Form I-693, Report of Medical
Examination and Vaccination
Record
Texas Service Center
October 2010
What is the Purpose?
Report results of a medical examination.
 Establish that an applicant for
adjustment of status is not inadmissible
to the United States on public health
grounds.

2
Who Files Form I-693?

Generally, all applicants filing for
adjustment of status to that of a lawful
permanent resident (Form I-485).
3
Are There Any Exceptions?

While a new medical examination may not be required
for the following groups, compliance with vaccinations
may still be required and certain sections of Form I693 must still be completed.



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Refugees;
Derivative asylees who took an overseas medical
examination;
K nonimmigrants; and
V nonimmigrants.
*These individuals may need to undergo a new medical
examination in certain cases.
4
What are the Medical Grounds of
Inadmissibility?
Communicable diseases of public health
significance;
 Lack of required vaccinations;
 Physical or mental disorders with harmful
behavior; and
 Drug abuse or addition.

5
What are Class A and B Medical
Conditions?

Class A medical conditions render an applicant
inadmissible to the U.S.
 Class B medical conditions do not constitute a
ground of medical inadmissibility and are
defined as physical or mental abnormalities,
diseases, or disabilities serious in degree or
permanent in nature amounting to a
substantial departure from normal well-being.
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Which Vaccinations are Required?

Mumps, measles,
rubella
 Polio
 Tetanus and diphtheria
toxoids
 Pertussis
 Haemophilius influenza
type B
 Hepatitis B

The following additional
vaccines are required for
immigration purposes on
or after December 14,
2009:






Varicella
Influenza
Pneumococcal
Rotavirus
Hepatitis A
Meningococcal
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Is a Fee Required?
USCIS does not charge an individual
any fee to file Form I-693.
 Designated civil surgeons or health care
facilities charge individuals for the
medical examination and any follow-up
tests or treatments.

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Who Conducts Medical
Examinations for USCIS?

Designated civil surgeons.


Can be found via Civil Surgeon Locator,
USCIS National Customer Service Center
(NCSC), or local USCIS office.
For refugees, state or local health
departments.
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New Fee Rule

Effective November 23, 2010, certain
physicians seeking civil surgeon
designation must pay an $615
application fee. New 8 C.F.R. section
103.7(b)(1)(i)(SS).

No effect on currently designated civil
surgeons.
10
Which Form Version Does a Civil
Surgeon Use?
Current edition date: July 20, 2010.
 For medical examinations conducted on
or after July 22, 2010, 2010, the results
of the medical examinations may be
recorded on either the February 25, 2010
or July 20, 2010 edition.

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What Actions Does a Civil Surgeon
Take?

Civil surgeons complete a variety of tasks,
such as






verifying identity;
Reviewing medical records;
adhering to U.S. Department of Health and Human
Services regulations and guidelines;
referring individuals and making reports;
properly completing Form I-693 and placing it in a
sealed envelope; and
retaining a copy of Form I-693 and giving a second
copy to the individual.
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Where Does an Individual File Form
I-693?
Applicants for adjustment of status
submit Form I-693 together with Form I485.
 Other applicants follow the specific
instructions included on the form or given
by USCIS.

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How Long is Form I-693 Valid?
Form I-693 is normally valid for a period
of one year from the date it was signed
by the civil surgeon.
 Based on an agreement with the Centers
for Disease Control (CDC), the validity of
Form I-693 is extended until January 1,
2011 provided that certain conditions are
met.

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To When is the Validity Extended?

Required conditions to extend the validity of
Form I-693:



Form I-693 was included with the initial filing of
Form I-485; and
There is no Class A or B medical condition noted in
section 2, 3 or 4 of Part 2 of Form I-693.
This policy is in effect until January 1, 2011
and valid for any case that is adjudicated on or
before January 1, 2011.
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USCIS Review of Form I-693

Immigration Service Officers (ISOs) review
Form I-693 for the following:




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proper completion by a designated civil surgeon;
original signatures;
the results of any required tests and required
referrals;
the vaccination record; and
whether any waivers are required and available.
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Are Waivers Available?
Depending on the inadmissibility, some
discretionary waivers are available for
certain applicants.
 Some waivers do not require any action
from the applicant.
 Different guidelines apply to refugees
and asylees seeking adjustment of
status.

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