


What Is the I-693 Immigration Medical Exam?
Form I-693, officially titled Report of Medical Examination and Vaccination Record, is required for individuals applying for permanent residency or adjustment of status.
The exam helps USCIS determine whether an applicant has any medical conditions that could affect eligibility under immigration law.

What’s Included in the I-693 Exam
All exams are performed by a certified Civil Surgeon.
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Review of medical history
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Physical examination
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Required blood tests
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Required vaccinations or vaccination verification
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Tuberculosis (TB) testing
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Completion and sealing of Form I-693 for USCIS submission
Required Tests and Screenings
Depending on age and medical history, required tests may include:
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Blood tests for communicable diseases
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Tuberculosis screening (blood test or skin test)
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Syphilis testing
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Gonorrhea testing (as required)
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Vaccination review and updates
USCIS requirements vary by age and individual history.
What to Bring to Your Appointment
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Valid photo ID
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Insurance information (if applicable)
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Immigration paperwork (if available)
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Vaccination records (if available)
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Previous TB or chest X-ray records (if applicable)

Important Notes About USCIS Requirements
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Only USCIS-designated Civil Surgeons may perform I-693 exams
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Forms must be completed accurately and sealed
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USCIS will reject altered or improperly completed forms
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Exams must meet current USCIS validity timelines
We follow current USCIS guidelines to help prevent delays or rejections.