Form I-693 Immigration Medical Exam FAQ
If you are applying for adjustment of status to become a lawful permanent resident, USCIS may require Form I-693, Report of Immigration Medical Examination and Vaccination Record. This FAQ explains the basics in plain English. It is not legal advice or medical advice.
What is Form I-693?
Form I-693 is the USCIS form used to report the results of an immigration medical examination and vaccination record. USCIS uses it to help determine whether an applicant is inadmissible to the United States on health-related grounds.
Who completes Form I-693?
For applicants inside the United States, the immigration medical exam must usually be performed by a USCIS-designated civil surgeon. USCIS provides a Find a Civil Surgeon tool to search by ZIP code or address.
When do I submit Form I-693?
USCIS says that, effective December 2, 2024, applicants who are required to submit Form I-693 or a partial Form I-693 must submit it with Form I-485. Otherwise, USCIS may reject the Form I-485 package. Check the current USCIS Form I-693 page before filing.
What should I bring to the exam?
USCIS says applicants should bring Form I-693, a government-issued photo ID, vaccination or immunization records, health insurance information if available, and payment. If your vaccination records are not in English, CDC guidance says the applicant is responsible for providing reliable English translations.
What happens during the immigration medical exam?
The civil surgeon reviews your medical history, performs a physical exam, reviews vaccination records, and orders required screening tests. CDC technical instructions guide civil surgeons on required screening for conditions such as tuberculosis, syphilis, and gonorrhea, depending on age and other factors.
What lab tests may be involved?
Common immigration-medical-exam testing can include tuberculosis screening, syphilis testing, and gonorrhea testing. CDC says applicants age 2 or older must have an IGRA blood test for tuberculosis screening. Chest X-rays may be required for certain TB findings. Syphilis and gonorrhea testing requirements depend on CDC instructions and applicant age.
Can I order my own lab tests before the I-693 exam?
Ask your civil surgeon first. For the immigration medical exam, some required tests must be ordered by the civil surgeon at the time of the exam. For example, CDC syphilis instructions say testing performed elsewhere, or before the civil surgeon's examination, is not acceptable for the I-693 syphilis requirement. Independent lab testing may still be useful for personal health information, but it may not replace civil-surgeon-ordered I-693 testing.
What if I am missing vaccination records?
The civil surgeon reviews written vaccination records and may determine whether vaccines, immunity testing, or documented waivers apply. CDC says self-reported vaccine doses without written documentation are not acceptable. Some laboratory evidence of immunity may be acceptable for certain diseases, but the civil surgeon decides what is valid for Form I-693.
What happens after the exam?
After the exam, the civil surgeon completes Form I-693 and gives it to you in a sealed envelope for USCIS. USCIS says not to accept the form if the envelope is not sealed, and that USCIS will not accept the form if the envelope has been opened or altered. Ask for a copy for your personal records before the envelope is sealed.
Does LabTestSuperstore complete Form I-693?
No. LabTestSuperstore is not a USCIS-designated civil surgeon and does not complete Form I-693. This page is a general educational resource about the lab testing topics that may come up during the immigration medical exam. For Form I-693, use a USCIS-designated civil surgeon and follow the current USCIS Form I-693 instructions.
Important note
Immigration rules and medical exam requirements can change. Always check the current USCIS Form I-693 page, the USCIS civil surgeon finder, and your immigration attorney or accredited representative before making filing decisions.
Sources
- USCIS, Form I-693 page · accessed 2026-05-06
- USCIS, Find a Civil Surgeon · accessed 2026-05-06
- CDC, Technical Instructions for Civil Surgeons · accessed 2026-05-06
- CDC, Tuberculosis Technical Instructions for Civil Surgeons · accessed 2026-05-06
- CDC, Syphilis Technical Instructions for Civil Surgeons · accessed 2026-05-06
- CDC, Gonorrhea Technical Instructions for Civil Surgeons · accessed 2026-05-06
- CDC, Vaccination Technical Instructions for Civil Surgeons · accessed 2026-05-06