Medical Examination

USCIS Form I-693 Report of Medical Examination and Vaccination Record – Frequently Asked Questions:

Q: How long is the civil surgeon signature valid on the adjustment of status medical Form I-693?

A: The medical has a validity period of one year.

USCIS states that all applicants filing for adjustment of status should have their medical and /or vaccination section completed as close to the submission of the I-485 as possible.

Q: What does the medical examination involve?

A: When the entire medical exam is required, the designated civil surgeon is responsible for ensuring that all of the required components have been completed.

The civil surgeon will record the results on Form I-693.

For applicants required to have the entire medical exam, all of the following are required. All adjustment of status applicants are required to comply with the vaccination requirements.

Physical Examination: A physical examination and mental status evaluation are required, regardless of age.

Tuberculin (TB) Skin Test: All applicants two years of age and older are required to have a tuberculin skin test (TST) given by the Mantoux technique. (Civil surgeons may require an applicant younger than two years to undergo a TST if there is evidence of contact with a person known to have tuberculosis or other reason to suspect tuberculosis.) After the skin test, the applicant will need to return to the civil surgeon within 48 to 72 hours to have the results read. If you have a reaction of four millimeters or less, generally you will not need any further tests for TB. A chest X-ray is required when the reaction to the TST is five millimeters or more. The civil surgeon will explain the medical requirements to you in more detail

Vaccinations: By law, the required vaccines include: mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, influenza, hepatitis B, haemophilus influenzae type B, varicella, pneumococcal, rotavirus, hepatitis A, meningococcal, human papillomavirus, zoster, and any other vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP).

Q: Can I open the envelope with my I-693 certified forms?

A: NO. When all tests and immunizations are completed, the I – 693 forms will be signed and placed in a sealed envelope to present to USCIS.


Each patient will have his or her own envelope.

Take or send the sealed envelope to the USCIS officer and let him / her open it.

If for any reason the sealed envelope is opened before the officer receives it, you will need to return the envelope to our office to have it resealed.

If the USCIS officer receives the envelope unsealed, he will void the forms and you must redo the forms.

Q: What if I am a K nonimmigrant visa holder and already had a medical exam overseas?

A: If you were admitted as a:

K-1 fiance(e) or a K-2 child of a K-1 fiance(e), or as a

K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen, and

You received a medical examination prior to admission, then:

You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination.

You will, however, be required to complete Part 1, Information about you, and submit the vaccination section of Part 2 with your adjustment of status application. A designated civil surgeon must complete the vaccination section and Part 5, the Civil Surgeon’s Certification.

Q: What are the medical grounds of inadmissibility?

A: The medical grounds of inadmissibility under U.S. immigration laws are divided into four categories:

Communicable diseases of public health significance.

Lack of required vaccinations.

Physical or mental disorders with harmful behavior.

Drug abuse/drug addiction.

Q: How can I find a USCIS Civil Surgeon to perform the medical exam.

A: You may use the USCIS Civil Surgeons Locator.

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