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I-693, Report of Medical Examination and Vaccination Record

Generally, all applicants filing for adjustment of status to that of a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Form I-693 is used to report results of a medical examination to USCIS. The examination is required to establish that an applicant is not inadmissible to the United States on public health grounds.

A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act.

Form I-693 (PDF, 1.15 MB)

Instructions for Form I-693 (PDF, 334 KB)

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