Fill out I-693 (Report of Medical Examination and Vaccination Record) online
Form I-693 documents a medical examination and vaccination record for immigration purposes. It must be completed by a USCIS-designated civil surgeon and is required for most applicants seeking adjustment of status to permanent residence (green card) in the United States.
How to fill out I-693 (Report of Medical Examination and Vaccination Record)
Find a USCIS-designated civil surgeon
Use the USCIS civil surgeon locator tool at uscis.gov to find a designated physician near you. Only designated civil surgeons can complete the I-693. Schedule an appointment.
Bring required documents to the appointment
Bring your passport or government-issued photo ID, all prior vaccination records, and a completed Part 1 of Form I-693 (your biographical information). The civil surgeon will provide the I-693 form.
Complete the medical examination
The civil surgeon will conduct a physical examination, review your vaccination history, administer any missing required vaccinations, and may order laboratory tests (tuberculosis screening, syphilis test if applicable).
Submit the sealed I-693 with your application
The civil surgeon will complete the medical portion of the form, seal it in an envelope, and give it to you. Submit the sealed envelope with your I-485 application or bring it to your USCIS interview. Do not open the envelope.
About I-693 (Report of Medical Examination and Vaccination Record)
Who needs this form
Applicants filing Form I-485 (Application to Register Permanent Residence or Adjust Status) or certain other immigration benefits that require a medical examination. The applicant must have the examination performed by a USCIS-designated civil surgeon.
Where to submit
Submit with your I-485 application or bring to your USCIS adjustment of status interview in a sealed envelope completed by the civil surgeon. The form must be signed by the designated civil surgeon and the applicant.
Source and content freshness
- Reviewed: 2026-02-16
- Filing deadlines may shift for weekends and holidays. Verify due dates with official instructions.
Common mistakes to avoid
- Going to a regular doctor instead of a USCIS-designated civil surgeon
- Submitting an expired I-693 (the civil surgeon signature must generally be no more than 2 years old at the time of adjudication)
- Not completing all required vaccinations before the examination
- Opening the sealed envelope before submitting it to USCIS
- Not bringing prior vaccination records to the civil surgeon appointment
Frequently asked questions
Is this form free to fill out?
Yes. SimplePDF lets you fill out any PDF form for free, directly in your browser. No account required. For team and business features, see our pricing plans.
Do I need to create an account?
No. You can fill out and download the form without creating an account or signing up.
Is my data secure?
SimplePDF is not a covered entity under HIPAA. Documents are processed entirely in the user's browser and never transit via SimplePDF's servers, on any plan. Read our privacy policy for more details.
Is this legal, tax, or immigration advice?
No. SimplePDF provides form-filling tools and general informational content, not professional advice. Verify requirements with official instructions or a qualified professional.
Can I share a direct link to this form?
Yes! You can create a direct link to any PDF by prefixing its URL with simplepdf.com/. For example: simplepdf.com/https://example.com/form.pdf. Anyone who opens the link can fill out the form immediately in their browser. You can also embed the editor in your own website.
How long is the I-693 valid?
The civil surgeon's signature on the I-693 must generally be no more than 2 years old at the time USCIS adjudicates the underlying application. However, USCIS may accept an older I-693 in certain circumstances. To avoid issues, schedule the medical examination close to your I-485 (adjustment of status) filing date.
SimplePDF provides a tool to fill out PDF forms. We are not affiliated with any government agency or form issuer. It is your responsibility to verify the accuracy and completeness of any information entered. SimplePDF is not liable for errors, omissions, or consequences resulting from the use of filled-out forms.