Cdc civil surgeons technical instructions immigrant and. I furthermore authorize release of information contained in this form, in supporting documents, and in my uscis records, to other entities and. If you are outside the united states and have an approved form i929, uscis. Uptodate information about the application process for immigration. The most secure digital platform to get legally binding, electronically signed documents in just. Validity period of form i693, report of medical examination.
Citizenship and immigration services uscis will only accept the latest version of the report of medical examination and vaccination record i 693 form. Nov 15, 2018 although the i 693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new form i 693 if they have reason to believe the applicant may be inadmissible on healthrelated grounds. Commumicable diseases of public health significance contd initial screening test result and chest xray determination. If you are inside the united states and have an approved form i929, you may apply immediately for a green card. Submit form i 693 by mail, after filing your form i 485, to the location specified in your most recent communication with uscis for example, a request for evidence letter from uscis. I have provided appropriate evaluationtreatment having made every reasonable effort to verify that the person whom i have evaluated treated is the person identified in part 1.
Dec 14, 2018 the first step to getting an i 693 medical exam is to complete the required applicant information on the i 693 medical form available on the uscis website. File your form online for a more convenient and secure experience. The civil surgeon will check that this information matches part 1. If the applicant comes in with an older version, have.
All the forms below require acrobat reader, available for free. The applicant must file the i693 with uscis within 60 days of signature. Fill out, securely sign, print or email your form i693 20172020 instantly with signnow. Eastern to discuss recent changes made to form i693, report of medical examination and vaccination record uscis officials provided a general overview of form i693, outlined the changes and additions made to the form, and answered any questions. Download uscis immigration forms for free from the chart below. Signature do not sign or date form i693 until instructed to do so by the civil surgeon date of signature form i693 033015 uscis form no 7 20 uscis form i693 report of medical examination and vaccination record department of homeland security u. Note that the form is free when you print it out from uscis website. This is the date uscis uses to determine form i693 validity. Table of changes form form i693, report of medical. As of 072715, the uscis will longer accepts older versions of this form.
Form i693, report of medical examination and vaccination record. Information about you form i 693 is divided into seven parts. Form i 693 instructions 033015 n page 3 of 11 part 1. The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a. Uscis revises form i693, report of medical examination and. By mail with your form i 485, application to register for permanent residence or adjust status, to the location specified for your form i 485 see direct filing addresses for form i 485. Oig1878 uscis medical admissibility screening process. Update to form i693, report of medical examination and vaccination record starting 042817, uscis will only accept the 020717 edition. Immigration medical exam and the form i693 9 the role of uscis uscis adjudicates the underlying form i485 application for adjustment of status to lpr.
Form i693, report of medical examination and vaccination. Except for part 1, the form i693 is completed by uscis designated physician also known as a civil a surgeon. Please note that some forms are available for efiling. To find a uscis designated civil surgeon, the applicant may call the uscis ntional customer a service center at 800 3755283 and follow the automated menu or go to. Forms that are submitted after 60 days of signature or completed incorrectly are invalid and the application will be rejected. Form i 693, report of medical examination and vaccination record you may submit this form together with form i 485 or later when we request it. Make sure you get a copy of the completed form i 693 for your personal records before the doctor seals the envelope. This site provides applicants the ability to see an estimate of the time to completion from submission of uscis forms based on its adjudication location and subtype. Instructions for report of medical examination and.
Uscis will not accept the 020717 version or any previous editions that a civil surg. I693, report of medical examination and vaccination record uscis. Except for part 1, the form i 693 is completed by uscis designated physician also known as a civil a surgeon. Report of medical examination and vaccination record uscis. A list of these doctors is available on the find a doctor page of the uscis website. This form must be completed by a uscis approved civil surgeon and once sealed by the surgeon must not be opened by the applicant. If you are applying for adjustment of status, you may submit form i693. Fill out, securely sign, print or email your form i693, report of medical examination and vaccination. Follow the applications instructions, follow the instructions that the office requesting the medical. For refugees 1 year after being in the united states for asylees 1 year after asylum has been granted local health departments can not complete the i693 for asylees. By mail with your form i485, application to register for permanent residence or adjust status, to the location specified for your form i485 see direct filing addresses for form i485. Complete this part before your medical examination appointment. Citizenship and immigration services uscis website cdc pdf pdf 5 pages external. Whenever possible and if you are eligible, you should do efiling for a form.
Signature do not sign or date form i693 until instructed to do so by the civil surgeon date of signature form i693 033015 uscis form no 7. Although the i693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new. The current list of civil surgeons in your area is available at the civil surgeon locator, under resources. Form i693 reports results of a medical examination to u. Uscis usually approves form i 485 if applicant is not. Uscis physical exam immigration medical exams for i693. Chest xray not required medically cleared for tb for uscis chest xray required due to tb signs or symptoms, or due to immunosuppression e.
The way to complete the online form i 693 on the internet. After the exam, the doctor will complete form i 693 and seal the form in an envelope for you to submit to uscis. To find a uscis designated civil surgeon, the applicant may call the uscis. Form i693 report of medical examination and vaccination record. If you have previously filed an application, petition, or request using the uscis online filing system previously called uscis electronic immigration system uscis elis. Uscis form i693 medical examination for aliens seeking.
Applicants statement, contact information, certification, and signature note. Applicant prepares adjustment of status application, including the form i693 completed by the civil surgeon. Applicants statement, contact information, certification, and signature. Uscis denies form i 485 if the applicant has a class a condition or is otherwise inadmissible and inadmissibility is not waived. Image next to the form number below indicates that efiling is available for that form.
Go to uscis website and print out the latest version of form i693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the. Fill out your name and anumber if any at the top of each page of form i 693. You must submit form i 693 in a sealed envelope to uscis as directed in the form i 693 instructions. In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i693 report of medical examination and vaccination record.
The medical examination must be conducted by a physician who has been designated by uscis as a civil surgeon. Uscis forms and uscis online accounts are always free. The advanced tools of the editor will direct you through the editable pdf template. Citizenship and immigration services uscis form i693 omb no. Form i693 instructions 071519 page 4 of 12 item number 3. For forms available only in paper, select the form details button to download the form and instructions. Applicant prepares adjustment of status application, including the form i693. Tools to help you prepare for filing and help finding citizenship preparation classes.
Citizenship and immigration services uscis invited you to participate in a stakeholder teleconference on tuesday, sept. Form i693 is used to report results of a medical examination to u. How to arrange for a green card medical exam report form. Form i693 is a requirement and is filed in conjunction with form i485, application to register permanent residence or adjust status. Uscis announced that it has revised form i693, report of medical examination and vaccination record, because of changes to the tb component of the cdcs technical instructions for civil surgeons. Changes to the vaccination requirements for purposes of. Weve detected an unusually high number of searches coming from your location. If the applicant comes in with an older version, have them return to their attorney for a new form or have them print it out themselves. If you are filling out this form electronically, you may delete this. Submit form i 693 in person, at an interview in a uscis field office if an interview is required.
The form, then, is valid for a period of up to two years, while the uscis adjudicates. Form i 693 fill out and sign printable pdf template signnow. The report of any consulting physician, as received by the civil surgeon, must be included with the form i 693. Page 1 of 5 start here type or print in capital letters use black ink part 1. I understand every question and instruction in part 1.
Changes to the vaccination requirements for purposes of adjustment of status and the completion of form i693, report of medical examination and vaccination record open pdf. Report of medical examination and vaccination record inova. Citizenship and immigration services uscis will only accept the latest version of the report of medical examination and vaccination record i. Validity of report of medical examination and vaccination record form i693. Whenever possible and if you are eligible, you should do efiling for a. The civil surgeon provides the sealed, completed medical form to the applicant, who then provides it to uscis. This immigration exam form captures basic demographic information like name, address and gender and includes some certification statements from the applicant. Uptodate information about the application process for immigration benefits. The applicant must file the i 693 with uscis within 60 days of signature. For applicants requiring referral, the civil surgeon must not classify, issue medical clearance for tuberculosis, or sign the i693 pdf icon pdf 14 pages external icon form until the applicant returns from the local health department with documentation of the results of his or her tuberculosis disease evaluation. Us immigration forms, free download, i, i485, i129.
Uscis has announced that, effective november 1, 2018, a form i693, report of medical examination and vaccination record medical exam, will be valid only when a civil surgeon. Uscis revises form i693, report of medical examination. Immigration medical exam and the form i 693 9 the role of uscis uscis adjudicates the underlying form i 485 application for adjustment of status to lpr. For more information on the validity of form i693, see the uscis policy manual volume 8, part b, chapter 4. The form, then, is valid for a period of up to two years, while the uscis adjudicates the application. How to arrange for a green card medical exam report form i. Form i693 report of medical examination and vaccination. We also link to forms for reporting a change of address, asylum, immigration bonds, affidavits of support. Uscis will not accept the form if the envelope has been opened or altered. Form i 693 is used to report results of a medical examination to u.
I 693 fill out and sign printable pdf template signnow. If you are applying for adjustment of status, you may submit form i 693. For refugees 1 year after being in the united states for asylees 1 year after asylum has been granted local health departments can not complete the i. For applicants requiring referral, the civil surgeon must not classify, issue medical clearance for tuberculosis, or sign the i693 pdf icon pdf 14 pages external icon form until. Report of medical examination and vaccination record department of homeland security u. Form i 693 is necessary for uscis to determine the eligibility of an applicant for lawful permanent. These individuals should be referred to a local civil surgeon for completion of the i693. Understand the roles of civil surgeons, cdc, uscis, and local health departments in the medical.
Filing form ar11, aliens change of address card, online. This revised form must be used for any medical examination completed on or after may 1, 2008. You can also get this information by calling the uscis contact center at 8003755283. Form i 693 fill out and sign printable pdf template. Uscis announced that it has revised form i693, report of medical examination and vaccination record, because of changes to the tb component of the cdcs technical instructions for civil. Jun 10, 2014 go to uscis website and print out the latest version of form i 693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the medical exam appointment. Enter your official contact and identification details. Report of medical examination and vaccination record. Submit form i693 by mail, after filing your form i485, to the location specified in your most recent communication with uscis for example, a request for evidence letter from uscis. I 693 fill online, printable, fillable, blank pdffiller.
In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i 693 report of medical examination and vaccination record. You must submit form i693 in a sealed envelope to uscis as directed in the form i693 instructions. I693, report of medical examination and vaccination record. Information about you to be completed by the person requesting a medical examination, not.
The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a uscis dhs official. In the future, you may check the validity of editions. Prior to march 11, 2014, individual uscis field offices. You not the civil surgeon must submit your form i 693 to uscis.
Federal register agency information collection activities. You not the civil surgeon must submit your form i693 to uscis. This version of the form can be identified by the revision date of march 30, 2015 written as 033015 on the. You must submit form i 693 in a sealed envelope to uscis as directed in the form i 693. Technical instructions for civil surgeons immigrant and. Extension of validity of medical certifications on form i693 uscis. I693, report of medical examination and vaccination. Medical exams and form i693 curry international tuberculosis. The form dated 033015 is the only acceptable version. Civil surgeon gives applicant the completed form i693 in sealed envelope, and gives himher a copy. This form is required and needs to be completed for each i485 applicant primary beneficiary and dependents spouseschildren 14 years and older copy of birth certificate for each applicant. These instructions will help you complete form i 693.
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