The form i693 must be dated no earlier than 60 days before you filed your underlying application. Report of medical examination and vaccination record uscis. Applicants whose form i693 expires and must obtain a new medical exam must also get new vaccinations. Uscis uses form i693 to gather results of a medical examination. This is one of the requirements when you file for adjustment of status in uscis. Updated form i693 report of medical examination validity. Download form i693 report on the results of medical examination and vaccination. You must fill out only part 1 and identifying information at the top of each page.
In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i693 report of medical examination and vaccination record. There is a list of practices on the uscis website that i used to help me find a designated civil surgeon. This will allow for a twoyear period of validity following the civil surgeons signature date. All about form i693 and the immigration medical examination.
The reasoning for submission of this document is to ensure that the individual is not inadmissable based upon public health grounds. A properly and timely completed form i693 remains valid for. If you are an attorney or accredited representative, you may need to submit a completed form g28, notice of entry of appearance as attorney or accredited representative, with this application. People applying for immigrant visas from overseas must also have a medical exam done, though the process is slightly different. Form i693 is used to report the result of a medical examination to the united states citizenship and immigration services. How to arrange for a green card medical exam report form. Uscis will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered.
Form i693, whose full name is report of medical examination and vaccination record, is a uscis form used to report results of a medical examination. Form i 693 fill out and sign printable pdf template. Vaccination record completed by a designated civil surgeon. The i693 supplemental form relates only to the vaccination supplement part of the form and has to be filled out by a designated civil surgeon, which basically means a uscis approved doctor. The applicant of form i693 is one who is seeking immigration benefits. This form must be completed by a uscisapproved civil surgeon and once sealed by the surgeon must not be opened by the applicant. Submit form i693 in person, at an interview in a uscis field office if an interview is required. Department of homeland security instructions for i693. Information about you to be completed by the person requesting a medical examination, not. I understand the purpose of this medical exam, and i authorize the required tests and procedures to be completed. Do not sign or date form i693 until instructed to do so by the civil surgeon. Use fill to complete blank online uscis dc pdf forms for free. The civil surgeon and any other doctors, clinics, or health departments. Submit form i693 in the sealed envelope to uscis according to the instructions on form i485, application to register permanent residence, or.
Uscis i693 form and vaccination supplement my k1 fiance. Processing form i693 report of medical examination and. If you are applying for adjustment status to become a lawful permanent resident. Do not accept the form from the civil surgeon if it is not in a sealed envelope.
Individuals applying for adjustment of status by filing form i485 are required to submit the form i693, medical examination along with their form i485. Follow the applications instructions, follow the instructions that the office requesting the medical examination gave you, or call the uscis national customer service center at 18003755283 for the most current information on where to file this benefit request. A properly and timely completed form i693 remains valid for two years from the date of the civil. If you are not applying for an adjustment of status, follow the instructions given by the office requesting the medical examination. Instructions for report of medical examination and vaccination record. The examination is required to establish that you are not inadmissible to the united states on public health grounds. By mail together with the i485 application for adjustment.
Printable, fillable, blank form i693 report of medical examination and vaccination record pdf form. Do i need to get a new i693 for resubmission of i485. Submit the i693 in person when you go in for an interview at a uscis field office. If you are applying for adjustment of status a green card in the united states, you will need to have a medical exam done and submit the results to u.
Immigration medical exam, green card medical exam, i693. Form i693, report of medical department of homeland. The civil surgeon will certify the results on the appropriate forms i693 form for medical exam and vaccination supplement form including chest xray report if a chest xray examination was performed. The form i693, known as the report of medical examination and vaccination report, is typically required for all applicants filing for an adjustment of status to that of a lawful permanent resident. Citizenship and immigration services uscis to establish whether an applicant for ajustment of status is inadmissible to d the united states on public health grounds.
Generally, all applicants filing for adjustment of status to that of a lawful permanent resident must submit form i693 completed by a designated civil surgeon. Information about youto be completed by the person requesting a medical examination, not the civil surgeon start here type or print in capital letters use black ink applicants certification i certify under penalty of perjury under united states law that i am the person who is identified in part 1 of this form i693, report of. You must submit form i693 in a sealed envelope to uscis as directed in the form i693 instructions. If you are applying for adjustment of status, submit form i693 according to the instructions on. Form i693 medical examination and vaccination report. The civil surgeon will place all the i 693 related paperwork in a sealed envelope. Because of the timelimited validity of form i693, you may choose to submit your form i693 after you file your form i485. If it has the all of the following items, you dont need an i693 adults 1949 yrs old. All of the forms and other documents have a long number probably time stamp at the base of the documents. A list of health grounds of inadmissibility may be found at immi. There is no fee to file form i693, but you will need to pay the medical exam fee see above.
The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Make an appointment with a civil surgeon certified by uscis. Submit form i693 according to the instructions on form i485. Once completed you can sign your fillable form or send for signing. You must sign form i693 in the presence of the civil surgeon. You must submit form 1693 in a sealed envelope to uscis as directed in the form 1693 instructions. Submit form i693 by mail, after filing your form i485, to the location specified in your most recent communication with uscis for example, a request for evidence letter from uscis. Uscis typically suggests that applicants file form i693 along with form. Report of medical examination and vaccination record inova.
I693, report of medical examination and vaccination record uscis. As such, applicants filing an underlying application i. By waiting to submit form i693, you may avoid having to repeat the immigration medical examination. Uscis provides form i693 free of charge through the uscis web site. Submit form i693 with adjustment of status application. Report of medical examination and vaccination record. Report of medical examination and vaccination record department of homeland security u. The instructions clearly indicate that you must submit an unopened copy of your medical as yours has been opened it would in my opinion not meet that criteria. You must submit a separate form i693 for each applicant. Do i need to submit form i693 with my adjustment of. I693, report of medical examination and vaccination record. Do i need to get a new i693 for resubmission of i485 06052017, 10.
Uscis clarifies new policy on i693 medical exam validity. I certify under penalty of perjury under united states law that i am the person who is identified in. I 693 fill out and sign printable pdf template signnow. Uscis publishes new edition of form i693 101917 edition submitted by alexander j. Make two copies of the completed form retain one for your records give a copy to the applicant place the original in a sealed envelope 1. Under the new policy, which affects forms i693 filed after november 1, 2018, applicants will be required to submit the form i693 to the uscis within 60 days of the date that the civil surgeon signed it. However, such a properly submitted form i693 will remain valid for two years. Medical exams and form i693 curry international tuberculosis. Form i693 is used to report results of a medical examination to the u. Form i 693 fill out and sign printable pdf template signnow. Form i485 for adjustment of status will be required to submit forms i693 signed by a civil surgeon no more than 60 days before submission of filing. Uscis updates policy manual for submitting form i693. The civil surgeon is required to give you the completed form i693 in a sealed envelope.
Form i693 is used to report results of a medical examination to uscis. Immigration medical exam and the form i693 12 completing form i693 verify the identity of the applicant, recording information from the applicants governmentissued photo id, and take necessary fraud prevention measures, as explained in the instructions to form i693 and the tis. As a rule, all applicants submitting documents to adjust the status or status of a legal permanent resident must submit form i693, completed by a designated civilian physician. Instructions for report of medical examination and. Form i693, report of medical examination and vaccination. Only two types of doctors can perform a medical exam for form i693. Uscis will return the form to you if it is not in an envelope or if the envelope has been opened or altered. Form i693, report of medical examination and vaccination record, is used by u. Uscis form i693 medical examination for aliens seeking.
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