I-693Report of Immigration Medical Examination and Vaccination Record

Clinicians fill out · Employees complete · Submitted to regulator

When it’s used

Submitted with an application for adjustment of status to permanent residence (green card) and certain other immigration benefit requests, to establish that the applicant is free from health-related grounds of inadmissibility under INA §212(a)(1).

Who fills it out

A USCIS-designated civil surgeon completes the examination, vaccination assessment, and findings. The applicant completes identifying information.

Who signs

The USCIS-designated civil surgeon certifies and signs the form. (Overseas applicants are instead examined by a panel physician using different documentation.)

Where it goes

The civil surgeon gives the completed form to the applicant in a sealed envelope; the applicant submits it to USCIS with the underlying benefit application. Do not open the sealed envelope.

Electronic submission

Filed on paper with the associated benefit application; USCIS does not accept a standalone I-693 e-filing.

Related forms

These forms are commonly filed alongside or in place of this one.

• Immigration & USCIS

  N-648 — Medical Certification for Disability Exceptions

  Form N-648 is used to request an exception to the English and/or civics testing requirements for naturalization when an applicant has a physical or developmental disability or mental impairment that prevents them from meeting those requirements. It is completed by a licensed medical professional.

  View form

Share an employee preparation guide so the visit goes smoothly. Each guide covers what to bring, how to prepare, and what to expect — bilingual EN/ES.

• Prep guide

  Immigration Physical (I-693)

  USCIS civil surgeon examination required for green card applications.

  Open prep guide