Medical Examination of Aliens Seeking Adjustment of Status
[I-693, Medical Examination of Aliens Seeking Adjustment of Status]
IMPORTANT: Information on this site may be outdated. For up-to-date instructions and filing fees check always with the USCIS site:
http://www.uscis.gov/forms
Purpose of Form :
This form is used to determine whether an applicant for adjustment of status is admissible to the United States on medical grounds. The medical examination must be conducted by a civil surgeon who has been designated by U.S. Citizenship and Immigration Services (USCIS).
Number of Pages :
10
Edition Date :
9/16/05. Prior versions acceptable.
Where to File :
To view instructions on Where to File, go to the Special Instructions section on this page.
Filing Fee :
$0.00
Special Instructions :
The medical examination must be conducted by a civil surgeon who has been designated by USCIS. For the most current list of civil surgeons in your area, please check our Civil Surgeons Channel. To obtain by telephone the names and phone numbers of the designated civil surgeons in your area, please call USCIS’ National Customer Service Center at 1-800-375-5283. You will be asked to provide your zip code. Please have a pen or pencil ready to write down the list of civil surgeons in your area.
The Centers for Disease Control and Prevention (CDC) have sent the I-693 vaccination supplement directly to the civil surgeons for them to photocopy, fill out on behalf of each applicant, and attach to Form I-693 for submission to USCIS. You may download the supplement from the Related Links to the right.
Note: When Applicants Should Get Their Medical Exam: The results of the medical examination are generally valid for only 12 months. Applicants should schedule the medical examination as close as possible to the time you file for Adjustment of Status.
Note on Where to File :
If filing for adjustment of status at a Service Center, you should submit the completed Form I-693, sealed in an envelope from the physician, with Form I-485 package to the Service Center. If filing for adjustment of status at a local office, you should submit the completed Form I-693, sealed in an envelope from the physician, at the time of your adjustment of status interview. Please note: some local offices request that you file Form I-693 with your adjustment of status application packet to allow for quicker processing. Please check the web page of your local office under “Local Filing Procedures” to determine if your local office wants Form I-693 at the time of filing Form I-485 or at the time of interview.
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0033; Expires 06/30/07
I-693, Medical Examination of Aliens Seeking Adjustment of Status
Instructions
I. Instructions for Aliens Applying for Adjustment of Status.
A medical examination is necessary as part of your application for adjustment of status.
Please communicate immediately with one of the physicians on the attached list to arrange for your medical examination, which must be completed before your status can be adjusted.
The purpose of the medical examination is to determine if you have certain health conditions which may need further follow-up. The information requested is required in order for a proper evaluation to be made of your health status.
The results of your examination will be provided to an Immigration officer and may be shared with health departments and other public health or cooperating medical authorities. All expenses in connection with this examination must be paid by you.
The examining physician may refer you to your personal physician or a local public health department and you must comply with some health follow-up or treatment recommendations for certain health conditions before your status will be adjusted.
This form should be presented to the examining physician. You must sign the form in the presence of the examining physician. The law provides severe penalties for knowingly and willfully falsifying or concealing a material fact or using any false documents in connection with this medical examination. The medical examination must be completed in order for us to process your application.
Medical Examination and Health Information.
A medical examination is necessary as part of your application for adjustment of status.
You should go for your medical examination as soon as possible. You will have to choose a doctor from a list you will be given. The list will have the names of doctors or clinics in your area that have been approved by U.S. Citizenship and Immigration Services (USCIS) for this examination. NOTE: USCIS is comprised of offices of the former Immigration and Naturalization Service (INS). You must pay for the examination.
If you become a temporary legal resident and later apply to become a permanent resident, you may need to have another medical examination at that time.
The purpose of the medical examination is to find out if you have certain health conditions which may need further follow-up. The doctor will examine you for certain physical and mental health conditions. You will have to remove your clothes for the medical procedures.
I-693, Medical Examination of Aliens Seeking Adjustment of Status
If you need more tests because of a condition found during your medical examination, the doctor may send you to your own doctor or to the local public health department. For some conditions, before you can become a temporary or permanent resident, you will have to show that you have followed the doctor’s advice to get more tests or take treatment.
If you have any records of immunizations (vaccinations), you should bring them to show to the doctor. This is especially important for pre-school and school-age children. The doctor will tell you if any more immunizations are needed, and where you can get them (usually at your local public health department). It is important for your health that you follow the doctor’s advice and go to get any immunizations.
One of the conditions you will be tested for is tuberculosis (TB). Applicants two years old or older will be required to have a tuberculin skin test. A civil surgeon may require an applicant younger than two to have a skin test if the child has a history of contact with a known TB case, or if there is any other reason to suspect TB disease.
You will be required to return to the civil surgeon in 2 – 3 days to have the skin test checked. If you do not have any reaction to the skin test you will not need any more tests for tuberculosis.
If you have any reaction to the skin test, you will also need to have a chest X-ray examination. If the doctor thinks you are infected with tuberculosis, you may have to go to the local health department and more tests may have to be done. The doctor will explain these medical matters to you.
Exceptions: If you are applying for adjustment of status under the Immigration Reform and Control Act of 1986, you may choose to have either a chest x-ray or a skin test.
You must also have a blood test for syphilis if you are 15 years of age or older.
You will also be tested to see if you have the human immuno-deficiency virus (HIV) infection. This virus is the cause of AIDS. If you have this virus, it may damage your body’s ability to fight off other disease. The blood test you will take will tell if you have been exposed to this virus.
II. Instructions for the Physician Performing the Examination.
Please medically examine for adjustment of status the individual presenting this form. The medical examination should be performed according to the U.S. Public Health Service ”Guidelines for Medical Examination of Aliens in the United States” and Supplements, which have been provided to you separately.
If the applicant is free of medical defects listed in Section 212(a) of the Immigration and Nationality Act, endorse the form in the space provided. While in your presence, the applicant must also sign the form in the space provided. You should retain one copy for your files and return all other copies in a sealed envelope to the applicant for presentation at the immigration interview.
If the applicant has a health condition that requires follow-up as specified in the ”Guidelines for Medical Examination of Aliens in the United States” and Supplements, complete the referral information on the appropriate copy of the medical examination form, and advise the applicant that certain follow-up procedures must be done before the medical clearance can be granted.
Retain a copy of the form for your files and return all other copies to the applicant in a sealed envelope.
The applicant should return to you when the necessary follow-up has been completed for your final verification and signature.
Do not sign the form until the applicant has met the health follow-up requirements. All medical documents, including chest X-ray films if a chest X-ray examination was performed, should be returned to the applicant upon final medical clearance.
Instructions for Physician Providing Health Follow-Up Services.
The person presenting this form has been found to have a medical condition(s) requiring resolution before a medical clearance for adjustment of status can be granted. Please evaluate the applicant for the condition(s) identified.
The requirements for clearance are outlined on the second page of the form. When the person has completed clearance requirements, please sign the form in the space provided and return the medical examination form to the applicant.
Do You Need Forms or Information?
To order USCIS forms, call our toll-free forms line at 1-800-870-3676. You can also order USCIS forms and obtain information on immigration laws, regulations and procedures by telephoning our National Customer Service Center toll-free at 1-800-375-5283 or visiting our internet web site atwww.uscis.gov.
Use InfoPass for Appointments.
As an alternative to waiting in line for assistance at your local USCIS office, you can now schedule an appointment through our internet-based system, InfoPass. To access the system, visit our website at www.uscis.gov. Use the InfoPass appointment scheduler and follow the screen prompts to set appointment. InfoPass generates an electronic notice that appears on the screen. Print the notice and take it with you to your appointment. The notice gives the time and date of your appointment, along with theaddress of the USCIS office.
Privacy Act Notice.
The authority for collection of the information requested on this form is contained in 8 U.S.C. 1182, 1183A, 1184(a), 1252,1255, and 1258. The information will be used principally by USCIS to whom it may be furnished to support an individual’sapplication for adjustment of status under the Immigration and Nationality Act. Submission of the informationisvoluntary.It may also, as a matter of routine use, be disclosed to other federal, state, local, and foreign law enforcementandregulatory agencies. Failure to provide the necessary information may result in the denial of the applicant’s request.
Paperwork Reduction Act Notice.
An agency may not conduct or sponsor an information collection and a person is not required to respond to an information collection unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood, and that impose the least possible burden on you to provide us with information. Often this is difficult because some immigraiton laws are very complex. The estimated average time to complete and file this application is 90 minutes per application. If you have comments regarding the accuracy of this estimate or suggestions for making this form simpler, write to the U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachuetts Avenue, N.W., Washington, DC 20529; OMB No. 1615-0033. Do not mail your completed application to this address.