Form I-693 (Medical Examination, sealed)

Official PDF downloads

• Form I-693, Report of Immigration Medical Examination and Vaccination Record, USCIS (PDF)
• Instructions for Form I-693, USCIS (PDF)

Also searched as

medical exam form, civil surgeon envelope

What this is

Form I-693, the medical-exam record completed by a USCIS-designated civil surgeon for many adjustment-of-status cases.

Country or post sensitive: Expect country-specific, post-specific, or timing-sensitive variation.

Who usually needs it

Adjustment-of-status applicants often need it. If Form I-693 or a partial I-693 is required, USCIS says to submit it with Form I-485.

When it usually appears

With the I-485 filing package when I-693 evidence is required; missing required I-693 evidence may cause USCIS to reject Form I-485.

What changes by process, path, or post

This is an AOS-specific document. Envelope handling, partial-I-693 rules, and category-specific exceptions still depend on current USCIS instructions and the case posture.

Common format or evidence traps

• Confusing civil-surgeon paperwork with consular panel-physician materials.
• Breaking the sealed-envelope chain before USCIS receives it.
• Treating old medical timing assumptions as permanent policy.

Related pages

• Adjustment of status guideSee the USCIS route inside the United States.
• Medical exam guideCompare panel-physician and civil-surgeon workflows.

Related glossary terms

Form I-693 · Medical exam · Civil surgeon

Examples from current exact-support flows

Coverage posture: Current public exact-support flows include multiple direct examples for this document, but exact requirements still depend on the route, process stage, and official instructions.

• Usually needed

  Complete Form I-693 (Medical Examination and Vaccination Record) with a USCIS-designated civil surgeon. If Form I-693 or a required partial I-693 is required for your case, submit it with the I-485 package; USCIS may reject Form I-485 if required I-693 evidence is missing. Do not open the sealed envelope. (Sources: USCIS I-693 instructions, USCIS Policy Manual Vol. 8 Part B)

  Shown when: scope.green_card_path: family-based · scope.processing_context: adjustment-of-status

• Usually needed

  If a medical is required, submit Form I-693 or the required partial I-693 with Form I-485; USCIS states it may reject I-485 when required I-693 evidence is missing.

  Shown when: green_card_path: family-based · processing_context: adjustment-of-status

• Usually needed

  Complete Form I-693 (Medical Examination and Vaccination Record) with a USCIS-designated civil surgeon. If Form I-693 or a required partial I-693 is required for your case, submit it with the I-485 package; USCIS may reject Form I-485 if required I-693 evidence is missing. Do not open the sealed envelope. (Sources: USCIS I-693 instructions, USCIS Policy Manual Vol. 8 Part B, USCIS employment-based adjustment of status overview)

  Shown when: scope.green_card_path: employment-based · scope.processing_context: adjustment-of-status

• Usually needed

  Complete Form I-693 (Medical Examination and Vaccination Record) with a USCIS-designated civil surgeon. Humanitarian AOS filers are subject to the same sealed-medical-exam requirement as other I-485 applicants, but the I-485 instructions and the applicable humanitarian policy-manual chapter may describe a modified vaccination analysis. If Form I-693 or a required partial I-693 is required for your case, submit it with the I-485 package; USCIS may reject Form I-485 if required I-693 evidence is missing. Do not open the sealed envelope. (Sources: uscis_i485_instructions, uscis_i485_initial_evidence_checklist, uscis_policy_manual_volume_7)

  Shown when: scope.green_card_path: humanitarian · scope.processing_context: adjustment-of-status

• Usually needed

  Complete Form I-693 (Medical Examination and Vaccination Record) with a USCIS-designated civil surgeon. If Form I-693 or a required partial I-693 is required for your case, submit it with the I-485 package; USCIS may reject Form I-485 if required I-693 evidence is missing. Do not open the sealed envelope. (Sources: uscis_i485_instructions, uscis_i360_instructions)

  Shown when: scope.green_card_path: special-immigrant · scope.processing_context: adjustment-of-status

• Usually needed

  Complete Form I-693 (Medical Examination and Vaccination Record) with a USCIS-designated civil surgeon. If Form I-693 or a required partial I-693 is required for your case, submit it with the I-485 package; USCIS may reject Form I-485 if required I-693 evidence is missing. The civil surgeon must sign and seal the envelope. Do not open the sealed envelope. (Sources: uscis_i485_instructions, uscis_i485_page)

  Shown when: scope.green_card_path: other · scope.processing_context: adjustment-of-status