Form I-693
Report of Immigration Medical Examination and Vaccination Record
Document that a green card applicant has completed the required medical exam, including communicable disease screening, vaccination review, and mental health screening.
Filing fee
No USCIS fee — civil surgeon charges $200–$500
Processing time
<1–2 months
Varies by service center
Online filing
Paper only
Mail to USCIS lockbox
Form edition
2024
Only the current edition is accepted
Who files Form I-693?
Adjustment of status applicants. Completed by a USCIS-designated civil surgeon, not the applicant.
Where to file
Submitted with I-485 or at the interview in a sealed envelope signed by the civil surgeon.
Always verify the current address or online filing option on the official USCIS Form I-693 page before sending — lockbox assignments change.
Common mistakes to avoid
- Opening the sealed envelope — USCIS will reject tampered I-693 reports
- Using a physician who is not a USCIS-designated civil surgeon
- Missing required vaccinations — this is the top I-693 rejection reason
Filing tips
- I-693 results are valid indefinitely once signed by the civil surgeon (per 2024 policy update)
- Bring all prior vaccination records to minimize repeat shots and cost
Frequently asked questions
What is Form I-693?
Document that a green card applicant has completed the required medical exam, including communicable disease screening, vaccination review, and mental health screening.
Who files Form I-693?
Adjustment of status applicants. Completed by a USCIS-designated civil surgeon, not the applicant.
How much is the Form I-693 filing fee?
The current filing fee is No USCIS fee — civil surgeon charges $200–$500. Confirm the current amount on USCIS.gov before filing — fees changed most recently in the 2024 USCIS fee rule.
How long does Form I-693 take to process?
USCIS currently reports under 1 month to 2 months for most cases. Processing times vary by service center and workload. Check the USCIS Case Processing Times tool for the latest estimates.
Can I file Form I-693 online?
No. Form I-693 must be filed on paper and mailed to the designated USCIS lockbox or service center. Check the form's official USCIS page for the correct mailing address.
Related forms
Cost deep dive
Looking for a full cost breakdown including biometric fees, fee waivers, and payment methods? See the Form I-693 cost page.
Sources & Citations
All claims in this guide link to primary government sources.
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- 2USCIS Case Processing Times— USCIS
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Not legal advice. This page is a plain-English summary for educational use. Current fees, processing times, and filing locations are controlled by USCIS and may change without notice. For case-specific guidance, consult a licensed immigration attorney.