Form I-693, Report of Immigration Medical Examination and Vaccination Record, documents a medical exam by a USCIS-designated civil surgeon to confirm applicants lack health-related inadmissibility grounds in the US immigration process. It verifies required vaccinations and screens for communicable diseases, essential for adjustment of status via Form I-485.
Eligibility applies to most green card applicants, including adjustment of status seekers, who must undergo the exam regardless of prior health checks unless exempt, like certain K-1 visa holders.
Locate a civil surgeon via USCIS website.
Gather medical/vaccination records; receive needed vaccines/tests.
Civil surgeon completes/seals Form I-693.
Submit with I-485 to avoid rejection.
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The I-693, Report of Immigration Medical Examination and Vaccination Record, requires a USCIS-approved civil surgeon to assess health conditions and verify vaccinations for green card eligibility. This form screens for inadmissibility issues like communicable diseases, ensuring your US immigration process moves forward smoothly. Proper preparation confirms all required vaccines, such as MMR and COVID-19, meet CDC standards, providing a clear path through medical requirements.
Filing Form I-693 involves scheduling with a designated civil surgeon, bringing prior records, and obtaining a sealed report valid indefinitely if completed after November 2023. Most adjustment of status applicants need this exam, except rare exemptions like certain K-1 spouses. Attorneys guide selection of surgeons, document gathering, and integration into your visa application, preventing common pitfalls like incomplete vaccinations.
USCIS often issues Requests for Evidence on I-693 for missing vaccines, expired forms, or unclear health findings, halting your immigration application. Expert review identifies deficiencies early, such as Class B tuberculosis waivers or additional testing. Attorneys compile targeted responses with civil surgeon updates and physician letters, meeting strict deadlines to maintain case momentum.
Before submitting your application, always confirm that you are using the most recent edition of the form available from USCIS.gov. Filing outdated forms may result in rejection.
Attorneys review civil surgeon-completed I-693 for USCIS compliance, correct errors, and ensure vaccination documentation meets requirements before submission.
Average Budget Range: From $300 to $800
Lawyers recommend USCIS-approved civil surgeons, coordinate appointments, and verify exam readiness tailored to immigration case needs.
Average Budget Range: From $400 to $900
Legal experts integrate properly sealed I-693 into adjustment of status filings, preventing rejections under 2025 concurrent submission rules.
Average Budget Range: From $500 to $1,200
Attorneys prepare evidence addressing USCIS requests for incomplete exams, missing vaccines, or health issues on I-693.
Average Budget Range: From $800 to $2,000
Drafting and filing Form I-601 or annotations for medical contraindications to required vaccines, with supporting physician letters.
Average Budget Range: From $1,000 to $2,500
Customized preparation/review for multiple dependents in family petitions, ensuring synchronized exams and records.
Average Budget Range: From $600 to $1,500 per applicant
Pre-exam legal advice on health history disclosure, Class A/B condition risks, and strategies to mitigate inadmissibility.
Average Budget Range: From $200 to $600
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