Form I-693 reports results of a medical examination to U.S. Citizenship and Immigration Services (USCIS).   

1. The medical report form is to be completed in English, typed, dated, and signed by the civil surgeon.
2. The results of required tests for tuberculosis and syphilis must be entered in the appropriate spaces on the medical report form.

 You should schedule the medical examination as close as possible to the time you file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable).  NOTE: The Form I-693 must be dated no earlier than 60 days before you filed your underlying application.   

Bring a valid government-issued form of photo

identification to your appointment (for example, your unexpired passport or driver’s license).

Under the immigration laws of the United States, a foreign national who applies for an immigrant visa abroad, or who seeks to adjust status to a permanent resident while in the United States, is required to receive vaccinations to prevent the following diseases:

• Mumps
• Measles
• Rubella
• Polio
• Tetanus and Diphtheria Toxoids
• Pertussis
• Haemophilus influenzae type B
• Hepatitis B
• Any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices

  The medical examination requires a medical history, obtained by the civil surgeon or a member of the physician’s professional staff, from the applicant (preferably) or a family member, which includes:

1. a review of all hospitalizations
2. a review of all institutionalizations for chronic conditions (physical or mental)
3. a review of all illnesses or disabilities resulting in a substantial departure from a normal state of well-being or level of functioning
4. specific questions about psychoactive drug and alcohol use, history of harmful behavior, and history of psychiatric illness not documented in the medical records reviewed and
5. a review of chest radiographs and treatment records if the alien has a history suggestive of tuberculosis

 The physical examination is to include:

1. a mental status examination that includes, at a minimum, assessment of intelligence, thought, cognition (comprehension), judgment, affect (and mood), and behavior
2. a physical examination that includes, at a minimum, examination of the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes, and skin
3. all diagnostic tests required to identify communicable diseases of public health significance, as well as other tests identified as necessary to confirm a suspected diagnosis of any other Class A or Class B condition