People applying for immigrant visas from overseas must also have a medical exam done, though the process is slightly different. Page 1, part 3 civil surgeons certification health departments acting as civil surgeons must use an official health department stamp or raised seal when completing the i693. Follow the applications instructions, follow the instructions that the office requesting the medical examination gave you, or call the uscis national customer service center at 18003755283 for the most current information on where to file this benefit request. The updated policy, effective 11118, will require applicants to submit a form i693 that is signed by a civil surgeon no more than 60 days before filing the underlying immigration application. Complete this part before your medical examination appointment. Form i693, report of medical examination and vaccination record. Uc international services recommends that i485 applicants holding h1b status maintain their non. This site provides applicants the ability to see an estimate of the time to completion from submission of uscis forms based on its adjudication location and subtype. You must submit form i 693 in a sealed envelope to uscis as directed in the form i 693 instructions. The civil surgeon provides the sealed, completed medical form to the applicant, who then provides it to uscis. Applicants statement, contact information, certification, and signature. Instructions on how to fill i693 form you must use internet explorer to open the file. Except for part 1, the form i693 is completed by uscis designated physician also known as a civil a surgeon. Form i693, medical examination of aliens seeking adjustment.
Completing the i 693 jill grumbine, rn bsn newcomer health program coordinator what is the i 693. Form is required for most applicants filing for adjustment of status. Weve detected an unusually high number of searches coming from your location. I 693, report of medical examination and vaccination record.
Page 1 of 5 start here type or print in capital letters use black ink part 1. I certify under penalty of perjury under united states law that i am the person who is identified in. Report of medical examination and vaccination record uscis. The form focuses on the past five years of their residential and employment history, as well as details about their parents. Validity period of form i693, report of medical examination. Medical exams and form i693 curry international tuberculosis. If you are applying for adjustment of status a green card in the united states, you will need to have a medical exam done and submit the results to u. Provide your uscis 693 medical exam efficiently and correctly. Enter your official contact and identification details. The supplemental form i 693 was the vaccination report that was included with the form i 693 medical report. Form i 693 fill out and sign printable pdf template signnow. Information about you form i 693 is divided into seven parts.
The doctor will give you your results in a sealed envelope. Form i693 is used to report results of a medical examination to u. Citizenship and immigration services uscis website cdc pdf pdf 5 pages external. Any old references to the supplemental form are now outdated. Form i693 instructions 071519 page 4 of 12 item number 3. Cdc civil surgeons technical instructions immigrant and. Fill out, securely sign, print or email your form i693, report of medical examination and vaccination. Citizenship and immigration services officers of the revised vaccination requirements for healthrelated admissibility under section 212a1aii of the. Nov 15, 2018 although the i 693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new form i 693 if they have reason to believe the applicant may be inadmissible on healthrelated grounds. As of august 2016, the uscis 693 exam requires a gonorrhea urine test for all applicants over 15 years of age. Consideration of deferred action for childhood arrivals daca affidavit of support.
If you have previously filed an application, petition, or request using the uscis online filing system previously called uscis electronic immigration system uscis elis. Form i 539 is used by nonimmigrants who wish to apply to u. In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i 693 report of medical examination and vaccination record. For applicants requiring referral, the civil surgeon must not classify, issue medical clearance for tuberculosis, or sign the i693 pdf icon pdf 14 pages external icon form until the applicant returns from the local health department with documentation of the results of his or her tuberculosis disease evaluation. Recently the uscis revised its form i693 to incorporate the vaccination report into the main form, so now there no longer exists a supplemental form. I693, report of medical examination and vaccination record uscis. Citizenship and immigration services officers of the revised vaccination requirements for healthrelated admissibility under. Uscis revised the validity period of form i693, report of medical examination and vaccination record.
The advanced tools of the editor will direct you through the editable pdf template. Instructions for report of medical examination and. Updated form i693 report of medical examination validity. The older version of form i 12232016 will not be accepted after april 27th, 2017. Tools to help you prepare for filing and help finding citizenship preparation classes. Form i 693 is used to report results of a medical examination to u. Technical instructions for civil surgeons immigrant and. Uscis will not accept the 020717 version or any previous editions that a civil surg. Medical examination of aliens seeking adjustment of status i694. For more information on the validity of form i693, see the uscis policy manual volume 8, part b, chapter 4. How to arrange for a green card medical exam report form. A foreign national submits the to uscis as part of his or her form immigration benefits application, if required. Citizenship and immigration services uscis form i693 omb no. Whenever possible and if you are eligible, you should do efiling for a form.
A brief overview of the role of the civil surgeon and a list of uscisdesignated medical providers in minnesota who can sign off on the i693 medical exam. To find a uscis designated civil surgeon, the applicant may call the uscis ntional customer a service center at 800 3755283 and follow the automated menu or go to and click on. Always check the website for the most recent version of this form and current filing fees. Please note that some forms are available for efiling. The report of any consulting physician, as received by the civil surgeon, must be included with the form i 693. I693, report of medical examination and vaccination. Uscis will not accept the form if the envelope has been opened or altered. This is the date uscis uses to determine form i693 validity. Immigration medical exam and the form i693 11 the role of civil surgeons civil surgeons are encouraged to subscribe to receive notifications from uscis on upcoming outreach events, changes to medical examination policies or revisions to form i693.
Form i539 is used by nonimmigrants who wish to apply to u. Prior to march 11, 2014, individual uscis field offices were responsible for determining whether a physician met the requirements to be designated as a civil surgeon. Oig1878 uscis medical admissibility screening process. The way to complete the online form i 693 on the internet. I693 report of medical examination and vaccination record inova. Uptodate information about the application process for immigration benefits. Report of medical examination and vaccination record.
The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Form i 693 fill out and sign printable pdf template. I693, report of medical examination and vaccination record. Although the i693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new. Citizenship and immigration services uscis for an extension of stay or a change to another nonimmigrant status.
This form must be completed by a uscis approved civil surgeon and once sealed by the surgeon must not be opened by the applicant. Changes to the vaccination requirements for purposes of adjustment of status and the completion of form i693, report of medical examination and vaccination record open pdf 2 kb this memorandum advises uscis u. Form i693 report of medical examination and vaccination. Image next to the form number below indicates that efiling is available for that form. Form i693, report of medical examination and vaccination record, is used by u. Make sure you get a copy of the completed form i 693 for your personal records before the doctor seals the envelope. The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a uscisdhs official. As of august 2016, the uscis693 exam requires a gonorrhea urine test for all applicants over 15 years of age. Civil surgeons certification do not sign form or have the applicant sign in part 1. The report of any consulting physician, as received by the civil surgeon, must be included with the form i693.
To be the easiest way to complete and sign pdf forms, for everyone. Start a free trial now to save yourself time and money. Understanding the role of the civil surgeon validity of the i693 form for immigrants. Citizenship and immigration services uscis invited you to participate in a stakeholder teleconference on tuesday, sept.
In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i693 report of medical examination and vaccination record. Anyone who is eligible to file form i485 needs to makes sure this hisher i693 medical exam wasnt signed more than 60 days before the filing date of form i485. Fill only part 1, your name, and a number at the top of each page. Citizenship and immigration services uscis to gather additional background information about a spouse seeking a marriagebased green card. You can find the edition date at the bottom of the page on the form and instructions. Cdc civil surgeons technical instructions immigrant. The current list of civil surgeons in your area is available at the civil surgeon locator, under resources. Please note that all references to the uscis pm in this article are current as of the date of publication, october 16, 2018. Fill part 2 only if an interpreter is helping you with your application for i693.
The medical examination must be conducted by a physician who has been designated by uscis as a civil surgeon. Form i 693 instructions 033015 n page 3 of 11 part 1. Form ia officially called the supplemental information for spouse beneficiary is a document used by u. Uscis announced that it has revised form i693, report of medical examination and vaccination record, because of changes to the tb component of the cdcs technical instructions for civil surgeons.
I furthermore authorize release of information contained in this form, in supporting documents, and in my uscis records, to other entities and. Exceptions to the exam requirement are made for some people who had. After the exam, the doctor will complete form i 693 and seal the form in an envelope for you to submit to uscis. If you type it, it would be better to use all capital letters. This revised form must be used for any medical examination completed on or after may 1, 2008. Aila uscis revises guidance on validity period for form i693. Generated by united states citizenship and immigration services uscis usually required for individuals applying for legal permanent residence green card required to rule out issues of public health concern. Federal register agency information collection activities. Recently the uscis revised its form i 693 to incorporate the vaccination report into the main form, so now there no longer exists a supplemental form. Fill part 2 only if an interpreter is helping you with your application for i 693. Fill out your name and anumber if any at the top of each page of form i 693. What is the supplemental form i693 ive been looking. Report of medical examination and vaccination record department of homeland security u. Civil surgeons must perform the immigration medical examination according to the.
Fill out, securely sign, print or email your form i693 20172020 instantly with signnow. The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a uscis dhs official. Information about you to be completed by the person requesting a medical examination, not. Prior to march 11, 2014, individual uscis field offices were responsible for determining whether a physician met the requirements to. The updated policy, effective 11118, will require applicants to submit a form i 693 that is signed by a civil surgeon no more than 60 days before filing the underlying immigration application. If you are filling out this form electronically, you may delete this. Form i693 report of medical examination and vaccination record. The supplemental form i693 was the vaccination report that was included with the form i693 medical report. Form i693 pdf, 610 kb instructions for form i693 pdf, 327 kb. Aila uscis revises guidance on validity period for form. You must submit form i693 in a sealed envelope to uscis as directed in the form i693 instructions. Jun 10, 2014 go to uscis website and print out the latest version of form i 693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the medical exam appointment. Eastern to discuss recent changes made to form i693, report of medical examination and vaccination record uscis officials provided a general overview of form i693, outlined the changes and additions made to the form, and answered any questions.
These instructions will help you complete form i 693. Form i693 reports results of a medical examination to u. I declare certify, verify, or state under penalty of perjury under the laws of the united states of america that the foregoing is true and correct. Home archive archive forms updates update to form i693, report of medical examination and vaccination record. Uscis has published new forms i and ia and they are available. Immigration medical exam and the form i 693 11 the role of civil surgeons civil surgeons are encouraged to subscribe to receive notifications from uscis on upcoming outreach events, changes to medical examination policies or revisions to form i 693. Note that the form is free when you print it out from uscis website. This form must be completed by a uscisapproved civil surgeon and once sealed. Understand the roles of civil surgeons, cdc, uscis, and local health departments in the medical. Citizenship and immigration services uscis to establish whether an applicant for ajustment of status is inadmissible to d the united states on public health grounds. Changes to the vaccination requirements for purposes of. How to arrange for a green card medical exam report form i. I 693 fill out and sign printable pdf template signnow. Do whatever you want with a form i693, report of medical examination and vaccination.
You can fill the form on this website and print it. Form i693, report of medical examination and vaccination. All the forms below require acrobat reader, available for free. Uscis revised the validity period of form i 693, report of medical examination and vaccination record. Go to uscis website and print out the latest version of form i693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the medical exam appointment.
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