I-693 Report of Immigration Medical Examination and Vaccination Record
The immigration medical exam. A USCIS-designated civil surgeon examines the applicant, checks vaccinations, and seals the report. It is not really filed by the applicant - the doctor seals it and the applicant submits the sealed envelope, or the doctor sends it electronically, with the green card application.
- Fee
- $0 to USCIS. The civil surgeon sets their own fee for the exam and vaccines, and USCIS does not regulate it.
- Fee waiver
- Not available
- Who files
- Green card applicants filing Form I-485, and refugees and others when USCIS requires it.
- Where to file
- Submitted sealed with the I-485, or in response to a USCIS request for evidence.
Usually filed with
Part of these processes
What changed in 2025 and 2026
- Since December 2024 USCIS has treated a properly completed I-693 as having no expiry date, which removed a long-standing trap where medicals went stale while a case sat in a queue. Only a designated civil surgeon may sign it; a panel physician abroad is for consular cases.
Official page. https://www.uscis.gov/i-693. Download the form there, never from a third-party site; check the edition date and fee before filing.