Filing your I-693 of Medical Examination and Vaccination Record
Starting December 2, 2024, USCIS medical requirements direct that applicants submit the Form I-693 (Report of Medical Examination and Vaccination Record – or part of it such as vaccination requirements) along with their Form I-485 (Application to Register Permanent Residence or Adjust Status). Failure to submit Form I-693, or the applicable section, with your Form I-485 may result in the rejection of your application by the United States Citizenship and Immigration Services (USCIS).
To avoid delays or complications in the processing of your application, ensure that Form I-693 is accurately completed by a designated civil surgeon and submitted simultaneously with your Form I-485. This new requirement is intended to streamline the adjudication process and ensure all necessary medical documentation is provided upfront.
Each applicant applying for a visa, including you and any family members or “derivative applicants” accompanying you, must schedule an immigration medical examination with a USCIS- authorized physician in the country where your visa interview will take place. The examination must be conducted by an embassy-approved doctor, also known as a Panel Physician. Please note that medical exams performed by any other physician will not be accepted.
The processing of exam results may take up to 5 to 7 working days. To ensure a smooth process, consult the instructions specific to your country by visiting the List of U.S. Embassies and Consulates available online.
Be in Command, Not Anxious!
For many, the thought of undergoing medical examination process and lab tests is daunting and can evoke a sense of anxiety. The sterile environment of clinics, the unfamiliar medical equipment, and the fear of potential diagnoses often contribute to heightened nervousness. For some, the invasive nature of certain tests or the anticipation of discomfort can feel overwhelming. Additionally, the lack of control over the process and uncertainty about outcomes magnify apprehensions. Even routine procedures may cause stress, especially if individuals are unfamiliar with medical protocols or have had prior negative experiences. This natural unease underscores the importance of compassionate medical care. But if you have invested sometime in the immigration medical exam preparation, you are more likely to feel empowered and in control. And hence, in this blog we are going to take you through the Immigration health exam steps on the day of your immigration health check appointment. (Our previous blog was on the Vaccination Requirement for the Immigration Medical Examination.)
Step – 1: Ensuring that You have Brought All the Necessary Documents to the Appointment
Depending on the location from where you are applying for the medical exam, the required documents for the exam may vary. If you are applying from Within the United States, Form I-693, the “Report of Medical Examination and Vaccination Record,” which the civil surgeon will use to document your exam results is the key document you should carry to the appointment. While many doctors provide copies of this form, it’s advisable to download the latest version directly from the USCIS website and fill up the applicant portion yourself to avoid using an outdated form, which could delay your application. Please remember NOT to sign the form until instructed by the civil surgeon. The doctor will complete their portion during your visit.
Additionally, you are advised to carry the copies of the following supporting documents:
- Your Vaccination Proofs/Immunization Records
- Your Medical History
- Previous chest X-rays (if any)
- Existing treatment plan from your doctor
- Covid-19 vaccines record.
- A valid and accepted photo ID (e.g., passport, driver’s license, state ID, travel permit, or work permit)
There is no fee for filing the Form I-693, but you will be required to pay the civil surgeon’s fees and additional applicable charges. So, it is advisable to confirm the accepted payment methods with the doctor’s office in advance and carry the payment instruments accordingly.
(In case you are applying from outside the United States, you will be required to bring your green card interview appointment letter from the National Visa Center (NVC). The doctor will require this letter to verify your active green card application before proceeding with the medical exam.)
Step – 2: Verification of Your Medical History and Records
The next step is an assessment of your existing medical history and available medical records as listed above.
Step – 3: Vaccination Screening
Your vaccination records will be examined, and if needed, you might be asked to take additional vaccines on the spot. Vaccines are charged extra.
Step -4: Screening and Tests: Here’s the Breakdown!
During your medical exam session, perhaps the most anxiety-inducing part is the screenings and tests! But fear not! Here are some of the commonly done screenings and tests
- Blood and Urine Tests
- Screening for Communicable Diseases such as Tuberculosis Test, Gonorrhoea and Syphilis Tests
- Mental health evaluation
All these tests are done in accordance with the CDC guidelines and as may be required and suitable to age and other factors.
Step- 5: Screening for Drugs and Substance-abuse Disorders
You might have to go through additional tests in case the physician doubts the use of drugs or substance-abuse.
Step-6 : Follow-up Appointments
In most cases, you will not be required for follow-up visits to the medical facility. However, depending on individual cases and other factors, you might be asked to make a second visit to the civil surgeon.
Fear Not!
The medical evaluation process is designed to ensure public safety and the well-being of applicants. Following the required procedures and adhering to guidelines will help streamline your immigration journey. We are planning on providing immigration medical exam tips in some of our next blogs and reels. Stay tuned!
