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
Sources & Citations
All claims in this guide link to primary government sources.
- 1
- 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.