Virtually everyone who adjusts status to permanent resident (green card holder) must submit Form I-693, Report of Medical Examination and Vaccination Record, as a part of the process.
U.S. Citizenship and Immigration Services (USCIS) requires adjustment of status applicants to have a medical examination to show that they are free from health conditions that would make them inadmissible.
Purpose of Form I-693
The medical grounds of inadmissibility, the medical examination of foreign nationals, and the vaccinations administered to foreign nationals are designed to protect the health of the United States population. The immigration medical examination, the resulting medical examination report, and the vaccination record provide the information USCIS uses to determine if a foreign national meets the health-related standards for admissibility.
Four basic medical conditions may make an applicant inadmissible on health-related grounds:
- Communicable disease of public health significance
- An immigrant’s failure to show proof of required vaccinations
- Physical or mental disorder with associated harmful behavior
- Drug abuse or addiction
USCIS uses Form I-693 to gather results of a medical examination. The examination is required to establish that an applicant is not inadmissible to the United States on public health grounds.
Who Must Submit Form I-693
Every applicant for permanent residence must show that they are not inadmissible on the public health grounds. This does not apply to registry applicants and individuals born under diplomatic immunity in the United States. If you are filing Form I-485 under the nonimmigrant fiancé(e), asylee, or refugee category, see the Form I-693, Report of Medical Examination and Vaccination Record, Instructions for more information on whether you need to submit the full Form I-693 or only certain parts because you already had a medical examination overseas.
When to Submit Form I-693
Generally, it’s best to submit Form I-693 with Form I-485, Application to Register Permanent Residence or Adjust Status. Most attorneys agree it’s best to get it done and remove the obstacle for adjusting status.
However, you are not required to submit Form I-693 at the time you file Form I-485. There is some logic to this strategy. Form I-693 has a limited validity. If your adjustment of status case takes a long time to adjudicate, you may have to repeat the medical examination. Because of the time-limited validity of Form I-693, you may choose to submit your Form I-693 after you file your Form I-485. You may submit it to the same office that is processing your case or provide it at your in-person interview (if required).
Only a USCIS designated civil surgeon can perform this medical examination in the United States. The civil surgeon must document the results of your medical examination on Form I-693. For more information on the medical examination, see the Form I-693 instructions.