Report of Immigration Medical Examination and Vaccination Record | USCIS
Summary: Form I-693 is the official document used by immigration applicants to prove they are not inadmissible on health-related grounds. It must be completed by a designated civil surgeon.
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is required for individuals applying for adjustment of status to lawful permanent resident. The form documents the results of a mandatory medical examination, including screenings for communicable diseases (such as tuberculosis, syphilis, and gonorrhea), physical or mental disorders, and drug abuse or addiction. The form must be completed by a USCIS-designated civil surgeon. Applicants must submit the form in a sealed envelope if filing by mail, or upload the completed form if filing Form I-485 online. The current edition is dated 01/20/25.
Document outline
1. Part 1: Information About You (Applicant) 2. Part 2: Applicant's Statement, Contact Information, Certification, and Signature 3. Part 3: Interpreter's Contact Information, Certification, and Signature 4. Part 4: Preparer's Contact Information, Certification, and Signature 5. Part 5: Applicant's Identification Information (Civil Surgeon) 6. Part 6: Summary of Medical Examination 7. Part 7: Civil Surgeon's Contact Information, Certification, and Signature 8. Part 8: Civil Surgeon Worksheet (TB, Syphilis, Gonorrhea, Mental/Physical Disorders, Drug Abuse) 9. Part 9: (Reserved) 10. Part 10: Vaccination Record 11. Part 11: Additional Information