Report of Medical Examination and Vaccination Record

Instructions for Report of Medical Examination and
Vaccination Record
Department of Homeland Security
U.S. Citizenship and Immigration Services

USCIS
Form I-693
OMB No. 1615-0033
Expires 10/31/2012

Section I. Applicant's Instructions
What is the Purpose of this Form?
Form I-693 is used to report results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The
examination is required to establish that you are not inadmissible to the United States on public health grounds. A list of
those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act (INA). The list is also
available in Question 9 of Section III of these instructions under Frequently Asked Questions.
The results of your medical examination are confidential and are used for immigration purposes only. When required to
do so by law, the civil surgeon may share your results with public health authorities.

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NOTE: If you are applying for adjustment of status as a refugee, an asylee dependent, or as a "K" or "V" nonimmigrant
visa holder, see Questions 2 - 5 in Section III, Frequently Asked Questions, before proceeding any further.

How Do I File Form I-693?

A separate Form I-693 is required for each applicant. There is no filing fee for this form.
1. Carefully read all these instructions, including Section III, Frequently Asked Questions.
2. Call a designated physician (also known as a civil surgeon) to make an appointment.

3. Fill out Part 1 of the form. Do not sign the form until the civil surgeon tells you to sign. You must sign Form I-693
in the presence of the civil surgeon.
4. Attend your medical exam appointment and all follow-up exams, as may be required.

5. The civil surgeon is required to give you the completed Form I-693 in a sealed envelope. Do not accept the form
from the civil surgeon if it is not in a sealed envelope. USCIS will return the form to you if it is not in a sealed
envelope or if the envelope has been opened or altered. Submit Form I-693 in the sealed envelope to USCIS.
a. If you are applying for adjustment of status, submit Form I-693 according to the instructions on Form I-485,
Application to Register for Permanent Residence or Adjust Status.
b. For all other applicants, follow the instructions on or included with the application form or the instructions given
to you by the office requesting the medical exam.
NOTE: The civil surgeon will ask you to verify your identity. Take a government-issued photo identification to your
appointment (example: your valid unexpired passport or driver's license). For applicants under 14 years of age, USCIS
will accept other proof of identity that shows name, date and place of birth, parents' full names, and any other
identifying information about the applicant. Acceptable documents include birth certificates (with translations, if
necessary) or affidavits. Also take any vaccination records you may have to the appointment.

How Do I Find a Designated Civil Surgeon in the Area Where I Live?
To find a designated civil surgeon in your area, you can call the USCIS National Customer Service Center (NCSC) at
1-800-375-5283 and follow the instructions in the automated menu. Service is available in English and Spanish. A list of
the designated civil surgeons in your area can also be generated by going to www.uscis.gov and clicking on “Find a
Medical Doctor (Civil Surgeon)” under Customer Tools: Before I File.

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General Instructions
Each application or petition must be properly signed and filed. A photocopy of a signed application or a typewritten name
in place of a signature is not acceptable.
Copies. Unless specifically required that an original document be filed with an application or petition, a legible
photocopy may be submitted. Original documents submitted when not required may remain a part of the record, and will
not be automatically returned to you.
Translations. Any document containing a foreign language submitted to USCIS must be accompanied by a full English
language translation which the translator has certified as complete and accurate, and by the translator's certification that he
or she is competent to translate from the foreign language into English.

How to Fill Out My Portion of Form I-693

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1. Use black ink only. Type or print clearly. If an item does not apply to you or the answer is "none", leave the space
blank.
2. If you need more space to complete an answer, use a separate sheet of paper. Write your name and Alien
Registration Number (A-Number), if you have one, at the top of each sheet and indicate the number of the item to
which your answer refers.
3. You must fill out only Part 1 and identifying information at the top of each page. The civil surgeon and any other
doctors, clinics, or health departments receiving a referral are required to complete the remaining parts of the form.
Part 1. Information About You

Fill out this part before your medical exam appointment.

1. Identifying information at top of each page - Fill out your name and A-number, if applicable, at the top of each page
of Form I-693. The civil surgeon will check that this information matches Part 1.
2. Name - Use your legal name. If you have two last names, include both and use a hyphen (-) between the names, if
appropriate.
3. Home Address - Give your physical street address. This must include a street number and name or a rural route
number. Do not put a post office box (P.O. Box) number here.
4. Date of Birth - Use eight numbers to show your date of birth (example: May 1, 1979, must be written 05/01/1979).
5. Place of Birth - Give the name of the city/town/village where you were born.
6. Country of Birth - Give the name of the country where you were born.

7. A-Number - This is your alien registration file number. If you are not sure if you have one, look at any letters or
notices you have received from the Department of Homeland Security (DHS). Look for a number that begins with a
letter "A" and is followed by 8 or 9 numbers (example: A 000 000 000). If you do not have one or if you cannot
remember what it is, leave this space blank.
8. Applicant's Certification - Do not sign here until the civil surgeon tells you to do so. You must sign Form I-693 in
the presence of the civil surgeon. If the applicant is under 14 years of age, a parent or guardian may sign Form I-693. If
the applicant is 14 years of age or older, he or she must sign Form I-693.

Section II. Civil Surgeon's Instructions
What Are My Responsibilities as a Designated Civil Surgeon?
1. Truthfully and accurately report the results. You are responsible for reporting the results of the medical exam and
all laboratory reports on Form I-693 where indicated, and for signing the civil surgeon's certification provided on the
form.
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You must take reasonable steps to ensure that the person appearing for the medical exam is the same person applying
for the requested immigration benefit. All applicants must present a valid government-issued photo identification, and
the civil surgeon must annotate in Part 1 the form of identification presented and ID number, if applicable. The law
imposes severe penalties for knowingly and willfully falsifying or concealing a material fact or using any false
documents in connection with this medical exam.
The civil surgeon should direct the applicant to sign in Part 1 in the presence of the civil surgeon. The civil surgeon
should also ensure that the applicant's name and A-number, if applicable, are at the top of each page of the Form I-693,
and that they match the information provided in Part 1.
2. Follow HHS regulations and CDC guidelines. USCIS has designated you as a civil surgeon with the understanding
that you will perform the medical exam according to U.S. Department of Health and Human Services' (HHS)
regulations. These regulations include the specific guidelines found in Technical Instructions for the Medical
Examination of Aliens in the United States (Technical Instructions), published by the Centers for Disease Control and
Prevention (CDC) in Atlanta, Georgia. The Technical Instructions (including periodic updates posted by CDC) are
available on the CDC Web site at www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/technical-instructionscivil-surgeons.html.

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3. Make referrals and file case reports, as required. According to CDC's Technical Instructions, you are required to:
a. Refer the applicant to the local health department if the chest x-ray suggests TB or other circumstances are present
as described in CDC's Technical Instructions.
b. Ensure that any applicant diagnosed with syphilis is treated with the standard treatment regimen described in
CDC's Technical Instructions.
c. Ensure that testing and therapy are given for diagnoses of chancroid, gonorrhea, granuloma inguinale, or
lymphogranuloma venereum.
d. Refer the applicant to a Hansen's disease specialist for evaluation to confirm a suspected diagnosis of Hansen's
disease (leprosy).
e. File a case report with the appropriate public health authorities if a case report is required by local laws or
regulations. You must also advise the applicant that a case report is being filed.
How Do I Fill Out My Portion of This Form?

You, the civil surgeon, are responsible for ensuring the relevant parts of Form I-693 are completed and signed, as follows.
1. Part 1, Applicant's Certification. You, the civil surgeon, are responsible for verifying the identity of the applicant,
and noting the form of identification the applicant presents to you, in Part 1. You are also required to check each page
of Form I-693 to ensure the name and A-Number, if applicable, are correct. Finally you must require that the applicant
sign the Applicant's Certification in your presence. The applicant should not sign Part 1 until all health follow-up
requirements have been met.
2. Civil Surgeon Worksheet. You must fill out this worksheet and provide the results of each component of the medical
exam relating to: communicable diseases of public health significance, physical or mental disorders with associated
harmful behavior, drug abuse or drug addiction, and vaccinations. You must also include the results of any lab work or
other studies required to determine whether the applicant is inadmissible on health grounds. You must instruct
applicants who have had a tuberculin skin test (TST) to return to your office within 48-72 hours to have the TST read.
3. Referral to Health Department or Other Doctor. If you refer the applicant to a local health department or to another
physician or clinic, you must also fill out section 5 of the Civil Surgeon Worksheet in Form I-693. The health care
professional receiving the referral must fill out and sign section 6 of the Civil Surgeon Worksheet.
4. Part 2, Summary of Medical Examination. After the medical exam and any follow-up (if required) is complete,
summarize the results in Part 2 of Form I-693.

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5. Part 3, Civil Surgeon's Certification. You must sign the certification after the medical exam is complete. Fill out the
identifying information in this part before referring an applicant for further tests or evaluation. Do not sign and date
this part until the referral/follow-up evaluation (if required) has been completed and the applicant has been medically
cleared. Stamped signatures or typewritten names are not acceptable; your signature must be original.
For health departments performing the vaccination assessment for refugee adjustment applicants ONLY: You
must also complete Part 3 of Form I-693. The actual (original) or stamped signature of the physician on staff at the
health department must be present in Part 3. Signatures by attending nurses, physician assistants, or other medical
professionals that are not licensed physicians will be rejected. Health departments must also place either the official
stamp or raised seal, whichever is customarily used, in Part 3 where indicated.

How Do I Complete Form I-693 If I Need to Make a Referral?

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Advise the applicant that the appropriate follow-up must be obtained before medical clearance can be granted. In
section 5 of the Civil Surgeon Worksheet (Referral to Health Department or Other Doctor), include the name, address, and
telephone number of the physician or public health service facility that will conduct further evaluation or provide
treatment. Specify the type of examination and additional tests or treatment the applicant should receive. Complete your
identifying information in Part 3, but do not sign or date the form. Make a copy of Form I-693 for your records and
give the original form to the applicant in a sealed envelope. (See the next section for additional instructions regarding
sealing the envelope.)

What Do I Do After the Medical Exam and Follow-Up (If Required) Are Completed?

After the medical exam (and any follow-up required), is complete, summarize the results in Part 2 of Form I-693. Certify
the form by signing the civil surgeon's certification in Part 3. Do not sign Form I-693 until the applicant has met all
health follow-up requirements.
Make 2 copies of the completed and signed Form I-693 for submission to USCIS. You should keep a copy of Form
I-693 and any supporting documentation that you submit to USCIS for your records. Give the other copy of the completed
and signed Form I-693 and any supporting documentation to the applicant. The vaccination portion of Form I-693 will
serve as the applicant's official vaccination record and may be retained by the applicant for future use in establishing
compliance with vaccination requirements (example: school, day care, employment, etc.).
Prepare the original of the completed and signed Form I-693 for submission to USCIS. Place the original of the
completed and signed Form I-693 and any supporting documentation into an envelope, and then seal the envelope. On the
front of the envelope, write in capital letters: "DO NOT OPEN. FOR USCIS USE ONLY." On the back of the
envelope, write your initials across the seal where the flap of the envelope and the envelope meet. Seal the entire flap with
clear cellophane tape; make sure that the tape, in addition to the flap, also covers your initials. Give the sealed envelope to
the applicant.
The applicant must submit the envelope to USCIS.
IMPORTANT: USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any
way.
Return all supporting medical documents that were not required to be included in the sealed envelope to the
applicant.

Section III. Frequently Asked Questions
1. Who must submit Form I-693?
Generally, all applicants filing for adjustment of status to that of a permanent resident must submit Form I-693
completed by a designated civil surgeon.

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2. What if I am a refugee and already had a medical exam overseas?
If you were admitted to the United States as a refugee and are now applying for adjustment of status under section 209
of the INA one year following your first admission, you do not need to repeat the entire medical exam you had
overseas, unless a Class A medical condition was found during that exam.
If a complete medical exam is not required, you only need to comply with the vaccination requirements. This means
you only need to submit the vaccination record and page 1 of Form I-693. Contact your State or local refugee health
coordinator to find out whether it may be possible for you to have the vaccination portion of Form I-693 completed by
a State or local health department. The State or local health department must also complete Part 3 of the form.
3. What if I am a K nonimmigrant visa holder and already had a medical exam overseas?
If you were admitted as a:

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a. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e); or as a

b. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen; and
c. You received a medical examination prior to admission, then:

(1) You are not required to have another medical examination as long as your Form I-485 is filed within one year of
your overseas medical examination, and the medical examination did not reveal a Class A medical condition, or
if you did have a Class A medical condition, you received a waiver of inadmissibility and have complied with
the terms and conditions on the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the
vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part
of the original overseas medical examination report, you will have to have the vaccination report completed by
a designated civil surgeon. In this case, you are required to submit the vaccination record and page 1 of Form
I-693.
4. What if I am a V nonimmigrant visa holder and already had a medical exam overseas?
If you were admitted to the United States or obtained status while in the United States as a:
a. V-1 spouse of a permanent resident or waiting a V-1 visa; or
b. V-2 child of a V-1 spouse of a permanent resident; or

c. V-3 child of a V-2 unmarried son or daughter of a V-1 spouse of a permanent resident; and
d. You received a medical examination prior to admission or obtaining V status, then:

(1) You are not required to have another medical examination as long as your Form I-485, Application to Register
Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination, and the
medical examination did not reveal a Class A medical condition, or if you did have a Class A medical condition,
you received a waiver of inadmissibility and have complied with the terms and conditions on the waiver.
(2) Even if a new medical examination is not required, you still must show proof that you complied with the
vaccination requirements. If the vaccination record was not properly completed and included as part of the
original medical examination report, you will have to have the vaccination report completed by a designated
civil surgeon. In this case, you are required to submit the vaccination record and page 1 of Form I-693.
5. What if I am an asylee dependent applying for adjustment of status and already had a medical exam overseas?
If you were admitted to the United States as an asylee dependent, you generally do not need to repeat the entire
medical exam you had overseas at the time of submission of Form I-485, provided that:
a. No Class A condition was found during the exam; and
b. You have applied for adjustment of status within one year of eligibility to file.

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You will, however, be required to comply with the vaccination requirement and submit the vaccination record and
page 1 of Form I-693 with your Form I-485.
6. May any doctor perform the required medical exam?
Only a doctor who has been specially designated by USCIS as a civil surgeon may perform the medical exam. USCIS
will not accept Form I-693 completed by a doctor who is not a currently designated civil surgeon.
7. How do I know whether a doctor is a designated civil surgeon?
Doctors found through the USCIS National Customer Service Center phone line or through the USCIS Web site are
generally current in their designation as civil surgeons. If unsure, applicants should confirm with their doctors as to
their civil surgeon status.
8. Who pays for the medical exam?
The applicant is responsible for paying all costs of the medical exam, including the cost of any follow-up tests or
treatment that may be required. Payments are made directly to the civil surgeon or other health care facility.

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9. What are the medical grounds of inadmissibility?
The medical grounds of inadmissibility under U.S. immigration laws are divided into four categories:
a. Communicable diseases of public health significance;
b. Lack of required vaccinations;

c. Physical or mental disorders with harmful behavior; and
d. Drug abuse or addiction.

Section IV. Medical Evaluations

Communicable Diseases of Public Health Significance

The civil surgeon is required to perform specific tests for tuberculosis and syphilis. The medical exam also indicates an
evaluation for other sexually transmitted diseases and Hansen's Disease (leprosy).
If you are found to have a communicable disease of public health significance, the civil surgeon will advise you how to
obtain any necessary treatment. It also may be necessary for you to apply for a waiver of inadmissibility. USCIS will
advise you if this is necessary. To obtain more information about this waiver, visit the USCIS Web site at www.uscis.gov.
1. Testing for Tuberculosis
All applicants 2 years of age and older are required to be tested for tuberculosis (TB) with an initial screening test.
Civil surgeons may require an applicant younger than 2 years of age to undergo testing if there is evidence of contact
with a person known to have TB or other reasons to suspect TB. The physician may use either the Tuberculin Skin
Test (TST) or an Interferon Gamma Release Assay (IGRA).
a. Tuberculin Skin Test (TST) given by the Mantoux technique. After the skin test, you will need to return to the civil
surgeon within 48 to 72 hours to have the result read. If you have a reaction of 4 millimeters or less, generally, you
will not need any further tests for TB. A chest x-ray is required when the reaction to the TST is 5 millimeters or
more. The civil surgeon will explain the medical requirements to you in more detail.
b. IGRA: Civil surgeons have the option of using IGRA in place of the TST (see update to the Technical Instructions
at www.cdc.gov/immigrantrefugee health/exams/ti/civil/updates/index.html). You will not have to return to the
civil surgeon's office for the result to be read. The result is generally available within 24 hours. If the test is negative
or indeterminate/borderline/equivocal, you generally will not need any further tests for TB. Depending on the result
of the test, further evaluation with a chest x-ray may be required.

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There are several IGRAs recognized by CDC for purposes of this immigration medical examination:
the QuantiFERON® - TB Gold (QFT-G) test: the QuantiFERON® - TB Gold in Tube (QFT-G IT) test; and the
T-Spot® TB test. In the future, CDC may recognize additional tests; if it does, it will publish the information in its
Technical Instructions available on CDC's Web site at www.cdc.gov/immigrant refugeehealth/exams/ti/civil/
technical-instructions-civil-surgeons.html. Tests not listed in the materials published on this link may not be used for
purposes of this immigration medical examination.
The civil surgeon will explain the medical requirements and the suitability and availability of IGRA testing to you in
more detail.
2. Testing for Syphilis
All applicants 15 years of age and older must have a blood test for syphilis. Civil surgeons may require applicants
under 15 years of age to be tested if there is reason to suspect the possibility of infection.

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Vaccination Requirements

All applicants for adjustment of status must present documents showing they have been vaccinated against a broad range
of vaccine-preventable diseases. The civil surgeon will review your vaccination history with you to determine whether
you have had all the required vaccinations. Make sure you take your vaccination records with you to your appointment
with the civil surgeon.
NOTE: Do not attempt to meet the requirements before you are evaluated by the civil surgeon, in case it is not medically
appropriate for you to have one or more of the required vaccines.
By law, the required vaccines for the immigrant population are the vaccines as recommended by the Advisory Committee
on Immunization Practices (ACIP) for the immigrant population. You may obtain a list of the required vaccines from
CDC's Web site at http://www.cdc.gov/immigrant refugeehealth/exams/diseases-vaccines-included.html.
If you never received or are unable to prove you received certain vaccines, the civil surgeon can administer them to you.
After evaluation by the civil surgeon, you also have the option of asking your family doctor to administer those vaccines
to you and showing the records to the civil surgeon to note on Form I-693.
If you initially did not have documents proving you received all the required vaccines but later submit those documents,
or if the civil surgeon certifies that it is not medically appropriate for you to have one or more of the missing vaccine(s),
USCIS may grant you a waiver based on the civil surgeon's certification on the vaccination record portion of Form I-693.
HHS has determined that a vaccine is "not medically appropriate" if :
1. The vaccine is not recommended for your specific age group;

2. There is a medical reason why it would not be safe to have the vaccine (for example, allergies to eggs and yeast,
hypersensitive to prior vaccines, other medical reasons);
3. You are unable to complete the entire series of a required vaccine within a reasonable amount of time; or
4. For the influenza vaccine, it is not the flu season.
If you object to receiving the recommended vaccinations because of your sincerely held religious beliefs or moral
convictions, you may apply for a waiver of these requirements. If you hold these objections, inform the civil surgeon that
you will apply for a waiver. If the waiver application is denied, you may be ineligible for the immigration benefit that you
are seeking. To obtain more information about these waivers, visit the USCIS Web site at www.uscis.gov.

Physical or Mental Disorders
Not all physical or mental disorders are considered health-related grounds of inadmissibility. The emphasis is more on
the behavior associated with the physical or mental disorder, instead of the physical or mental disorder itself. This means
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that the civil surgeon must determine that there is behavior associated with the disorder that is harmful either to you, to
others, or to property. If you have had a history of a physical or a mental disorder, there must be associated harmful
behavior that is likely to recur in order for you to be considered inadmissible.
The civil surgeon will ask you general questions during the medical exam to determine whether you have such a condition.
Depending on the outcome of the initial exam, the civil surgeon may find it necessary to refer you to a specialist for further
testing.
If the civil surgeon finds that you have a physical or mental disorder with associated harmful behavior, you may apply for
a waiver according to the terms, conditions, and controls determined necessary by USCIS in consultation with HHS. To
obtain more information about these waivers, visit the USCIS Web site at www.uscis.gov.

Drug Addiction and Drug Abuse

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The medical guidelines for determining drug abuse and drug addiction are determined by HHS. The civil surgeon will
review your medical history during the medical exam and ask you questions necessary to determine whether you are
currently using or have used in the past any drugs or other psychoactive substances.
If the civil surgeon determines you have a medical condition of drug addiction/abuse, you are not eligible to apply for a
waiver unless you are applying for adjustment of status one year after you were admitted as a refugee, or you are applying
for adjustment of status one year after you were granted asylum. If you are ineligible to apply for a waiver, but are later
found by the civil surgeon to be in remission from the drug abuse or drug addiction (as determined by HHS), you may
proceed with your adjustment-of-status application, if eligible.

Section V. USCIS Information

USCIS Forms and Related Information?

You can get USCIS forms and immigration-related information on the USCIS Web site at www.uscis.gov. You may order
USCIS forms by calling our toll-free number at 1-800-870-3676. You may also obtain forms and information by
telephoning the USCIS National Customer Service Center at 1-800-375-5283.
As an alternative to waiting in line for assistance at your local USCIS office, you can now schedule an appointment
through our Internet-based system, InfoPass. To access the system, visit our Web site. Use the InfoPass appointment
scheduler and follow the screen prompts to set up your appointment. InfoPass generates an electronic appointment notice
that appears on the screen.

Address Changes

If you have changed your address, you must inform USCIS of your new address. For information on filing a change of
address go to the USCIS Web site at www.uscis.gov/addresschange or contact the USCIS National Customer Service
Center at 1-800-375-5283.
NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the USCIS Lockbox facilities
do not process change of address requests.

Processing Information
Initial Processing
Once the application has been accepted, it will be checked for completeness, including submission of the required initial
evidence. If you do not completely fill out the form or file it without the required initial evidence, you will not establish a
basis for eligibility and we may deny your application.

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Requests for More Information
We may request more information or evidence, or we may request that you appear at a USCIS office for an interview.
Decision
The decision on Form I-693 involves a determination of whether you have established eligibility for the requested benefit.
You will be notified of the decision in writing.

USCIS Privacy Act Statement
AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the
Immigration and Nationality Act, section 101, et seq.

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PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have
established eligibility for the immigration benefit for which you are filing. The information you provide will be used to
grant or deny the form.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and
any requested evidence, may delay a final decision or result in denial of your benefit request.
ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local, and foreign
government agencies and authorized organizations following approved routine uses described in the associated published
system of records notices [DHS-USCIS-007 - Benefits Information System and DHS-USCIS-001 - Alien File, Index,
and National File Tracking System of Records, which can be found at www.dhs.gov/privacy]. The information may
also be made available, as appropriate, for law enforcement purposes or in the interest of national security.

Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with Form I-693, we will
deny Form I-693 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law
and may be subject to criminal prosecution.

Paperwork Reduction Act

An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. The public reporting burden for this collection of
information is estimated at 2 hours, 30 minutes per response, including the time for reviewing instructions, and
completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory
Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave., N.W., Washington, DC 20529-2020. OMB
No. 1615-0033. Do not mail your completed Form I-693 to this address.

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