Form I-693, Report of Immigration Medical Examination and Vaccination Record, documents that an adjustment-of-status applicant is not inadmissible to the United States on health-related grounds under INA §212(a)(1). The form itself must be completed and sealed inside a USCIS-designated civil surgeon's envelope — Imverica does not perform the medical exam. We help applicants identify a civil surgeon, confirm what to bring, organize the sealed envelope with the rest of the I-485 package, and time the submittal so USCIS accepts it.
What I-693 covers
- Medical history and physical examination by a civil surgeon.
- Tuberculosis screening per current CDC technical instructions.
- Syphilis and gonorrhea screening per CDC instructions.
- Vaccination record — vaccines required by CDC for immigrants: MMR, Td/Tdap, varicella, polio, influenza (seasonal), hepatitis A & B, rotavirus, Hib, pneumococcal, meningococcal, and COVID-19 where currently required by CDC.
- Mental-health and drug-abuse evaluation when indicated.
Civil surgeon — not just any doctor
Only doctors specifically designated by USCIS as civil surgeons can complete Form I-693 in the United States. A regular family physician or specialist cannot sign the form. (Applicants processing through a US consulate abroad see a panel physician instead and use a different process.) The civil surgeon completes the form and seals it in an envelope; the applicant submits the sealed envelope to USCIS as part of the I-485 package.
Timing — when to do the medical
Under current USCIS guidance, a signed Form I-693 is valid for two years from the date the civil surgeon signs it, regardless of when it is submitted. USCIS prefers I-693 submitted together with the I-485 — but accepts later submission via Request for Evidence. Do not have the medical done too far in advance of filing; an expired I-693 means a repeat exam.
What we prepare and organize
- List of nearby USCIS-designated civil surgeons — we point you to the official USCIS locator; the civil surgeon you choose is yours.
- Pre-visit checklist — vaccine record, prior tuberculin/IGRA results, prior chest X-rays, eyeglasses prescription, government-issued photo ID, any prior I-693 if recently filed, list of medications.
- Submittal organization — sealed I-693 envelope placed inside the I-485 package so USCIS does not open it in error; sealed envelope plus the unopened, signed copy received by the applicant.
- Tracking — we log the civil-surgeon date so the file shows it is within the two-year window.
What we do not do
We do not perform medical exams. We do not interpret medical results. We do not have a financial or professional relationship with any civil surgeon — you choose your own. If the civil surgeon flags a Class A condition (a health-based ground of inadmissibility), the applicant should consult a licensed immigration attorney before filing — those cases can require a waiver and are outside what Imverica prepares.
Authority: Immigration and Nationality Act §212(a)(1) (health-related grounds of inadmissibility); 8 C.F.R. §245.5; USCIS Policy Manual Volume 8 (Admissibility — Health-Related Grounds); CDC technical instructions for civil surgeons. Document organization only — Imverica does not provide medical services or legal advice.