover this exam.
- Bring any existing immunization records, previous lab results, or medical history documents to prevent delays.
- Failure to submit a properly sealed and signed I-693 may lead to rejection of your immigration application.
- For minors (under 14), acceptable identity documentation may differ — check with your civil surgeon.
- Applicants should avoid last-minute appointments — schedule early to accommodate possible follow-up vaccines or tests.
HOW IT WORKS
Medical History & Physical Examination
At the first visit, the civil surgeon reviews your medical history, current health status, and performs a full physical exam to identify any conditions that could be of concern under immigration health criteria.
Laboratory & Communicable Disease Screening
The exam includes screening for certain contagious diseases (such as tuberculosis and other infections) and may require blood or urine tests depending on age and background.
Vaccination Record Review & Immunization Updates
The physician reviews your vaccination history. If any required vaccines are missing or outdated, you may need to receive them (or provide proof of immunity) so that your vaccination record complies with U.S. immigration requirements.
Completion of the Report (Form I-693)
If all requirements are met — health clearance, disease screening, and vaccinations — the civil surgeon completes, signs, and seals the official Form I-693 in a sealed envelope for submission with your immigration application.
BENEFITS
Health Clearance for Immigration
Confirms you meet U.S. health and vaccination standards, avoiding inadmissibility on medical grounds.
Protects Public Health
Ensures contagious diseases are identified and vaccinated — safeguarding communities.
Official Documentation
Sealed official form accepted by immigration authorities simplifies application processing.
Prevents Delays or Denial
A properly completed I-693 helps avoid application rejection or delays due to health-related issues.
RESULTS
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WHAT TO EXPECT
Before the Procedure
- Gather valid photo ID and passport
- Bring any existing medical records and vaccination history
- Complete the applicant portion of Form I-693 (but do not sign — sign only at the surgeon’s office)
During the Procedure
- Review of medical history
- Physical examination (vitals, general health metrics)
- Laboratory tests as required (e.g. TB, blood or urine screening)
- Vaccination review or administration (if needed)
After the Procedure
- If cleared — receive sealed envelope containing signed I-693
- Do not open the sealed envelope — submit it exactly as received with your immigration paperwork
- If follow-up vaccinations or labs are needed — ensure they are completed promptly
Who is qualified to perform the exam?
Only a physician authorized as a “civil surgeon” by the immigration authorities can conduct the exam and sign Form I-693.
What diseases and conditions are checked?
Common screenings include communicable diseases (e.g. tuberculosis), mandatory vaccinations, and review for any physical, mental health, or substance-use conditions relevant under immigration health grounds.
What if I’m missing some required vaccines?
You may receive the missing vaccinations during the exam, or provide proof of prior immunization or immunity if documented.
How long is the I-693 valid?
The I-693 must be signed and submitted with your immigration application. Ensure it is valid at the time of submission — validity may depend on timing and application status.
What happens if I fail the exam?
If a disqualifying condition or missing required immunization is found, the physician will note it. You may need treatment or additional documentation before your application can proceed.
FREQUENTLY ASKED QUESTIONS
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