If you are applying for a green card in the United States, then you must complete a medical exam as part of Form I-693. This is important because it checks that you do not have any health problems that could make you inadmissible. Also, the doctor will review your vaccinations and overall health. Therefore, knowing what happens at the I-693 exam helps you prepare. Next, we will explain the steps of the exam.
At Immigration Medical Exam Center, we understand that the process can feel confusing and even intimidating. That’s why we’ve created this comprehensive guide to walk you through everything you need to know about the I-693 medical exam—from the documents to bring, what the exam entails, and how to prepare for it.
1. What Is Form I-693?
Form I-693, titled “Report of Immigration Medical Examination and Vaccination Record,” is a required document for individuals applying for lawful permanent residence (a green card). The form is completed by a USCIS-designated civil surgeon and submitted to U.S. Citizenship and Immigration Services (USCIS) to confirm that the applicant does not have any medical issues that could pose a threat to public health or safety.
2. Why Is the I-693 Medical Exam Required?
The primary purpose of the I-693 medical exam is to screen for medical conditions that fall under inadmissibility grounds as defined by U.S. immigration law. These include:
- Communicable diseases of public health significance
- Lack of required vaccinations
- Physical or mental disorders with associated harmful behavior
- Drug abuse or addiction
The exam helps ensure that those seeking permanent residency are healthy and will not pose a health burden or risk to the community.
3. Who Can Perform the I-693 Exam?
Only a USCIS-approved civil surgeon can conduct the I-693 medical exam. You can’t visit just any doctor. At Immigration Medical Exam Center, all our physicians are certified civil surgeons with extensive experience in performing immigration medicals in compliance with USCIS guidelines.
4. Documents You Need to Bring
Before your appointment, it’s essential to gather and bring the following documents:
- Government-issued photo ID (e.g., passport, driver’s license)
- Form I-693 (if you’ve already downloaded it, although we provide it at our center)
- Immunization or vaccination records
- Any past medical history records, especially for chronic conditions
- A list of current medications
- Any prior TB test results, if available
5. Step-by-Step Breakdown of the I-693 Exam
At the Immigration Medical Exam Center, the I-693 medical exam is a streamlined process, typically completed in several stages:
Step 1: Identity Verification and Paperwork
Once you arrive, our front desk will check your ID and verify your details. You’ll be given Form I-693 (if you haven’t filled it out yet) and assisted in completing the patient sections. Accuracy is important, as discrepancies can cause delays with USCIS.
Step 2: Medical History Review
The civil surgeon will review your complete medical history, including:
- Any past or current illnesses
- History of surgeries or hospitalizations
- Mental health history
- Use of prescription or recreational drugs
This is an important part of the exam to assess any potential health risks.
Step 3: Physical Examination
A standard physical exam will follow, which typically includes:
- Checking your vital signs (blood pressure, heart rate, temperature)
- Examination of your eyes, ears, nose, and throat
- Listening to your lungs and heart
- Abdominal exam
- Skin and lymph node check
- Evaluation of limbs and neurological function
The exam is comprehensive but non-invasive and generally takes 15–30 minutes.
Step 4: Tuberculosis (TB) Testing
USCIS guidelines require TB screening. This can be done through one of two methods:
- IGRA Blood Test (Interferon Gamma Release Assay) – commonly used in adults.
- Tuberculin Skin Test (TST) – occasionally used for younger patients or specific situations.
If your results show any signs of active or latent TB, you may need further evaluation, including a chest X-ray or referral to a specialist.
Your vaccination records will be reviewed to ensure they meet USCIS requirements. The following vaccines are commonly required:
Step 5: Vaccination Assessment
- Measles, Mumps, and Rubella (MMR)
- Tetanus and Diphtheria Toxoids
- Pertussis
- Polio
- Hepatitis A and B
- Influenza (seasonal)
- Varicella (chickenpox)
- Pneumococcal (if applicable based on age)
If you are missing any vaccines, the civil surgeon may administer them at the time of the visit or refer you to a provider.
Step 6: Blood and Urine Tests
Applicants aged 15 and older are typically required to undergo blood tests for:
- Syphilis
- HIV
In some cases, a urine test may also be conducted to rule out other medical conditions.
6. What Happens After the Exam?
Once all tests and evaluations are complete:
- The civil surgeon will complete Form I-693 and place it in a sealed envelope, as required by USCIS.
- Do not open this envelope. It must be submitted unopened with your green card application (Form I-485).
- You will also receive a copy of the completed form for your records.
If there are any abnormalities or health concerns that might delay or affect your application, the doctor will discuss them with you and advise on the next steps.
7. How Long Does the I-693 Exam Process Take?
Most medical exams can be completed within 1 to 2 visits, depending on:
- Lab processing time
- TB test results (which can take up to 48–72 hours)
- Availability of required vaccinations
At Immigration Medical Exam Center, we strive to offer quick turnaround times and schedule follow-ups (if needed) as conveniently as possible.
8. How Long Is the I-693 Valid?
As of the latest USCIS guidelines:
- Form I-693 is valid for 2 years from the date the civil surgeon signs it.
- However, to avoid delays, USCIS recommends that the exam be conducted within 60 days before filing your green card application.
This ensures your medical results are current and acceptable during the review process.
9. Tips to Prepare for Your I-693 Exam
- Stay hydrated and get a good night’s sleep before your appointment.
- Bring all vaccination records. Missing documents can delay the process.
- Eat before the exam to avoid dizziness during blood draws.
- Be honest during the medical history review. Inaccurate information can raise red flags.
10. Common Questions About the I-693 Exam
Q: Can I take the I-693 exam before filing Form I-485?
A: Yes, and it’s actually recommended. Just ensure your exam is within 60 days of filing to avoid having to redo it.
Q: What if I don’t have my vaccination records?
A: No problem. The civil surgeon will help determine what you need and offer catch-up vaccinations if necessary.
Q: Will medical conditions automatically disqualify me?
A: Not necessarily. Only specific conditions, such as untreated TB or substance abuse disorders, may impact your eligibility.
Conclusion
The I-693 medical exam is a crucial part of the green card process, but it doesn’t have to be stressful. At Immigration Medical Exam Center, we provide professional, compassionate care designed to help you complete this requirement efficiently and with full confidence.
Our certified civil surgeons follow all USCIS protocols, and we help guide you every step of the way—from your first appointment to the delivery of your sealed I-693 Form.
If you have more questions or are ready to schedule your immigration medical exam, contact Immigration Medical Exam Center today. Our friendly team is here to make the process as smooth and simple as possible.
