USCIS forms › I-693
Form I-693Report of Immigration Medical Examination and Vaccination Record
Which edition to use
01/20/25. If the civil surgeon signs your form on or before July 2, 2025, you must use the 03/09/23 or the 01/20/25 edition. If the civil surgeon signs your form July 3, 2025 or later, USCIS will accept only the 01/20/25 edition. You can find the edition date at the bottom of the page on the form and instructions.
Does my copy work?
The edition date is printed at the bottom of every page of the form (mm/dd/yy).
Read from uscis.gov on 2026-10-03 · USCIS last reviewed the page on 07/24/2026 · Instructions edition 01/20/25
Filing it
When to fileuscis.gov
If you are filing Form I-485, and if you are required to submit a Form I-693 or partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, we may reject your Form I-485.
Where and how to fileuscis.gov
After completing your immigration medical examination, the civil surgeon must give you the completed and signed Form I-693 in a sealed envelope. Do not accept the Form I-693 if it is not in a sealed envelope. You (not the civil surgeon) must submit your Form I-693 to USCIS.
Submitting Your Form I-693 If You File Your Adjustment of Status Application With USCIS by Mail
If you are applying for adjustment of status to lawful permanent resident (a Green Card) by mail, you must submit Form I-693 by mail with your Form I-485, to the location specified for your Form I-485 (see the Direct Filing Addresses for Form I-485). Otherwise, we may reject your Form I-485.
Submitting Your Form I-693 If You File Your Adjustment of Status Application With USCIS Online
If you file your Form I-485 online, you must open the sealed envelope from the civil surgeon and upload the completed Form I-693 with your Form I-485 application package. You must keep the original Form I-693 and the envelope from the civil surgeon until we make a final decision on your Form I-485. We may review the original Form I-693 and envelope during an interview or ask you to submit the original Form I-693 and envelope as evidence to support the Form I-485.
Other aliens: applying for adjustment of status with EOIR or other aliens required to provide an immigration medical examination on Form I-693: Follow the instructions on or included with the application, or the instructions given to you by the office requesting the immigration medical examination.
Filing tipsuscis.gov
Filing Tips: Review our Tips for Filing Forms by Mail page for information on how to ensure we will accept your form.
Don’t forget to sign your form. We will reject any unsigned form.
Filing feeuscis.gov
You can find the filing fee for Form I-693 by visiting our Fee Schedule page.
Fees for immigration medical examinations are established by the civil surgeon. Fees may vary by civil surgeon.
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