Form I-693 Guide: Understanding the Medical Examination for Green Card Applicants

Navigate the complexities of Form I-693 with Tadeo & Silva Immigration Attorneys. Learn how this crucial step impacts your immigration journey and how we can assist.

Author: Massiel Silva Tadeo, Founder, Tadeo & Silva

Attorney Massiel Silva Tadeo is a partner and owner at The Tadeo & Silva Law Firm. She specializes in removal (deportation) defense, family immigration, and hardship waivers. Updated on: March 29, 2024.

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Navigating the path toward becoming a lawful permanent resident of the United States includes several critical steps, such as submitting Form I-693, the official Report of Medical Examination and Vaccination Record. 

This form is mandatory and must be completed by a government-authorized civil surgeon to show that an individual applying for adjustment of status is not inadmissible on health-related grounds. In other words, this medical exam ensures the applicant meets the public health requirements necessary to reside in the U.S.

Ensuring you’re not affected by health-related grounds of inadmissibility is vital to securing your green card and taking the final steps toward your dream of permanent residency in the United States. 

As a dedicated immigration law firm at Tadeo & Silva Law, we understand the importance of this process and the anxiety it can stir in applicants. 

Our attorneys are well-versed in helping clients navigate this aspect of immigration law, alleviating concerns, and guiding them through the successful completion of the immigration medical exam and submission of Form I-693. Read some of our testimonials for further information. 

Additionally, our vast experience in family-based permanent residency, deportation defenses, citizenship, and hardship waiver applications positions us to offer unparalleled assistance. We strive to employ our legal experience to maintain and reunite families within the U.S., bringing our passion for immigration law to every case we handle. 

We’re here to support you through this process. We’ll ensure you understand the requirements and help you fill out Form I-693 on time.

Contact us today for a consultation so we can start helping you. 

Who Needs to Submit Form I-693

Individuals applying to adjust their status to that of a lawful permanent resident are required to submit Form I-693.

This form, also known as the Report of Medical Examination and Vaccination Record, is a critical step in ensuring public health and safety. According to the U.S. Citizenship and Immigration Services (USCIS), people need this form when pursuing family-based applications or applying for a green card through the adjustment of status process.

Form I-693 is required for those who:  

  • Are applying for an adjustment of status to become permanent residents

  • Need to prove that they are not inadmissible on health-related grounds

It’s important to understand that, while essential for most applicants, Form I-693 is not universally required. For instance, it’s not required for:

  • Non-immigrant visas, since these do not lead to permanent residency

  • Certain visa adjustments; some visa adjustments require different health requirements.

When assisting our clients with their family visas, we guide them through the entire process, including completing necessary medical examinations and vaccinations. 

We aim to seamlessly integrate this step into the overall path to residency. Understanding when and how to properly submit the medical form is crucial, and our insights on the instructions for Form I-693 have been indispensable to our clients. The civil surgeon must also sign the form within the required time frame.

For family-based applications, we offer comprehensive legal guidance on meeting all the requisites set forth by U.S. immigration law. We’ll help you navigate the necessary procedures to ensure you and your relatives can legally reside in the U.S. 

Learn more about Family Visas U.S. and how we can assist you or your loved ones in this process.

How to File Form I-693: Step-by-Step Guide

Step 1: Locate a USCIS-Approved Civil Surgeon 

Before beginning the process, you’ll need to find a designated civil surgeon authorized by the USCIS to perform the necessary medical exam. You can easily find a designated civil surgeon based on your location using the USCIS Civil Surgeons Locator.

Step 2: Complete the Medical Examination 

The medical exam includes tests and vaccinations to establish that you are not inadmissible to the United States on public health grounds. You should bring identification documents, vaccination records, and any other medical history information to the appointment.

Step 3: Fill Out Form I-693 

After your exam, your civil surgeon will sign the form in your presence. 

Only fill out Part 1 of Form I-693, and make sure all your identifying information is accurately included at the top of each page.

Step 4: Filing Form I-693 

Once the medical examination is complete and the form is signed, the civil surgeon will seal the form in an envelope. Do not open this sealed envelope; it must be submitted to USCIS unopened. 

If you are filing Form I-485 for an adjustment of status, you may submit Form I-693 by mail with your I-485 application or afterward, depending on the instructions given in your notice. 

For further details, consult the Report of Immigration Medical Examination and Vaccination Record guidance.

Step 5: Mail to the Correct Address 

It’s crucial to file at the correct address specified by USCIS. Filing at an incorrect address can delay the process. For comprehensive information on the I-485 form, refer to our guide.

Following these steps and seeking advice from experienced immigration attorneys can help you smoothly navigate the path to lawful permanent residency.

How Tadeo & Silva Law Can Help

At Tadeo & Silva Law, we understand that the immigration medical examination is crucial to becoming a lawful permanent resident or obtaining citizenship in the United States. We are dedicated to guiding our clients through the intricacies of Form I-693, ensuring that every box is checked and every requirement is met with precision.

Here’s how we assist our clients with Form I-693:

  • Vaccination Records: Our legal team verifies that your vaccination record is complete, including required vaccines, such as the COVID-19 vaccine, per the form’s stipulations, which were updated in November of 2023. 

  • Timely Filing: We ensure that your Form I-693 is signed by a designated civil surgeon and filed within the appropriate timeframe to retain its validity, which is generally two years.

  • Legal Representation: If you have any unforeseen issues or a Class A medical condition, we’re prepared to represent you and navigate the complex legal pathways to pursue your legal status.

We prioritize your peace of mind throughout the process, aware of the stress that immigration proceedings can impose. We invite you to contact our Georgia office for personalized, professional guidance tailored to your unique situation. 

Let us use our legal experience to help you and your family achieve your American dream.

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